| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| VARIOUS - SEE ATTACHED3 | — | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $27K | $4K | $31K | 16.62% |
| MCGRIFF INSURANCE SERVICES INC3 | 7701 AIRPORT CENTER DRIVE SUITE 1800 GREENSBORO, NC 27409 | COMPANION LIFE | $8K | — | $8K | 6.76% |
| SOUTH CAROLINA TRUCKING ASSOCIATION3 | 2425 DEVINE ST COLUMBIA, SC 29250 | COMPANION LIFE | $3K | — | $3K | 2.25% |
| WESLEY P MOORE III3 | PO BOX 604 DARLINGTON, SC 29540 | AFLAC | $63 | — | $63 | 9.97% |
| DAVID HUGH JEFFORDS3 | 2606 HARLESTON GREEN DR FLORENCE, SC 29505 | AFLAC | $24 | — | $24 | 3.80% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: ROGER W BROWN | 355 SCOTT FARM DR POWDER SPRINGS, GA 30127 | AFLAC | $13 | — | $13 | 2.06% |
| DENNIS A SZCZESNY3 | 15460 ALSASK CIR PORT CHARLOTTE, FL 33981 | AFLAC | $6 | — | $6 | 0.95% |
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 | 179 | 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) | 179 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 473 | $1.5M |
| Dental | COMPANION LIFE | 179 | $125K |
| Vision | COMPANION LIFE | 179 | $125K |
| Life insurance | COMPANION LIFE | 179 | $125K |
| Short-term disability | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 130 | $189K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 473 | $1.5M |
| Other(3 contracts, 3 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 179 | $315K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 473 | — |
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.