| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LONGMONT GROUP INC DBA THE PADON CO3 | 550 POST OAK BLVD, STE 300 HOUSTON, TX 77027 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $19K | $6K | $25K | 18.46% |
| M FINANCIAL HOLDINGS INC3 | 1125 NW COUCH ST, STE 900 PORTLAND, OR 97209 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $3K | $3K | 2.51% |
| LONGMONT GROUP INC DBA THE PADON CO3 | 550 POST OAK BLVD, STE 300 HOUSTON, TX 77027 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $8K | — | $8K | 16.50% |
| M FINANCIAL HOLDINGS INC3 | 1125 NW COUCH ST, STE 900 PORTLAND, OR 97209 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $735 | $735 | 1.47% |
| ALLIANT INSURANCE SERVICES, INC.3 | 5444 WESTHEIMER, SUITE 900 HOUSTON, TX 77056 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $5K | $1K | $6K | 34.51% |
| HINRICH, GREG I3 | 11111 CARMEL COMMONS BLVD, STE 125 CHARLOTTE, NC 28226 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $845 | $781 | $2K | 9.34% |
| DEUINK, JAMES, WILLIAM3 | 11111 CARMEL COMMONS BLVD, STE 125 CHARLOTTE, NC 28226 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $897 | — | $897 | 5.15% |
| RICHARDSON, DANIEL, WARD3 | 11111 CARMEL COMMONS BLVD, STE 125 CHARLOTTE, NC 28226 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $897 | — | $897 | 5.15% |
| LONGMONT GROUP INC DBA THE PADON CO3 | 550 POST OAK BLVD, STE 300 HOUSTON, TX 77027 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $851 | $352 | $1K | 23.15% |
| M FINANCIAL HOLDINGS INC3 | 1125 NW COUCH ST, STE 900 PORTLAND, OR 97209 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $168 | $168 | 3.23% |
| ALLIANT INSURANCE SERVICES, INC.3 | 5444 WESTHEIMER, SUITE 900 HOUSTON, TX 77056 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $159 | $1K | 25.36% |
| HINRICH, GREG I3 | 11111 CARMEL COMMONS BLVD, STE 125 CHARLOTTE, NC 28226 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $183 | $106 | $289 | 6.16% |
| DEUINK, JAMES, WILLIAM3 | 11111 CARMEL COMMONS BLVD, STE 125 CHARLOTTE, NC 28226 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $195 | — | $195 | 4.16% |
| RICHARDSON, DANIEL, WARD3 | 11111 CARMEL COMMONS BLVD, STE 125 CHARLOTTE, NC 28226 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $195 | — | $195 | 4.16% |
| ALLIANT INSURANCE SERVICES, INC.3 | 5444 WESTHEIMER, SUITE 900 HOUSTON, TX 77056 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $217 | $34 | $251 | 25.80% |
| HINRICH, GREG I3 | 11111 CARMEL COMMONS BLVD, STE 125 CHARLOTTE, NC 28226 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $39 | $22 | $61 | 6.27% |
| RICHARDSON, DANIEL, WARD3 | 11111 CARMEL COMMONS BLVD, STE 125 CHARLOTTE, NC 28226 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $41 | — | $41 | 4.21% |
| DEUINK, JAMES, WILLIAM3 | 11111 CARMEL COMMONS BLVD, STE 125 CHARLOTTE, NC 28226 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $41 | — | $41 | 4.21% |
| ALLIANT INSURANCE SERVICES, INC.3 | 5444 WESTHEIMER, SUITE 900 HOUSTON, TX 77056 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $129 | $20 | $149 | 25.38% |
| HINRICH, GREG I3 | 11111 CARMEL COMMONS BLVD, STE 125 CHARLOTTE, NC 28226 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $23 | $13 | $36 | 6.13% |
| DEUINK, JAMES, WILLIAM3 | 11111 CARMEL COMMONS BLVD, STE 125 CHARLOTTE, NC 28226 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $24 | — | $24 | 4.09% |
| RICHARDSON, DANIEL, WARD3 | 11111 CARMEL COMMONS BLVD, STE 125 CHARLOTTE, NC 28226 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $24 | — | $24 | 4.09% |
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 | 0 | 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) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Long-term disability(7 contracts) | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | 123 | $214K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 123 | — |
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.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.