| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 | 2100 ROSS AVE STE 1200 DALLAS, TX 752012739 | RELIASTAR LIFE INSURANCE COMPANY | — | $17K | $17K | 3.18% |
| JAMES A SCOTT & SON INC3 | 1700 BAYBERRY CT, SUITE 200 RICHMOND, VA 232263791 | RELIASTAR LIFE INSURANCE COMPANY | $13K | — | $13K | 2.47% |
| C2 CENTRIC LLC3 | 8804 S WINNIPEG CT AURORA, CO 800167904 | RELIASTAR LIFE INSURANCE COMPANY | — | $985 | $985 | 0.18% |
| THE CASON GROUP INC3 Filed as: THE CASON GROUP | PO BOX 11229 COLUMBIA, SC 29211 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2K | — | $2K | 7.27% |
| THE WORKSITE GROUP LLC3 Filed as: WORKSITE SERVICES, INC. | PO BOX 327 GARNER, NC 27529 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $485 | — | $485 | 1.88% |
| JAMES A SCOTT & SON INC3 | PO BOX 603438 CHARLOTTE, NC 28260 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $268 | — | $268 | 1.04% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON | 444 W. 47TH STREET #900 KANSAS CITY, MO 64112 | COMMUNITY EYE CARE | $1K | — | $1K | 7.12% |
| JAMES A SCOTT & SON INC3 | 1614 STONEY CREEK DRIVE, STE 200 RICHMOND, VA 23238 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $3 | $3 | 0.19% |
| JAMES A SCOTT & SON INC3 | 1614 STONEY CREEK DRIVE, STE 200 RICHMOND, VA 23238 | NEW YORK LIFE GROUP INSURANCE COMPANY OF NEW YORK | $123 | $0 | $123 | 9.97% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MERITAIN HEALTH EIN 16-1264154 CLAIMS PROCESSING | Claims processing Service code 12 | — | $133K |
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 | 277 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 277 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 36 | $26K |
| Dental | DELTA DENTAL OF NORTH CAROLINA | 333 | $138K |
| Vision | COMMUNITY EYE CARE | 308 | $15K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 325 | $42K |
| Short-term disability(3 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 246 | $48K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 248 | $13K |
| Stop-loss / reinsurancereinsurance | RELIASTAR LIFE INSURANCE COMPANY | 316 | $540K |
| Other(2 contracts, 2 carriers) | ESPYR (EAP) | 271 | $7K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 333 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.