| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BANYAN CONSULTING GROUP INC3 | 333 N. GREEN ST STE 101 GREENSBORO, NC 274012265 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $21K | — | $21K | 14.55% |
| CIGNA0 Filed as: CIGNA HEALTH AND LIFE INSURANCE COM | — | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $4K | $4K | 2.62% |
| CARECORE D/B/A EVICORE0 | — | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $4K | $4K | 2.43% |
| AMERICAN SPECIALTY HEALTH0 | — | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $3K | $3K | 1.82% |
| FLORES AND ASSOCIATES5 | — | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $550 | $550 | 0.38% |
| MEDSOLUTIONS D/B/A EVICORE, INC.0 | — | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $480 | $480 | 0.33% |
| THE BANK OF SAN ANTONIO INS. GROUP0 Filed as: U.S. BANK NATIONAL ASSOCIATION | — | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $80 | $80 | 0.06% |
| LUXOTTICA0 | — | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $27 | $27 | 0.02% |
| AMPLIFON USA, INC.0 | — | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $27 | $27 | 0.02% |
| GAIAM0 | — | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $27 | $27 | 0.02% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 333 N. GREEN ST STE 101 GREENSBORO, NC 274012145 | PRINCIPAL LIFE INSURANCE COMPANY | $1K | $1K | $2K | 5.82% |
| BANYAN CONSULTING GROUP INC3 | 333 N. GREEN ST STE 101 GREENSBORO, NC 274012145 | PRINCIPAL LIFE INSURANCE COMPANY | $1K | — | $1K | 3.22% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | PO BOX 939 BURLINGTON, NC 272160939 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $1K | $1K | 6.99% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | PO BOX 939 BURLINGTON, NC 272160939 | MUTUAL OF OMAHA LIFE INSURANCE COMPANY | $1K | $796 | $2K | 16.42% |
| N WETERN GP MMRTKG SERV OF E NC INC3 | 4020 WESTCHASE BLVD FL2 RALEIGH, NC 276073938 | MUTUAL OF OMAHA LIFE INSURANCE COMPANY | $748 | — | $748 | 6.63% |
| BANYAN CONSULTING GROUP INC3 | 333 N. GREEN ST STE 101 GREENSBORO, NC 274012265 | UNITEDHEALTHCARE INSURANCE COMPANY | $1K | — | $1K | 17.86% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL-GREENSBORO | 333 N. GREEN ST GREENSBORO, NC 274012265 | UNITEDHEALTHCARE INSURANCE COMPANY | $194 | — | $194 | 3.21% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 333 N. GREEN ST STE 400 GREENSBORO, NC 27401 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $452 | — | $452 | 11.64% |
| N WETERN GP MMRTKG SERV OF E NC INC3 | 4020 WESTCHASE BLVD FL2 RALEIGH, NC 276073938 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $325 | — | $325 | 8.37% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | PO BOX 939 BURLINGTON, NC 272160939 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $133 | $215 | $348 | 10.92% |
| N WETERN GP MMRTKG SERV OF E NC INC3 | 4020 WESTCHASE BLVD FL2 RALEIGH, NC 276073938 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $90 | — | $90 | 2.82% |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 103 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 103 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 72 | $151K |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 103 | $38K |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 59 | $6K |
| Life insurance(2 contracts, 2 carriers) | MUTUAL OF OMAHA LIFE INSURANCE COMPANY | 59 | $17K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 9 | $4K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 93 | $20K |
| Other(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 80 | $9K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 103 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.