| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LEGACY RISK SOLUTIONS LLC3 Filed as: LEGACY RISK SOLUTIONS, LLC | PO BOX 2976 GAINESVILLE, GA 305032976 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $35K | $7K | $42K | 17.83% |
| LEGACY RISK SOLUTIONS LLC3 | PO BOX 2976 GAINESVILLE, GA 305032976 | DELTA DENTAL OF NORTH CAROLINA | $20K | $0 | $20K | 9.97% |
| JACOB M KIMSEY3 Filed as: JACOB KIMSEY | 31 VENTURE WAY HENDERSONVILLE, NC 28792 | CONTINENTAL AMERICAN INSURANCE COMPANY | $23K | $0 | $23K | 491.85% |
| LISA MARIE HODGES3 | 70 QUEEN ROAD CANDLER, NC 28715 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6K | $0 | $6K | 117.38% |
| JAIME SUE MARTINEZ3 Filed as: JAIME SUE DANIELSON MARTINEZ | 28 WALKER COVE RD BLACK MOUNTAIN, NC 28711 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5K | $0 | $5K | 104.93% |
| JOSHUA R FIELDS3 | 146 MEGAN DR CLYDE, NC 287218958 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5K | $0 | $5K | 104.76% |
| DAVID UNDERWOOD3 Filed as: DAVID M MCGLASHAN | 114 KENWOOD DRIVE HENDERSONVILLE, NC 28739 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4K | $0 | $4K | 87.82% |
| DINA MARIE CARDEN3 Filed as: DINA CARDEN | 945 PANTEGO BLVD SE BOLIVIA, NC 284228385 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4K | $0 | $4K | 79.61% |
| INSURANCE SERV OF ASHEVILLE INC3 Filed as: INSURANCE SERV OF ASHEVILLE, INC. | PO BOX 530 EXECUTIVE PARK SUITE 408 ASHEVILLE, NC 28801 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4K | $0 | $4K | 79.44% |
| SUSAN RUSSELL3 | 120 ROCKWOOD DR HENDERSONVILLE, NC 287929322 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | $0 | $3K | 72.05% |
| ANGELA CALLAHAN LARUE3 | 45 LOWER CHRIST SCHOOL RD FLETCHER, NC 287329437 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | $0 | $3K | 61.89% |
| ANNA WHISNANT3 Filed as: ANNA ROSARITA WHISNANT | 14 HAMPTON LANE WEAVERVILLE, NC 28787 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | $0 | $3K | 53.78% |
| JOSHUA G. COCKRELL3 Filed as: JOSHUA GLENN COCKRELL | 24 WOLF RIDGE CANTON, NC 28716 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | $0 | $2K | 42.51% |
| HALEY BURNETTE FIELDS3 | 146 MEGAN DRIVE CLYDE, NC 28721 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | $0 | $2K | 41.33% |
| NATASHA ANN MCCORMICK3 | 27 AMYS WAY BLACK MOUNTAIN, NC 287119589 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | $0 | $2K | 39.31% |
| CORINE MICHAEL RHOM3 | 113 UPPER GRASSY BRANCH ROAD ASHEVILLE, NC 28805 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | $0 | $2K | 34.11% |
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 | 302 | 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) | 306 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF NORTH CAROLINA | 526 | $200K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 495 | $37K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 250 | $234K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 250 | $234K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 250 | $234K |
| Stop-loss / reinsurancereinsurance | BERKLEY LIFE AND HEALTH INSURANCE CO. | 279 | $388K |
| Other(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 320 | $238K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 526 | — |
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.