| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| A. G. INSURANCE AGENCIES,INC.3 Filed as: AG INSURANCE AGENCIES INC | 6100 WESTERN PLACE STE. STE. 801 FORT WORTH, TX 76107 | BLUECROSS BLUESHIELD OF NORTH CAROLINA | $17K | — | $17K | 1.90% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INSURANCE AGCY & FIN SV | 12404 PARK CENTRAL DR. STE. 400S DALLAS, TX 752511814 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | — | $3K | 4.74% |
| A. G. INSURANCE AGENCIES,INC.3 Filed as: AG INSURANCE AGENCIES INC | 6100 WESTERN PLACE STE. STE. 801 FORT WORTH, TX 76107 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $6K | $729 | $7K | 15.68% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS & FIN SVCS INC | 12404 PARK CENTRAL DR. STE. 400S DALLAS, TX 75251 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 5.00% |
| A. G. INSURANCE AGENCIES,INC.3 Filed as: AG INSURANCE AGENCIES INC | 6100 WESTERN PLACE STE. STE. 801 FORT WORTH, TX 76107 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | $319 | $4K | 23.79% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS & FIN SVCS INC | 12404 PARK CENTRAL DR. STE. 400S DALLAS, TX 75251 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $912 | — | $912 | 5.47% |
| A. G. INSURANCE AGENCIES,INC.3 Filed as: AG INSURANCE AGENCIES INC | 6100 WESTERN PLACE STE. STE. 1075 FORT WORTH, TX 76107 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 20.00% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS & FIN SVCS INC | 12404 PARK CENTRAL DR. STE. 400S DALLAS, TX 75251 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $553 | — | $553 | 5.00% |
| OPES ONE ADVISORS LLC5 Filed as: OPES ONE ADVISORS, LLC | — | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $22 | — | $22 | 0.20% |
| A. G. INSURANCE AGENCIES,INC.3 Filed as: AG INSURANCE AGENCIES INC | 6100 WESTERN PLACE STE. 350 FORT WORTH, TX 761074600 | VSP | $713 | — | $713 | 7.71% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS & FIN SVCS INC | 12404 PARK CENTRAL DR. STE. 400S DALLAS, TX 752511803 | VSP | $463 | — | $463 | 5.01% |
| EMPLOYEE NAVIGATOR, LLC3 | 7979 OLD GEORGETOWN RD. STE. 300 BETHESDA, MD 208142554 | VSP | $46 | — | $46 | 0.50% |
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 | 175 | 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) | 175 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF NORTH CAROLINA | 175 | $908K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 229 | $62K |
| Vision | VSP | 90 | $9K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 118 | $42K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 118 | $42K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 118 | $42K |
| Prescription drug | BLUECROSS BLUESHIELD OF NORTH CAROLINA | 175 | $908K |
| Other(6 contracts, 4 carriers) | BLUECROSS BLUESHIELD OF NORTH CAROLINA | 175 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 229 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.