| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AON CONSULTING INC3 | 29840 NETWORK PL CHICAGO, IL 60673 | METROPOLITAN LIFE INSURANCE COMPANY | — | $15K | $15K | 0.63% |
| AON CONSULTING INC3 Filed as: AON CONSULTING | 29840 NETWORK PLACE CHICAGO, IL 60673 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $15K | — | $15K | 1.21% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE INC, | PO BOX 28852 NEW YORK, NM 100878852 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $993 | $7K | $8K | 0.64% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL INC. | PO BOX 956012 ST. LOUIS, MO 60673 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | — | $7K | $7K | 0.60% |
| AON CONSULTING INC3 | 29840 NETWORK PL CHICAGO, IL 60673 | METROPOLITAN LIFE INSURANCE COMPANY | — | $6K | $6K | 0.66% |
| AON CONSULTING INC3 | 19840 NETWORK PL CHICAGO, IL 606731298 | METROPOLITAN LIFE INSURANCE COMPANY | $126K | $6K | $131K | 19.76% |
| WILLIS TOWERS WATSON US LLC3 | PO BOX 28852 NEW YORK, NY 100878852 | METROPOLITAN LIFE INSURANCE COMPANY | $60K | $2K | $62K | 9.33% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL INC | P.O. BOX 956012 ST LOUIS, MO 60673 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | — | $951 | $951 | 0.21% |
| AON CONSULTING INC3 | 8801 ONEAL ROAD RALEIGH, NC 276131140 | AMERITAS LIFE INSURANCE CORP. | $20K | — | $20K | 4.58% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE INC | 150 N COLLEGE STREET SUITE 3050 CHARLOTTE, NC 282022396 | AMERITAS LIFE INSURANCE CORP. | $2K | $6K | $8K | 1.76% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL INC | P.O. BOX 956012 ST. LOUIS, MS 60673 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | — | $584 | $584 | 0.15% |
| AON CONSULTING INC3 | 29840 NETWORK PL CHICAGO, IL 606731298 | METROPOLITAN LIFE INSURANCE COMPANY | $58K | $3K | $61K | 17.94% |
| WILLIS TOWERS WATSON US LLC3 | PO BOX 28852 NEW YORK, NC 100878852 | METROPOLITAN LIFE INSURANCE COMPANY | $27K | $928 | $28K | 8.30% |
| AON CONSULTING INC3 | 29840 NETWORK PL CHICAGO, IL 606731298 | METROPOLITAN LIFE INSURANCE COMPANY | — | $1K | $1K | 0.69% |
| AON CONSULTING INC3 | 29840 NETWORK PL CHICAGO, IL 606731298 | METROPOLITAN LIFE INSURANCE COMPANY | — | $746 | $746 | 0.67% |
| WILLIS TOWERS WATSON US LLC3 | PO BOX 28852 NEW YORK, NY 10087 | HARTFORD LIFE AND ACCIDENT | — | $135 | $135 | 2.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE INC. | PO BOX 28852 NEW YORK, NY 100878852 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $1K | — | $1K | — |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL INC | PO BOX 956012 ST. LOUIS, MO 60675 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | — | -$20 | -$20 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BELK STORES SERVICES, INC. EIN 56-0616731 PLAN SPONSOR | Plan Administrator Service code 14 | — | $5.8M |
| UNITED HEALTHCARE SERVICES EIN 41-1289245 CLAIMS PROCESSOR | Other services; Claims processing Service code 12 | — | $3.4M |
| TOWERS WATSON EIN 13-1159360 ACTUARY | Actuarial Service code 11 | — | $161K |
| JELLY VISION ONLINE BENEFITS SERVICE | Other fees Service code 99 | 848 W. EASTMAN STREET CHICAGO, IL 60642 | $99K |
| DEMKIN PRINTING NONE | Copying and duplicating Service code 36 | P.O. BOX 4054 WARREN, NJ 07059 | $65K |
| MERCER NONE | Consulting (general) Service code 16 | 100 N. TYRON ST. SUITE 3600 CHARLOTTE, NC 28202 | $27K |
| DIXON HUGHES GOODMAN LLP EIN 56-0747981 AUDITOR | Accounting (including auditing) Service code 10 | — | $17K |
| STATE STREET CORPORATION EIN 04-1864775 DIRECTED TRUSTEE/CUST | Non-monetary compensation; Trustee (directed); Other fees; Float revenue; Investment management Service code 25 | — | $11K |
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 | 23,439 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 137 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 23,576 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 2,849 | $1.1M |
| Dental | AMERITAS LIFE INSURANCE CORP. | 3,161 | $431K |
| Vision | UNITED HEALTHCARE SERVICES, INC. | 6,816 | $669K |
| Life insurance(3 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 12,952 | $3.4M |
| Short-term disability(2 contracts) | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 11,520 | $384K |
| Long-term disability | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 2,701 | $1.3M |
| Other(3 contracts, 3 carriers) | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 23,439 | $579K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 23,439 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.