| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROMULUS L TEAGUE | PO BOX 385 TAYLORSVILLE, NC 28681 | BCBS OF NC | $30K | — | $30K | — |
| CONTEMPORARY BENEFITS ADVISORS LLC Filed as: CONTEMPORARY BENEFITS DESIGN INC | 1956 WELLNESS BLVD MONROE, NC 28110 | US ABLE LIFE | $2K | $8K | $10K | — |
| ROMULUS L TEAGUE | PO BOX 385 TAYLORSVILLE, NC 28681 | BCBS OF NC | $602 | $6K | $7K | — |
| BENEFIT SOLUTIONS INC | PO BOX 385 TAYLORSVILLE, NC 28681 | US ABLE LIFE | $1K | — | $1K | — |
| BENEFIT SOLUTIONS INC | PO BOX 385 TAYLORSVILLE, NC 28681 | US ABLE LIFE | $4K | $18K | $22K | — |
| CONTEMPORARY BENEFITS ADVISORS LLC Filed as: CONTEMPORARY BENEFITS DESIGN INC | 1956 WELLNESS BLVD MONROE, NC 28110 | US ABLE LIFE | $297 | $1K | $1K | — |
| CONTEMPORARY BENEFITS ADVISORS LLC Filed as: CONTEMPORARY BENEFITS DESIGN INC | 1956 WELLNESS BLVD MONROE, NC 28110 | US ABLE LIFE | $8K | $30K | $38K | — |
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 | 136 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 136 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BCBS OF NC | 136 | $0 |
| Dental | BCBS OF NC | 136 | $0 |
| Vision | BCBS OF NC | 79 | $0 |
| Life insurance(3 contracts) | US ABLE LIFE | 161 | $0 |
| Short-term disability | US ABLE LIFE | 66 | $0 |
| Long-term disability | US ABLE LIFE | 56 | $0 |
| Prescription drug | BCBS OF NC | 136 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 161 | — |
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.