| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LISA L. HAMLETT3 Filed as: LISA HAMLETT | 100 N MAIN STREET WINSTON SALEM, NC 27105 | BLUE CROSS BLUE SHIELD OF NORTH CAROLINA | $61K | — | $61K | 20.38% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INS SERVICES USA INC | PO BOX 203510 IRVING, TX 75063 | METROPOLITAN LIFE INS CO | $10K | — | $10K | 10.29% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INS SERVICES USA INC | 1018 W 9TH AVE KING OF PRUSSIA, PA 194061225 | METROPOLITAN LIFE INS CO | — | $2K | $2K | 1.65% |
| JAMES A SCOTT & SON INC3 | PO BOX 10489 LYNCHBURG, VA 245060489 | METROPOLITAN LIFE INS CO | $456 | — | $456 | 0.45% |
| JAMES A SCOTT & SON INC3 | PO BOX 10489 LYNCHBURG, VA 245060489 | METROPOLITAN LIFE INS CO | — | $80 | $80 | 0.08% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INS SVCS USA INC | PO BOX 201503 DALLAS, TX 753201503 | THE LINCOLN NATIONAL LIFE INS CO | $16K | — | $16K | 20.92% |
| JAMES A SCOTT & SON INC3 | 628 GREEN VALLEY RD STE 306 GREENSBORO, NC 27408 | THE LINCOLN NATIONAL LIFE INS CO | $3K | — | $3K | 4.08% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INS SVCS USA INC | PO BOX 30001 TAMPA, FL 33601 | THE LINCOLN NATIONAL LIFE INS CO | — | $3K | $3K | 3.96% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INS SVCS USA INC | PO BOX 201503 DALLAS, TX 753201503 | THE LINCOLN NATIONAL LIFE INS CO | $11K | — | $11K | 16.61% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INS SVCS USA INC | PO BOX 30001 TAMPA, FL 33601 | THE LINCOLN NATIONAL LIFE INS CO | — | $3K | $3K | 4.31% |
| JAMES A SCOTT & SON INC3 | 628 GREEN VALLEY RD STE 306 GREENSBORO, NC 27408 | THE LINCOLN NATIONAL LIFE INS CO | $2K | — | $2K | 3.39% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INS SVCS USA INC | PO BOX 201503 DALLAS, TX 753201503 | THE LINCOLN NATIONAL LIFE INSURANCE CO | $4K | — | $4K | 16.61% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INS SVCS USA INC | PO BOX 30001 TAMPA, FL 33601 | THE LINCOLN NATIONAL LIFE INSURANCE CO | — | $1K | $1K | 4.23% |
| JAMES A SCOTT & SON INC3 | 628 GREEN VALLEY RD STE 306 GREENSBORO, NC 27408 | THE LINCOLN NATIONAL LIFE INSURANCE CO | $839 | — | $839 | 3.39% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INS SVCS USA INC | PO BOX 201503 DALLAS, TX 753201503 | THE LINCOLN NATIONAL LIFE INS CO | $1K | — | $1K | 18.22% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INS SVCS USA INC | PO BOX 30001 TAMPA, FL 33601 | THE LINCOLN NATIONAL LIFE INS CO | — | $330 | $330 | 4.76% |
| JAMES A SCOTT & SON INC3 | 628 GREEN VALLEY GREENSBORO, NC 27408 | THE LINCOLN NATIONAL LIFE INS CO | $123 | — | $123 | 1.77% |
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 | 284 | 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) | 284 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF NORTH CAROLINA | 449 | $301K |
| Dental | METROPOLITAN LIFE INS CO | 466 | $101K |
| Vision | BLUE CROSS BLUE SHIELD OF NORTH CAROLINA | 449 | $301K |
| Life insurance | THE LINCOLN NATIONAL LIFE INS CO | 301 | $7K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INS CO | 223 | $67K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE CO | 289 | $25K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF NORTH CAROLINA | 449 | $301K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF NORTH CAROLINA | 449 | $301K |
| Other(2 contracts) | THE LINCOLN NATIONAL LIFE INS CO | 301 | $83K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 466 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.