| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WORXSITEHR INSURANCE SOLUTIONS3 | 23679 CALABASAS RD STE 514 CALABASAS, CA 91302 | BLUE CHOICE HEALTH PLAN | $13K | — | $13K | 2.92% |
| WORXSITEHR INSURANCE SOLUTIONS3 | 23679 CALABASAS RD STE 514 CALABASAS, CA 91302 | THE GUARDIAN LIFE INSURANCE COMPANY | $17K | — | $17K | 5.00% |
| WORXSITEHR INSURANCE SOLUTIONS3 | 23679 CALABASAS RD STE 514 CALABASAS, CA 91302 | THE GUARDIAN LIFE INSURANCE COMPANY | $30K | — | $30K | 15.00% |
| WORXSITEHR INSURANCE SOLUTIONS3 | 23679 CALABASAS RD STE 514 CALABASAS, CA 91302 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $14K | — | $14K | 25.21% |
| MICHAEL FREDERICK FIERKE3 | 2631 HOLLY SPRINGS PKWY #391 HOLLY SPRINGS, GA 30142 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2K | — | $2K | 3.69% |
| WORXSITEHR INSURANCE SOLUTIONS3 | 23679 CALABASAS RD STE 514 CALABASAS, CA 91302 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $8K | — | $8K | 25.00% |
| WORXSITEHR INSURANCE SOLUTIONS3 | 23679 CALABASAS RD STE 514 CALABASAS, CA 91302 | RELIASTAR LIFE INSURANCE COMPANY | $6K | — | $6K | 20.91% |
| WORXSITEHR INSURANCE SOLUTIONS3 | 23679 CALABASAS RD STE 514 CALABASAS, CA 91302 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | — | $4K | 25.00% |
| WORXSITEHR INSURANCE SOLUTIONS3 | 23679 CALABASAS RD STE 514 CALABASAS, CA 91302 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2K | — | $2K | 16.15% |
| MICHAEL FREDERICK FIERKE3 | 2361 HOLLY SPRINGS PKWY #391 HOLLY SPRINGS, GA 30142 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $559 | — | $559 | 3.83% |
| WORXSITEHR INSURANCE SOLUTIONS3 | 23679 CALABASAS RD STE 514 CALABASAS, CA 91302 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2K | — | $2K | 22.77% |
| MICHAEL FREDERICK FIERKE3 | 2631 HOLLY SPRINGS PKWY #391 HOLLY SPRINGS, GA 30142 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $32 | — | $32 | 0.43% |
| WORXSITEHR INSURANCE SOLUTIONS3 | 23679 CALABASAS RD STE 514 CALABASAS, CA 91302 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $884 | — | $884 | 18.42% |
| MICHAEL FREDERICK FIERKE3 | 2631 HOLLY SPRINGS PKWY #391 HOLLY SPRINGS, GA 30142 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $234 | — | $234 | 4.88% |
| SHERRON HOPPER3 | PO BOX 85206 LEXINGTON, SC 29073 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $25 | — | $25 | 2.32% |
| DONALD B FAULKNER SR3 | 612 IVY GREEN LANE IRMO, SC 29063 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $24 | — | $24 | 2.23% |
| CHARLES BOND3 | 749 PIKE ROAD PIKE ROAD, AL 36064 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $14 | — | $14 | 1.30% |
| ADVANCED BENEFIT SYSTEM INC3 | 245 SEVEN FARMS DRIVE DANIEL ISLAND, SC 29492 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.28% |
| SANDRA J RUNION3 | 104 SIR EDWARDS LANE LEXINGTON, SC 29072 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.19% |
| KATIE H JOHNSON3 | 1106 GRANDVIEW DRIVE KIRKWOOD, MO 63122 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.19% |
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 | 12,960 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 12,962 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 2 carriers) | BLUE CHOICE HEALTH PLAN | 385 | $515K |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY | 625 | $337K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 1,090 | $35K |
| Life insurance(5 contracts, 3 carriers) | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 13,849 | $107K |
| Short-term disability | RELIASTAR LIFE INSURANCE COMPANY | 13,849 | $31K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 37 | $15K |
| Other(5 contracts, 5 carriers) | US LEGAL SERVICES, INC. | 13,849 | $505K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 13,849 | — |
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.