| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CORNERSTONE FINANCIAL LLP3 Filed as: CORNERSTONE FINANCIAL LLC | 845 LOW COUNTRY BLVD STE S MT PLEASANT, SC 29464 | HARTFORD LIFE AND ACCIDENT | $35K | — | $35K | 12.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| KATHY WOMACK EIN 58-2126333 EMPLOYEE | Employee (plan); Participant communication; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Direct payment from the plan Service code 12 | — | $218K |
| MILA MANAGED HEALTH CARE TRUST FUND EIN 13-3968546 AFFILIATED INSURANCE | Insurance services; Direct payment from the plan; Claims processing; Participant communication Service code 12 | 111 BROADWAY, 5TH FLOOR NEW YORK, NY 10006 | $139K |
| MARLENE PAK-SMITH EIN 58-2126333 EMPLOYEE | Employee (plan); Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $101K |
| PAMELA CARR EIN 58-2126333 EMPLOYEE | Employee (plan); Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $45K |
| SYMPHONA LLP EIN 58-2663273 AUDITOR | Accounting (including auditing) Service code 10 | 118 PARK OF COMMERCE DRIVE SAVANNAH, GA 31405 | $27K |
| EBERTS & HARRISON, INC. EIN 52-0816262 INSURANCE AGENT | Direct payment from the plan; Insurance agents and brokers Service code 22 | 1604 RIDGESIDE DRIVE, 203 MOUNT AIRY, MD 21771 | $20K |
| ATLANTIC COMPUTER SERVICES IT VENDOR | Direct payment from the plan; Other services Service code 49 | PO BOX 7834 WILMINGTON, NC 28406 | $10K |
| ART GORMAN IT VENDOR | Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | 501 HIGHLAND DRIVE LAKE WALES, FL 33898 | $7K |
| LINDA SIMMONS JANITORIAL VENDOR | Direct payment from the plan; Other services Service code 49 | 807 BLADIN STREET WILMINGTON, NC 28401 | $7K |
| NEW HANOVER COUNTY TAX OFFICE PROPERTY TAX VENDOR | Other services; Direct payment from the plan Service code 49 | PO BOX 58007 CHARLOTTE, NC 28258 | $6K |
| USI CONSULTING GROUP EIN 34-1213174 ACTUARY AND CONSULTANT | Recordkeeping and information management (computing, tabulating, data processing, etc.); Consulting (general); Direct payment from the plan; Actuarial Service code 11 | 1001 LAKESIDE AVE., SUITE 1200 CLEVELAND, OH 44114 | $6K |
| GREAT AMERICAN FINANCIAL SERVICES EIN 42-1425592 VENDOR | Direct payment from the plan; Copying and duplicating Service code 36 | PO BOX 660831 DALLAS, TX 752660831 | $5K |
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 | 337 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 186 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 523 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | HARTFORD LIFE AND ACCIDENT | 458 | $293K |
| Other | HARTFORD LIFE AND ACCIDENT | 458 | $293K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 458 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.