| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES LLC | 7701 AIRPORT CENTER DRIVE GREENSBORO, NC 27409 | ANTHEM INSURANCE COMPANIES, INC. | $14K | — | $14K | 3.81% |
| INDIANA CHAMBER INS. AGENCY, INC.3 Filed as: INDIANA CHAMBER INS AGENCY INC | 115 WEST WASHINGTON ST. SUITE 850S INDIANAPOLIS, IN 46204 | ANTHEM INSURANCE COMPANIES, INC. | $373 | — | $373 | 0.10% |
| KELLY & ASSOCIATES INSURANCE GROUP3 Filed as: KELLY & ASSOC INS. GROUP INC. | 1 KELLY WAY SPARKS GLENCOE, MD 21152 | HARTFORD LIFE AND ACCIDENT | $5K | $4K | $9K | 21.92% |
| KELLY & ASSOCIATES INSURANCE GROUP5 Filed as: KELLY & ASSOCIATES INS. GROUP INC. | 1 KELLY WAY SPARKS, MD 211529484 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $2K | $3K | 11.36% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | P.O. BOX 896620 CHARLOTTE, NC 282896620 | METROPOLITAN LIFE INSURANCE COMPANY | — | $554 | $554 | 2.01% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES LLC | 800 SHADES CREEK PKWY STE 2100 STE 600 BIRMINGHAM, AL 352094532 | PRINCIPAL LIFE INSURANCE COMPANY | $430 | — | $430 | 10.00% |
| KELLY & ASSOCIATES INSURANCE GROUP3 Filed as: KELLY AND ASSOCIATES INS. GROUP | 1 KELLY WAY SPARKS GLENCOE, MD 211529484 | PRINCIPAL LIFE INSURANCE COMPANY | — | $215 | $215 | 5.00% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES INC. | 7701 AIRPORT CENTER BLVD GREENSBORO, NC 274099047 | PRINCIPAL LIFE INSURANCE COMPANY | — | $82 | $82 | 1.91% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF | 5280 CORPORATE DRIVE SUITE A200 FREDERICK, MD 21703 | RENAISSANCE LIFE & HEALTH INSURANCE COMPANY OF AMERICA | $339 | — | $339 | 10.00% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | PO BOX 896620 CHARLOTTE, NC 28289 | ANTHEM LIFE INSURANCE COMPANY | $3K | — | $3K | 92.43% |
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 | 106 | 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) | 106 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM INSURANCE COMPANIES, INC. | 152 | $379K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 147 | $28K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 148 | $4K |
| Life insurance(3 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT | 164 | $48K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 134 | $42K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 134 | $42K |
| Other(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 164 | $45K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 164 | — |
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.