| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HODGES-MACE BENEFITS GRP INC3 Filed as: HODGES-MACE BENEFITS GRP | 3350 RIVERWOOD PARKWAY STE 80 ATLANTA, GA 30339 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $248K | $23K | $271K | 19.26% |
| CUSTOM BENEFIT PROGRAMS INC3 Filed as: CUSTOM BENEFIT PROGRAMS, INC. | 1 N WHITE HORSE PIKE #2 HAMMONTON, NJ 08037 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $253 | — | $253 | 0.02% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES, INC | 1901 ROXBOROUGH RD STE 315 CHARLOTTE, NC 28211 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $28 | — | $28 | 0.00% |
| HODGES-MACE BENEFITS GRP INC3 Filed as: HODGES-MACE BENEFITS GRP | 3350 RIVERWOOD PKWY STE 80 ATLANTA, GA 30339 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $127K | $7K | $134K | 16.93% |
| CUSTOM BENEFIT PROGRAMS INC3 | 1 N WHITE HORSE PIKE #2 HAMMONTON, NJ 08037 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $6K | $3K | $9K | 1.17% |
| DWIGHT L PIERCE3 Filed as: DWIGHT PIERCE/BENEFIT TECHNOLOGIES | 20 WIGHT AVE STE 160 COCKEYSVILLE, MD 21030 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 0.16% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATESERVICES, INC | 1901 ROXBOROUGH RD STE 315 CHARLOTTE, NC 28211 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $691 | — | $691 | 0.09% |
| AON CONSULTING INC3 Filed as: AON CONSULTING- WINSTON- SALEM | 100 N MAIN ST STE 2200 WINSTON-SALEM, NC 27101 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $558 | — | $558 | 0.07% |
| DWIGHT L PIERCE3 Filed as: DWIGHT PIERCE | 1200 TAFT AVE DIV 15 SAPULPA, OK 74066 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $26 | — | $26 | 0.00% |
| NEWSON, RAYMOND, PERRY3 | 80 INTERNATIONAL DR STE 425 GREENVILLE, SC 29615 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $21 | — | $21 | 0.00% |
| AON CONSULTING INC3 Filed as: AON CONSULTING - WINSTON | 29840 NETWORK PLACE CHICAGO, IL 60673 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.00% |
| CHRISTINA N BYRON3 Filed as: CHRISTINA BYRON | 1901 ROXBOROUGH RD STE 315 CHARLOTTE, NC 28211 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.00% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES HOUSTON | 5444 WESTHEIMER RD 900 HOUSTON, TX 77056 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $0 | — | $0 | 0.00% |
| KELLY & ASSOCIATES INSURANCE GROUP3 Filed as: KELLY & ASSOCIATIES INSURANCE GROUP | 1 KELLY WAY SPARKS, MD 21152 | PRE-PAID LEGAL SERVICES DBA LEGALSHIELD | $12K | — | $12K | 12.00% |
| MELISSA PETERS4 | 13121 GENTRY DR HAGERSTOWN, MD 21742 | PRE-PAID LEGAL SERVICES DBA LEGALSHIELD | $2K | — | $2K | 2.00% |
| JAMES R WORTHY4 | 519 BOND AVE REISTERSTOWN, MD 21136 | PRE-PAID LEGAL SERVICES DBA LEGALSHIELD | $2K | — | $2K | 2.00% |
| PHILLIP J SEAMAN JR4 Filed as: PHILLIP SEAMAN JR | 551 HIDDEN STREAM CT WESTMINSTER, MD 21158 | PRE-PAID LEGAL SERVICES DBA LEGALSHIELD | $981 | — | $981 | 1.00% |
| CHRISTIAN BUSINESS NETWORK4 | PO BOX 44071 BALTIMORE, MD 21236 | PRE-PAID LEGAL SERVICES DBA LEGALSHIELD | $981 | — | $981 | 1.00% |
| BRIAN CARRUTHERS LLC4 | 43604 TUCKAWAY PL LEESBURG, VA 20176 | PRE-PAID LEGAL SERVICES DBA LEGALSHIELD | $549 | — | $549 | 0.56% |
| BROWN AND BROWN OF FLORIDA, INC.4 Filed as: CECIL MARK BROWN | 505 W SIMMONS ST WEATHERFORD, TX 76086 | PRE-PAID LEGAL SERVICES DBA LEGALSHIELD | $485 | — | $485 | 0.49% |
| CAROL CLINTON SMITH4 | MARITAL TRUST 3317 WAUWINET WAY NORMAN, OK 73071 | PRE-PAID LEGAL SERVICES DBA LEGALSHIELD | $242 | — | $242 | 0.25% |
| AL MARKETING GROUP INC4 | 1334 E CHANDLER BLVD STE D-73 PHOENIX, AZ 85048 | PRE-PAID LEGAL SERVICES DBA LEGALSHIELD | $242 | — | $242 | 0.25% |
| NEW BIZ LLC4 | 4102 COLUMNS DR SE MARIETTA, GA 30067 | PRE-PAID LEGAL SERVICES DBA LEGALSHIELD | $161 | — | $161 | 0.16% |
| FRANWOOD ENTERPRISES INC4 | 30141 ANTELOPED RD SUITE D #242 MENIFEE, CA 92584 | PRE-PAID LEGAL SERVICES DBA LEGALSHIELD | $80 | — | $80 | 0.08% |
| L-K MARKETING GROUP, LLC4 Filed as: LK MARKETING GROUP LLC | PO BOX 8072 WACO, TX 76714 | PRE-PAID LEGAL SERVICES DBA LEGALSHIELD | $78 | — | $78 | 0.08% |
| KELLY & ASSOCIATES INSURANCE GROUP3 | 1 KELLY WAY SPARKS, MD 21152 | CIGNA HEALTH & LIFE INSURANCE COMPANY | $1K | — | $1K | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD NC EIN 56-0894904 NONE | Contract Administrator; Claims processing Service code 12 | — | $727K |
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 | 10,737 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 58 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 10,795 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH & LIFE INSURANCE COMPANY | 1 | $14K |
| Dental | DELTA DENTAL OF NORTH CAROLINA | 7,888 | $4.2M |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 6,857 | $977K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 10,737 | $1.6M |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 5,449 | $743K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 4,937 | $1.4M |
| Other(5 contracts, 4 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 10,882 | $4.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 10,882 | — |
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.