| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EMPLOYEE PLANS AND INS CONSULTANTS3 Filed as: EMPLOYEE PLANS INS CONSULTANTS INC | PO BOX 35402 GREENSBORO, NC 27425 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $58K | $11K | $69K | 20.71% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 1012 E WALL ST MOUNT PLEASANT, SC 29464 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $418 | $0 | $418 | 0.13% |
| EMPLOYEE PLANS AND INS CONSULTANTS3 Filed as: EMPLOYEE PLANS INS CONSULTANTS INC | PO BOX 35402 GREENSBORO, NC 27425 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $10K | $5K | $15K | 33.55% |
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 | 129 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 129 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Other(2 contracts) | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | 129 | $378K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 129 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.