| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE | COMMISSION PROCESSING UNIT GREENBORO, NC 27409 | QCA HEALTH PLAN | $16K | — | $16K | 3.15% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES | COMMISSION PROCESSING UNIT GREENBORO, NC 27409 | DELTA DENTAL | $1K | — | $1K | 1.96% |
| MCGRIFF INSURANCE SERVICES INC Filed as: MCGRIFF INSURANCE SERVICES | 414 GALLIMORE DAIRY RD STE F GREENBORO, MN 27409 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| REGIONS INSURANCE INC3 | 6000 POPLAR AVE STE 300 MEMPHIS, TN 38119 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $923 | $923 | 5.86% |
| JIMM MADDIAGAN3 | 835 CENTRAL AVE HOT SPRINGS, AR 71901 | ARKANSAS BLUE CROSS AND BLUE SHEILD | $1K | — | $1K | 10.03% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES | 414 GALLIMORE DAIRY RD STE F GREENSBORO, NC 27409 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 15.00% |
| REGIONS INSURANCE INC3 | 6000 POPLAR AVE STE 300 MEMPHIS, TN 38119 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $622 | $622 | 6.91% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE | 414 GALLIMORE DAIRY RD STE GREENSBORO, NC 27409 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $900 | — | $900 | 10.00% |
| REGIONS INSURANCE INC3 | 6000 POPLAR AVE STE 300 MEMPHIS, TN 38119 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $601 | $601 | 6.68% |
| MCGRIFF INSURANCE SERVICES INC3 | 414 GALLIMORE DAIRY RD STE F GREENBORO, NC 27409 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $846 | — | $846 | 14.99% |
| REGIONS INSURANCE INC3 Filed as: REGIONS INSURANCE | 6000 POPLAR AVE STE 300 MEMPHIS, TN 38119 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $413 | $413 | 7.32% |
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 | 165 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 165 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | QCA HEALTH PLAN | 105 | $498K |
| Dental | DELTA DENTAL | 165 | $52K |
| Vision | ARKANSAS BLUE CROSS AND BLUE SHEILD | 129 | $10K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 95 | $15K |
| Short-term disability(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 95 | $15K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 16 | $9K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 57 | $16K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 165 | — |
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.