| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC3 Filed as: JAMES BROGLEN WITH MCGRIFF | 3605 GLENWOOD AVE RALEIGH, NC 27612 | BLUE CROSS BLUE SHIELD OF ARKANSAS | — | $16K | $16K | 2.50% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: JAMES BROGLEN WITH MCGRIFF | 3605 GLENWOOD AV RALEIGH, NC 27612 | BLUE CROSS DENTAL | $3K | — | $3K | 4.97% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES INC. | PO BOX 896620 CHARLOTTE, NC 28289 | HARTFORD LIFE AND ACCIDENT | $5K | $1K | $6K | 10.74% |
| RELATION INSURANCE INC3 Filed as: RALATION INSURANCE SERVICES, INC. | 10425 S 82ND EAST AVE TULSA, OK 74133 | HARTFORD LIFE AND ACCIDENT | $3K | — | $3K | 4.52% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES INC. | PO BOX 896620 CHARLOTE, NC 28289 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | — | $1K | 8.21% |
| RELATION INSURANCE SERVICES OF CA3 Filed as: RELATION INSURANCE SERVICES INC | 2290 HUNTINGTON DR STE 200 SAN MARINO, CA 91108 | METROPOLITAN LIFE INSURANCE COMPANY | $275 | — | $275 | 2.06% |
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 | 146 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 147 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ARKANSAS | 133 | $625K |
| Dental | BLUE CROSS DENTAL | 232 | $70K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 196 | $13K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 118 | $56K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 118 | $56K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 118 | $56K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF ARKANSAS | 133 | $625K |
| Other | HARTFORD LIFE AND ACCIDENT | 118 | $56K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 232 | — |
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."
No prospect flags tripped on this filing.