| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES | 101 N CHERRY STREET SUITE 500 WINSTON SALEM, NC 27101 | HARTFORD LIFE AND ACCIDENT | $7K | — | $7K | 8.53% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | 4309 EMPEROR BLVD SUITE 300 SUITE 300 DURHAM, NC 27703 | HARTFORD LIFE AND ACCIDENT | $6K | — | $6K | 7.18% |
| MOSAIC GROUP SERVICES3 Filed as: MOSAIC GROUP SERVICES, LLC | 4611 UNIVERSITY DRIVE DURHAM, NC 27702 | HARTFORD LIFE AND ACCIDENT | — | $6K | $6K | 7.00% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | 628 GREEN VALLEY ROAD SUITE 304 GREENSBORO, NC 27408 | HARTFORD LIFE AND ACCIDENT | — | $2K | $2K | 2.08% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | P.O. BOX 168 WINSTON SALEM, NC 27102 | SUN LIFE ASSURANCE COMPANY OF CANADA | $6K | — | $6K | — |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES INC. | 3150 S. MAIN ST SUITE 201 HARRISONBURG, VA 22801 | SUN LIFE ASSURANCE COMPANY OF CANADA | $417 | $2K | $2K | — |
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 | 128 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 128 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 149 | $672K |
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 102 | $0 |
| Vision | SUN LIFE ASSURANCE COMPANY OF CANADA | 102 | $0 |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 176 | $83K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 176 | $83K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 176 | $83K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 149 | $672K |
| Other(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 176 | $83K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 176 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.