| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WES BARTLETT3 Filed as: WES S BARTLETT | PO BOX 9375 GREENSBORO, NC 274290375 | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | $128K | $0 | $128K | 3.90% |
| BROKERS INSURANCE SERVICES CORP.3 Filed as: BROKERS INSURANCE SERVICES CORP | 8362 SIX FORKS ROAD STE 104 RALEIGH, NC 274290375 | USABLE LIFE | $35K | $0 | $35K | 10.98% |
| MOSAIC GROUP SERVICES3 | PO BOX 2291 DURHAM, NC 27702 | USABLE LIFE | $22K | $200 | $22K | 6.96% |
| MARSH & MCLENNAN AGENCY LLC3 | 66 ROUTE 17 NORTH PARAMUS, NJ 07652 | USABLE LIFE | $11K | $0 | $11K | 3.50% |
| BROKERS INSURANCE SERVICES CORP.3 Filed as: BROKERS INSURANCE SERVICES CORP | 8362 SIX FORKS RD RALEIGH, NC 274290375 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $22K | $0 | $22K | 13.11% |
| BENEFITS COUNT INC3 Filed as: BENEFITS COUNT II INC. | 248 RIVERWOOD DR LEWISVILLE, NC 27023 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $14K | $7K | $22K | 12.95% |
| ARTHUR WAYNE JORDAN JR3 | 306 PACE STREET RALEIGH, NC 27604 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $8K | $3K | $11K | 6.39% |
| KJELL T TERRELL3 | 1008 DOROTHEA DRIVE RALEIGH, NC 27610 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $248 | $2K | 1.20% |
| DAVID D UNDERWOOD3 | PO BOX 32964 CHARLOTTE, NC 28232 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $398 | $2K | 1.00% |
| TODD GERALD GECEWICZ3 Filed as: TODD G GECEWICZ | 8133 ROBINCREST CT FUQUAY VARINA, NC 27526 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $0 | $2K | 0.90% |
| KRISTEN BIBLE3 | 4516 LATROBE COURT RALEIGH, NC 27604 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $216 | $1K | 0.83% |
| SHAWNEENA MERCADO OVERLY3 | 3958 PARKERS FRY FORT MILL, SC 29715 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $936 | $52 | $988 | 0.59% |
| ERIKA ROBERTS-POE3 | 4768 MYERS LANE HARRISBURG, NC 28075 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $799 | $94 | $893 | 0.54% |
| ROLANDO HIRAM DORTA3 | 3011 PISGAH PLACE GREENSBORO, NC 27455 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $783 | $28 | $811 | 0.49% |
| WHICKER PARTNERSHIPS INC3 Filed as: WHICKER PARTNERSHIPS INC. | 6775 DORAL DR TOBACCOVILLE, NC 27050 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $668 | $125 | $793 | 0.48% |
| ADVANCED ENROLLMENT SERVICES INC3 Filed as: ADVANCED ENROLLMENT SERVICES INC. | 309 IRONWOODS DRIVE CHAPEL HILL, NC 27516 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $661 | $5 | $666 | 0.40% |
| TONI E STEED LLC3 | 11218 WARFIELD AVE HUNTERSVILLE, NC 28078 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $500 | $74 | $574 | 0.34% |
| MICHAEL N THORN3 | 3 MAINSAIL CT GREENSBORO, NC 27455 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $544 | $17 | $561 | 0.34% |
| LYNN GARRETT3 Filed as: LYNN C GARRETT | 900 CAROLINA AVE DURHAM, NC 27705 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $535 | $0 | $535 | 0.32% |
| SUSAN FONTENOT3 | 10717 DAPPLE GREY LANE CHARLOTTE, NC 28213 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $444 | $25 | $469 | 0.28% |
| RYLEE ENTERPRISES INC3 Filed as: RYLEE ENTERPRISES INC. | 1828 OAK RIDGE RD OAK RIDGE, NC 27310 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $417 | $0 | $417 | 0.25% |
| JANIE M GREER3 | 124 CHATTERSON DR. RALEIGH, NC 27615 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $283 | $61 | $344 | 0.21% |
| ELENA A. CARDOZA3 Filed as: ELENA A CARDOZA | 104 KING FISHER DRIVE SIMPSONVILLE, SC 29680 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $290 | $47 | $337 | 0.20% |
| JEFFREY BRANDON MCREE3 | 4449 LITTLE MOUNTAIN RD CATAWBA, NC 28609 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $291 | $40 | $331 | 0.20% |
| CARMEN CUTRONE3 | 122 RIVERSIDE DR PORTSMOUTH, VA 23707 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $261 | $34 | $295 | 0.18% |
