| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MMIC AGENCY INC3 | 700 SPRING FOREST RD. STE 400 PO BOX 97968 RALEIGH, NC 27609 | METROPOLITAN LIFE INSURANCE COMPANY | $83K | $19K | $102K | 7.05% |
| MMIC AGENCY INC | 700 SPRING FOREST RD. STE. 400 PO BOX 97968 RALEIGH, NC 27609 | USABLE LIFE | $15K | $0 | $15K | 9.98% |
| MOSAIC GROUP SERVICES Filed as: MOSAIC GROUP | 4605 UNIVERSITY DRIVE DURHAM, NC 27707 | USABLE LIFE | $7K | $0 | $7K | 5.02% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MMIC AGENCY, LLC EIN 56-1195643 | Insurance agents and brokers; Participant communication Service code 22 | — | $5.5M |
| BLUE CROSS BLUE SHIELD OF NC EIN 56-0894904 | Contract Administrator; Claims processing Service code 12 | — | $5.5M |
| MEDICAL MUTUAL INSURANCE COMPANY EIN 56-1122874 | Recordkeeping fees; Accounting (including auditing); Consulting (general) Service code 10 | — | $935K |
| NORTH CAROLINA MEDICAL SOCIETY EIN 56-0320130 | Consulting (general); Other services Service code 16 | — | $905K |
| WESTPORT INSURANCE COMPANY EIN 48-0921045 | Insurance services Service code 23 | — | $639K |
| US DEPT OF HHS/CTR FOR MEDICARE EIN 52-0883104 | Other fees Service code 99 | — | $514K |
| LIFEWORKS US INC. EIN 81-1114266 | Contract Administrator Service code 13 | — | $160K |
| FLORES & ASSOCIATES EIN 56-1542307 | Contract Administrator Service code 13 | — | $83K |
| GHB CONSULTING INC EIN 56-2004203 | Actuarial Service code 11 | — | $75K |
| US BANK EIN 31-0841368 | Investment management Service code 28 | — | $66K |
| SMITH ANDERSON BLOUNT DORSETT EIN 56-0402850 | Legal Service code 29 | — | $50K |
| RUDD AND WISDOM EIN 74-1896655 | Consulting (general); Actuarial Service code 11 | — | $47K |
| US TREASURY | Other fees Service code 99 | — | $43K |
| JOHNSON LAMBERT & CO LLP EIN 52-1446779 | Accounting (including auditing) Service code 10 | — | $33K |
| REDESIGNING WELLNESS, INC. EIN 81-2263579 | Other services Service code 49 | — | $7K |
| CLASSIC GRAPHICS, INC. EIN 56-1418668 | Other services Service code 49 | — | $6K |
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 | 15,872 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 52 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 120 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 11 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 16,055 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 4,233 | $1.4M |
| Life insurance | USABLE LIFE | 4,451 | $148K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,451 | — |
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.