| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF NORTH CAROLINA, INC. | 214 NORTH TRYON STREET SUITE 2500 CHARLOTTE, NC 28202 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $45K | — | $45K | 4.01% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF NORTH CAROLINA, INC. | 214 NORTH TRYON STREET, SUITE 2500 CHARLOTTE, NC 28202 | KAISER FOUNDATION HEALTH PLAN INC | $28K | — | $28K | 3.47% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF N CAROLINA | 301 S TRYON ST SUITE 2600 CHARLOTTE, NC 28282 | LIBERTY LIFE ASSURANCE OF COMPANY OF BOSTON | $45K | $8K | $54K | 11.90% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF NORTH CAROLINA, INC. | 301 SOUTH TRYON STREET SUITE 2600 CHARLOTTE, NC 28282 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | — | $4K | $4K | 1.78% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF NORTH CAROLINA, INC. | 29754 NETWORK PLACE CHICAGO, IL 60673 | VISION SERVICE PLAN | $18K | — | $18K | 9.18% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF NORTH CAROLINA, INC. | 301 SOUTH TRYON STREET SUITE 2600 CHARLOTTE, NC 28282 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | — | $562 | $562 | 1.79% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF NORTH CAROLINA, INC. | 214 NORTH TRYON STREET, SUITE 2500 CHARLOTTE, NC 28202 | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | $852 | $56 | $908 | 21.32% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF NORTH CAROLINA, INC. | 214 NORTH TRYON STREET, SUITE 2500 CHARLOTTE, NC 28202 | METROPOLITAN LIFE INSURANCE COMPANY | $739 | — | $739 | — |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF NORTH CAROLINA, INC. | PO BOX 31817 CHARLOTTE, NC 28231 | METROPOLITAN LIFE INSURANCE COMPANY | — | $88 | $88 | — |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF N CAROLINA | 214 N TRYON ST SUITE 2500 CHARLOTTE, NC 282022381 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | — | $1K | — |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF N CAROLINA | PO BOX 31817 CHARLOTTE, NC 282311817 | METROPOLITAN LIFE INSURANCE COMPANY | — | $131 | $131 | — |
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 | 1,704 | 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) | 1,704 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 152 | $813K |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 1,482 | $1.1M |
| Vision | VISION SERVICE PLAN | 1,243 | $199K |
| Life insurance | LIBERTY LIFE ASSURANCE OF COMPANY OF BOSTON | 1,704 | $450K |
| Short-term disability | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 677 | $31K |
| Long-term disability | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 1,623 | $241K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN INC | 152 | $813K |
| Stop-loss / reinsurancereinsurance | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 2,522 | $855K |
| Other(3 contracts, 3 carriers) | LIBERTY LIFE ASSURANCE OF COMPANY OF BOSTON | 1,704 | $455K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,522 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.