| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| REMEDY ADVISORS LLC3 Filed as: REMEDY ADVISORS, LLC | 4711 ALLISON CREEK RD YORK, SC 29745 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $10K | — | $10K | 9.89% |
| ROGERS BENEFIT GROUP INC3 | 5110 N 40TH STREET SUITE 234 PHOENIX, AZ 85018 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $3K | $3K | 3.38% |
| REMEDY ADVISORS LLC3 | 4711 ALLISON CREEK RD YORK, SC 29745 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $10K | — | $10K | 15.00% |
| ROGERS BENEFIT GROUP INC3 | 5110 N 40TH STREET SUITE 234 PHOENIX, AZ 85018 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $3K | $3K | 5.00% |
| REMEDY ADVISORS LLC3 | 4711 ALLISON CREEK RD SUITE 234 YORK, SC 29745 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $6K | — | $6K | 15.00% |
| ROGERS BENEFIT GROUP INC3 | 5110 N 40TH STREET SUITE 234 PHOENIX, AZ 85018 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $2K | $2K | 5.00% |
| REMEDY ADVISORS LLC3 | 4711 ALLISON CREEK RD YORK, SC 29745 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $4K | — | $4K | 15.00% |
| ROGERS BENEFIT GROUP INC3 | 5110 N 40TH STREET SUITE 234 PHOENIX, AZ 85018 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $1K | $1K | 5.00% |
| REMEDY ADVISORS LLC3 | 4711 ALLISON CREEK RD YORK, SC 29745 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 15.00% |
| ROGERS BENEFIT GROUP INC3 | 5110 N 40TH STREET SUITE 234 PHOENIX, AZ 85018 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $539 | $539 | 5.00% |
| REMEDY ADVISORS LLC3 | 4711 ALLISON CREEK RD YORK, SC 29745 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 28.15% |
| CARLA PETRINA WILSON3 | 933 OAK ST MOORESVILLE, NC 28115 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $834 | $134 | $968 | 19.50% |
| DAVID MASON DOKELL3 | 159 BEACON DR MORRESVILLE, NC 28117 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $306 | $58 | $364 | 7.33% |
| DEBORAH FORD WILSON3 | 8219 QUAIL HOLLOW DRIVE HARRISBURG, NC 28075 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $144 | $3 | $147 | 2.96% |
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 | 203 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 207 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 134 | $99K |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 134 | $99K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 203 | $65K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 203 | $39K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 203 | $29K |
| Other(3 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 203 | $81K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 203 | — |
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.