| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MMIC AGENCY INC3 Filed as: MMIC AGENCY INC. | 700 SPRING FOREST RD STE 400 PO BOX 97968 RALEIGH, NC 276099124 | METROPOLITAN LIFE INSURANCE COMPANY | $77K | $28K | $106K | 8.25% |
| MMIC AGENCY INC Filed as: MMIC AGENCY, LLC | PO BOX 97968 RALEIGH, NC 276247968 | USABLE LIFE | $18K | $0 | $18K | 10.00% |
| MOSAIC GROUP SERVICES Filed as: MOSAIC GROUP | 4605 UNIVERSITY DR. DURHAM, NC 27707 | USABLE LIFE | $9K | $0 | $9K | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF NC EIN 56-0894904 | Contract Administrator; Claims processing Service code 12 | — | $5.9M |
| MMIC AGENCY LLC EIN 56-1195643 | Participant communication; Insurance agents and brokers Service code 22 | — | $5.8M |
| US TREASURY | Other fees Service code 99 | — | $1.7M |
| US DEPT OF HHS/CTR FOR MEDICARE EIN 52-0883104 | Other fees Service code 99 | — | $1.5M |
| NORTH CAROLINA MEDICAL SOCIETY EIN 56-0320130 | Consulting (general); Other services Service code 16 | — | $916K |
| MEDICAL MUTUAL INSURANCE CO OF NC EIN 56-1122874 | Recordkeeping fees; Consulting (general); Accounting (including auditing) Service code 10 | — | $900K |
| WESTPORT INSURANCE EIN 48-0921045 | Insurance services Service code 23 | — | $582K |
| SMITH ANDERSON BLOUNT DORSETT EIN 56-0402850 | Legal Service code 29 | — | $90K |
| CEREDIAN BENEFIT SERVICES EIN 59-3424469 | Contract Administrator Service code 13 | — | $86K |
| GHB CONSULTING INC EIN 56-2004203 | Actuarial Service code 11 | — | $76K |
| RUDD AND WISDOM INC EIN 74-1896655 | Consulting (general); Actuarial Service code 11 | — | $72K |
| US BANK EIN 31-0841368 | Investment management Service code 28 | — | $53K |
| JOHNSON LAMBERT AND CO LLP EIN 52-1446779 | Accounting (including auditing) Service code 10 | — | $28K |
| WAKE RADIOLOGY EIN 56-0990409 | Participant communication Service code 38 | — | $14K |
| IAS ASSOCIATES EIN 56-1888427 | Insurance services Service code 23 | — | $12K |
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 | 18,077 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 43 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 137 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 10 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 18,267 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 4,885 | $1.3M |
| Life insurance | USABLE LIFE | 5,926 | $179K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,926 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.