| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AUGUSTINE A OLALERE3 Filed as: AUGUSTINE A. OLALERE | 845 LOW COUNTRY BLVD STE S MT PLEASANT, SC 29464 | THE UNION LABOR LIFE INSURANCE COMPANY | $20K | — | $20K | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| KATHY WOMACK EIN 58-2126333 EMPLOYEE | Direct payment from the plan; Participant communication; Employee (plan); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $122K |
| RENATE GRAY EIN 58-2126333 EMPLOYEE | Employee (plan); Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Participant communication Service code 15 | — | $111K |
| MILA MANAGED HEALTH CARE TRUST FUND AFFILIATED INSURANCE | Participant communication; Insurance services; Claims processing; Direct payment from the plan Service code 12 | 111 BROADWAY, 5TH FLOOR NEW YORK, NY 10006 | $110K |
| MARLENE PAK-SMITH EIN 58-2126333 EMPLOYEE | Employee (plan); Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $51K |
| JUDY BALLARD EIN 58-2126333 EMPLOYEE | Direct payment from the plan; Participant communication; Employee (plan); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $51K |
| TJS DEEMER DANA LLP EIN 58-2663273 AUDITOR | Accounting (including auditing); Direct payment from the plan Service code 10 | 118 PARK OF COMMERCE DR. SAVANNAH, GA 31405 | $20K |
| DH STORM TEAM/LLC EIN 36-4646235 RESTORATION VENDOR | Direct payment from the plan; Other services Service code 49 | P. O. BOX 250 AVONDALE, PA 19311 | $19K |
| INTNL FOUNDATION OF EMPLOYEE BENE. BENEFITS INFO PROVIDER | Other services; Direct payment from the plan Service code 49 | P.O. BOX 68-9952 MILWAUKEE, WI 53268 | $15K |
| ILA LOCAL UNION 1426 PARTY-IN-INTEREST RENT | Other services; Direct payment from the plan Service code 49 | P.O. BOX 1928 WILMINGTON, NC 28402 | $12K |
| J&M EXECUTIVE LEASING EIN 45-4804558 VENDOR | Copying and duplicating; Direct payment from the plan Service code 36 | — | $7K |
| FINDLEY DAVIS EIN 34-1213174 ACTUARY | Actuarial; Recordkeeping and information management (computing, tabulating, data processing, etc.); Participant communication; Direct payment from the plan Service code 11 | 800 GREEN VALLEY ROAD GREENSBORO, NC 27408 | $6K |
| TIME WARNER CABLE UTILITY VENDOR | Other services; Direct payment from the plan Service code 49 | P.O.BOS 4617 CAROL STREAM, IL 601974617 | $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 | 254 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 198 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 452 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 417 | $197K |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 417 | $197K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 417 | — |
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.