| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CHARLES L GRAEBER3 Filed as: CHARLES GRAEBER | 225 NORTH MAIN STREET SUITE 308 SALISBURY, NC 28144 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $42K | $42K | 4.94% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GROUP INC. | 5110 N 40TH STREET SUITE 234 PHOENIX, AZ 85018 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $17K | $17K | 1.98% |
| CHARLES L GRAEBER3 Filed as: CHARLES L. GRAEBER | 225 NORTH MAIN STREET SUITE 308 SALISBURY, NC 28144 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $12K | — | $12K | 8.03% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GROUP INC. | 9909 MIRA MESA BOULEVARD SUITE 160 SAN DIEGO, CA 92131 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $7K | — | $7K | 5.00% |
| BENEFITS COUNT INC3 Filed as: BENEFITS COUNT LI INC. | 1401 CHRISTIMAS COURT RALEIGH, NC 27604 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $9K | $6K | $15K | 25.06% |
| CHARLES L GRAEBER3 Filed as: CHARLES L. GRAEBER | 225 NORTH MAIN STREET SALISBURY, NC 28144 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $12K | — | $12K | 20.63% |
| ARTHUR WAYNE JORDAN JR3 Filed as: ARTHUR WAYNE JORDAN, JR. | 514 OAKWOOD AVENUE RALEIGH, NC 27601 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $1K | $3K | 5.48% |
| KATHRYN D KETTER3 Filed as: KATHRYN D. KETTER | 211 GLEN ABBEY DRIVE CARY, NC 27513 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $27 | $2K | 4.01% |
| KJELL T TERRELL3 Filed as: KJELL T. TERRELL | 327 GOLF COURSE DRIVE RALEIGH, NC 27610 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $261 | $2K | 3.77% |
| MICHAEL N THORN3 Filed as: MICHAEL N. THORN | 3 MAINSAIL COURT GREENSBORO, NC 27455 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $534 | $2K | 3.41% |
| KRISTEN BIBLE3 | 5461 TRALEE PLACE RALEIGH, NC 27609 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $59 | $2K | 2.75% |
| BARRETT L PATTERSON3 Filed as: BARRETT L. PATTERSON | 1522 DELLWOOD DRIVE RALEIGH, NC 27607 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $338 | $2K | 2.58% |
| TRINA MARIE STARLING3 | 7305 FISHERMAN CREEK DRIVE WILMINGTON, NC 28405 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $993 | $23 | $1K | 1.69% |
| ROBERT TAYLOR GROUP INC3 Filed as: THE ROBERT TAYLOR GROUP | P.O. BOX 2018 LELAND, NC 28451 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $149 | $97 | $246 | 0.41% |
| TRIAD BENEFITS GROUP INC3 Filed as: TRIAD BENEFITS GROUP INC. | 200 DOLLY LANE WINSTON SALEM, NC 27107 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $120 | $91 | $211 | 0.35% |
| JAMES DOUGLAS WISE3 | 8257 PRIMANTI BOULEVARD RALEIGH, NC 28144 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10 | — | $10 | 0.02% |
| JOEY MIGUES3 Filed as: JOEY GRUBBS BENEFITS LLC | 525 TAYLOR ROAD MONTICELLO, FL 32344 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | $1 | $2 | 0.00% |
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 | 216 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 216 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 156 | $851K |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 232 | $149K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 232 | $149K |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 232 | $149K |
| Short-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 232 | $149K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 232 | $149K |
| Other(2 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 232 | $209K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 232 | — |
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.