| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARK III BROKERAGE INC3 | 211 GREENWICH ROAD CHARLOTTE, NC 28211 | SUNLIFE ASSURANCE COMPANY OF CANADA | $45K | — | $45K | 11.54% |
| MCGRIFF INSURANCE SERVICES INC3 | 999 SHADY GROVE, SUITE 200 MEMPHIS, TN 38119 | SUNLIFE ASSURANCE COMPANY OF CANADA | $8K | — | $8K | 2.06% |
| MARK III BROKERAGE INC3 | 211 GREENWICH ROAD CHARLOTTE, NC 28211 | SUNLIFE ASSURANCE COMPANY OF CANADA | $26K | — | $26K | 7.31% |
| MCGRIFF INSURANCE SERVICES INC3 | 999 SHADY GROVE, SUITE 200 MEMPHIS, TN 38119 | SUNLIFE ASSURANCE COMPANY OF CANADA | $2K | — | $2K | 0.42% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 168 WINSTON SALEM, NC 27102 | SUNLIFE ASSURANCE COMPANY OF CANADA | $1K | — | $1K | 0.35% |
| MARK III BROKERAGE INC3 Filed as: MARK III BROKERAGE | 211 GREENWICH ROAD CHARLOTTE, NC 28211 | COMMUNITY EYE CARE | $5K | — | $5K | 10.00% |
| MARK III BROKERAGE INC3 Filed as: MARK III BROKERAGE | 300 W. WATAUGA AVENUE JOHNSON CITY, TN 37604 | PETERSON INTERNATIONAL UNDERWRITERS | $3K | — | $3K | 10.94% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS OF BLUE SHIELD NC EIN 56-0894904 | Insurance agents and brokers Service code 22 | — | $93K |
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 | 672 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 672 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | SUNLIFE ASSURANCE COMPANY OF CANADA | 420 | $356K |
| Vision | COMMUNITY EYE CARE | 549 | $47K |
| Life insurance | SUNLIFE ASSURANCE COMPANY OF CANADA | 444 | $387K |
| Short-term disability | SUNLIFE ASSURANCE COMPANY OF CANADA | 444 | $387K |
| Long-term disability | SUNLIFE ASSURANCE COMPANY OF CANADA | 444 | $387K |
| Other(3 contracts, 2 carriers) | SUNLIFE ASSURANCE COMPANY OF CANADA | 444 | $768K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 549 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.