| LINDA DIANNA RICHARDSON3 | 3124 MARSHLANE WAY RALEIGH, NC 27610 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $238 | $0 | $238 | 0.14% |
| DAVID MASON DOKELL3 | 127 GREAT POINT DR MOORESVILLE, NC 28117 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $195 | $40 | $235 | 0.14% |
| DONNA N DWYER3 | 1540 WESTBROOK PLAZA DRIVE WINSTON SALEM, NC 27103 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $119 | $109 | $228 | 0.14% |
| JOHN J SWIDERSKI3 | 3316 SINGLELEAF LANE RALEIGH, NC 27616 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $209 | $0 | $209 | 0.13% |
| 3C HOLDINGS INC3 Filed as: 3C HOLDINGS | 908 SYDNEY DRIVE CHARLOTTE, NC 28270 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $70 | $132 | $202 | 0.12% |
| BARRETT L PATTERSON3 | PO BOX 10641 RALEIGH, NC 27605 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $165 | $24 | $189 | 0.11% |
| RAMEY FESPERMAN3 | 7319 MATTHEWS MINT HILL RD MINT HILL, NC 28227 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $70 | $94 | $164 | 0.10% |
| PHIL COLEMAN3 | 18908 RIVERWIND LN DAVIDSON, NC 28036 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $119 | $0 | $119 | 0.07% |
| TIMOTHY J REED3 Filed as: TIMOTHY COBB | 9512 CHANDER DR RALEIGH, NC 27545 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $89 | $20 | $109 | 0.07% |
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 9375 GREENSBORO, NE 27429 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $66 | $11 | $77 | 0.05% |
| JEAN A MARCHI3 | PO BOX 1677 MT AIRY, NC 27030 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $73 | $2 | $75 | 0.04% |
| TIM JARRELL3 | 301 S ELM ST GREENSBORO, NC 27401 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $55 | $12 | $67 | 0.04% |
| DOUGLAS R. KILLIAN3 Filed as: DOUGLAS RICHARD KILLIAN | PO BOX 443 STROKESDALE, NC 27357 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $55 | $0 | $55 | 0.03% |
| CYNTHIA MARIE MCCABE3 | 18739 VINEYARD POINT LANE CORNELIUS, NC 28031 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $44 | $0 | $44 | 0.03% |
| DANIEL COLLINS3 | 11915 SHAVENROCK PL RALEIGH, NC 27613 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $30 | $0 | $30 | 0.02% |
| MAIDEN BENEFITS GROUP INC3 Filed as: MAIDEN BENEFITS GROUP INC. | 6211 STARTOWN ROAD MAIDEN, NC 28650 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $22 | $6 | $28 | 0.02% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: JONI BROWN | 403 N. 1ST AVE MAIDEN, NC 28650 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $22 | $3 | $25 | 0.01% |
| ROBIN B SMITH3 | 7315 KRUME CT RALEIGH, NC 27613 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $12 | $0 | $12 | 0.01% |
| RONALD LEE MARTIN3 | 1963 HAVEN ROAD GREENSBORO, NC 27410 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | $0 | $6 | 0.00% |
| WORKSITE BENEFIT SERVICES3 | 8133 ROBINCREST CT FUQUAY VARINA, NC 27526 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | $0 | $6 | 0.00% |
| WES BARTLETT3 Filed as: WES S BARTLETT | PO BOX 9375 GREENSBORO, NC 274290375 | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | $128K | $0 | $128K | 268.59% |
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 | 524 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 8 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 532 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 952 | $3.3M |
| Dental | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 952 | $3.3M |
| Vision | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 585 | $48K |
| Life insurance(2 contracts, 2 carriers) | USABLE LIFE | 524 | $483K |
| Short-term disability(2 contracts, 2 carriers) | USABLE LIFE | 524 | $483K |
| Long-term disability(2 contracts, 2 carriers) | USABLE LIFE | 524 | $483K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 952 | $3.3M |
| Other(2 contracts, 2 carriers) | USABLE LIFE | 524 | $483K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 952 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.