| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BARRY L. HILL3 | 4700 SIX FORKS RD STE 200 RALEIGH, NC 27609 | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | $51K | $0 | $51K | 1.24% |
| MARSH & MCLENNAN AGENCY LLC3 | 2301 SUGAR BUSH RD RALEIGH, NC 27612 | THE HARTFORD | $60K | $0 | $60K | 11.51% |
| MOSAIC GROUP SERVICES3 Filed as: MOSAIC GROUP SERVICES LLC | 4611 UNIVERSITY DR DURHAM, NC 27702 | THE HARTFORD | $0 | $37K | $37K | 7.00% |
| MARSH & MCLENNAN AGENCY LLC3 | 2300 RENAISSANCE BLVD KING OF PRUSSIA, PA 19406 | THE HARTFORD | $0 | $13K | $13K | 2.54% |
| CURTIS EPP3 | 4700 SIX FORKS RD STE 200 RALEIGH, NC 27609 | DELTA DENTAL OF NORTH CAROLINA | $20K | $0 | $20K | 9.12% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCCLENNAN AGENCY LLC | 161 WASHINGTON ST, #1200 CONSHOHOCKEN, PA 19428 | GENWORTH LIFE INSURANCE COMPANY | $13K | $0 | $13K | 17.69% |
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 |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 464 | $4.1M |
| Dental | DELTA DENTAL OF NORTH CAROLINA | 421 | $220K |
| Vision | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 464 | $4.1M |
| Life insurance | THE HARTFORD | 238 | $522K |
| Short-term disability | THE HARTFORD | 238 | $522K |
| Long-term disability | THE HARTFORD | 238 | $522K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 464 | $4.1M |
| Other(2 contracts, 2 carriers) | THE HARTFORD | 255 | $597K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 464 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.