| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROMULUS L TEAGUE | PO BOX 385 TAYLORSVILLE, NC 28681 | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | $36K | — | $36K | — |
| BENEFIT SOLUTIONS INC | PO BOX 385 TAYLORSVILLE, NC 28681 | US ABLE LIFE | $902 | — | $902 | — |
| MOSAIC GROUP SERVICES | PO BOX 2291 DURHAM, NC 27702 | US ABLE LIFE | $722 | — | $722 | — |
| BENEFIT SOLUTIONS INC | PO BOX 385 TAYLORSVILLE, NC 28681 | US ABLE LIFE | $160 | — | $160 | — |
| MOSAIC GROUP SERVICES | PO BOX 2291 DURHAM, NC 27702 | US ABLE LIFE | $106 | — | $106 | — |
| BENEFIT SOLUTIONS INC | PO BOX 385 TAYLORSVILLE, NC 28681 | US ABLE LIFE | $2K | — | $2K | — |
| MOSAIC GROUP SERVICES | PO BOX 2291 DURHAM, NC 27702 | US ABLE LIFE | $2K | — | $2K | — |
| BENEFIT SOLUTIONS INC | PO BOX 385 TAYLORSVILLE, NC 28681 | US ABLE LIFE | $3K | — | $3K | — |
| MOSAIC GROUP SERVICES | PO BOX 2291 DURHAM, NC 27702 | US ABLE LIFE | $3K | — | $3K | — |
| BENEFIT SOLUTIONS INC | PO BOX 385 TAYLORSVILLE, NC 28681 | US ABLE LIFE | $977 | — | $977 | — |
| MOSAIC GROUP SERVICES | PO BOX 2291 DURHAM, NC 27702 | US ABLE LIFE | $651 | — | $651 | — |
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 | 137 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 137 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 178 | $0 |
| Dental | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 178 | $0 |
| Life insurance(3 contracts) | US ABLE LIFE | 137 | $0 |
| Short-term disability | US ABLE LIFE | 50 | $0 |
| Long-term disability | US ABLE LIFE | 43 | $0 |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 178 | $0 |
| Other(3 contracts) | US ABLE LIFE | 137 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 178 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.