| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BURCHFIELD INSURANCE GROUP INC3 Filed as: BURCHFIELD INSURANCE GROUP | PO BOX 3414 CONCORD, NC 28025 | BLUE CROSS BLUE SHIELD OF NC | $43K | — | $43K | 3.19% |
| BURCHFIELD INSURANCE GROUP INC3 Filed as: BURCHFIELD INSURANCE GROUP | PO BOX 3414 CONCORD, NC 28025 | EQUITABLE FINANCIAL LIFE INSURANCE CO. | $9K | $2K | $11K | 12.40% |
| IBSI HOLDINGS INC3 Filed as: IBSI HOLDINGS INC. | 1381 OLD MILL CIRCLE SUITE 301 WINSTON SALEM, NC 27103 | EQUITABLE FINANCIAL LIFE INSURANCE CO. | — | $8K | $8K | 8.39% |
| BURCHFIELD INSURANCE GROUP INC3 Filed as: BURCHFIELD INSURANCE GROUP | PO BOX 3414 CONCORD, NC 28025 | USABLE LIFE | $4K | — | $4K | 11.96% |
| MOSAIC GROUP SERVICES3 | PO BOX 2291 DURHAM, NC 27702 | USABLE LIFE | $2K | — | $2K | 5.00% |
| BURCHFIELD INSURANCE GROUP INC3 Filed as: BURCHFIELD INSURANCE GROUP | PO BOX 3414 CONCORD, NC 28025 | COMMUNITY EYE CARE | $2K | — | $2K | 10.00% |
| BURCHFIELD INSURANCE GROUP INC3 Filed as: BURCHFIELD INSURANCE GROUP | PO BOX 3414 CONCORD, NC 28025 | USABLE LIFE | $1K | — | $1K | 11.97% |
| MOSAIC GROUP SERVICES3 | PO BOX 2291 DURHAM, NC 27702 | USABLE LIFE | $592 | — | $592 | 5.00% |
| BURCHFIELD INSURANCE GROUP INC3 Filed as: BURCHFIELD INSURANCE GROUP | PO BOX 3414 CONCORD, NC 28025 | USABLE LIFE | $1K | — | $1K | 11.97% |
| MOSAIC GROUP SERVICES3 | PO BOX 2291 DURHAM, NC 27702 | USABLE LIFE | $524 | — | $524 | 5.01% |
| BURCHFIELD INSURANCE GROUP INC3 Filed as: BURCHFIELD INSURANCE GROUP | PO BOX 3414 CONCORD, NC 28025 | USABLE LIFE | $160 | — | $160 | 16.86% |
| MOSAIC GROUP SERVICES3 | PO BOX 2291 DURHAM, NC 27702 | USABLE LIFE | $95 | — | $95 | 10.01% |
| BURCHFIELD INSURANCE GROUP INC3 Filed as: BURCHFIELD INSURANCE GROUP | PO BOX 3414 CONCORD, NC 28025 | USABLE LIFE | $14 | — | $14 | 17.72% |
| MOSAIC GROUP SERVICES3 | PO BOX 2291 DURHAM, NC 27702 | USABLE LIFE | $8 | — | $8 | 10.13% |
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 | 195 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 195 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF NC | 316 | $1.3M |
| Dental | EQUITABLE FINANCIAL LIFE INSURANCE CO. | 141 | $91K |
| Vision | COMMUNITY EYE CARE | 288 | $18K |
| Life insurance(3 contracts) | USABLE LIFE | 195 | $11K |
| Short-term disability | USABLE LIFE | 195 | $12K |
| Long-term disability | USABLE LIFE | 195 | $34K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 316 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.