| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JRW ASSOCIATES INC3 | 1616 EAST MILLBROOK ROAD, SUITE 250 RALEIGH, NC 27609 | SUN LIFE ASSURANCE COMPANY OF CANADA | $15K | — | $15K | 9.27% |
| JRW ASSOCIATES INC3 | 1616 EAST MILLBROOK ROAD, SUITE 250 RALEIGH, NC 27609 | SUN LIFE ASSURANCE COMPANY OF CANADA | $8K | — | $8K | 5.45% |
| JRW ASSOCIATES INC3 | 5510 SIX FORKS ROAD, SUITE 260 RALEIGH, NC 27609 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $19K | — | $19K | 17.00% |
| ANT FARM5 | 291 HERTIAGE WALK WOODSTOCK, GA 30188 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $6K | $6K | 5.00% |
| ANT FARM3 | 291 HERTIAGE WALK WOODSTOCK, GA 30188 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $896 | $4K | 3.80% |
| ALEXANDER, DALE5 Filed as: ALEXANDER AND COMPANY | 291 HERITAGE WALK WOODSTOCK, GA 30188 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $2K | $2K | 2.00% |
| JRW ASSOCIATES INC3 | 5510 SIX FORKS ROAD, SUITE 260 RALEIGH, NC 27609 | COMMUNITY EYE CARE | $4K | — | $4K | 10.00% |
| JRW ASSOCIATES INC3 | 1616 EAST MILLBROOK ROAD, SUITE 250 RALEIGH, NC 27609 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | $166 | $6K | 19.79% |
| ANT FARM3 | 291 HERTIAGE WALK WOODSTOCK, GA 30188 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $0 | $2K | 8.32% |
| CUSTOM BENEFIT PROGRAMS INC3 Filed as: CUSTOM BENEFIT PROGRAMS, INC. | 897 12TH STREET HAMMONTON, NJ 08037 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $433 | $10 | $443 | 1.55% |
| JRW ASSOCIATES INC3 | 1616 EAST MILLBROOK ROAD, SUITE 250 RALEIGH, NC 27609 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $8K | $242 | $8K | 31.21% |
| ANT FARM3 | 291 HERTIAGE WALK WOODSTOCK, GA 30188 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $4K | $0 | $4K | 16.16% |
| CHARLOTTE OFFICE, DIRECT BUSINESS3 | 6100 FAIRVIEW ROAD, SUITE 750 CHARLOTTE, NC 28210 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $9 | $0 | $9 | 0.03% |
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 | 604 | 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) | 604 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 420 | $162K |
| Vision | COMMUNITY EYE CARE | 599 | $40K |
| Life insurance(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 604 | $174K |
| Short-term disability(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 200 | $137K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 604 | $148K |
| Other(3 contracts, 3 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 604 | $184K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 604 | — |
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.