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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 | 0 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 19,852 | $9K |
| Dental(3 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 6,927 | $1.8M |
| Vision(4 contracts, 2 carriers) | FIDELITY SECURITY LIFE INSURANCE COMPANY | 12,341 | $318K |
| Life insurance | LIBERTY MUTUAL LIFE INSURANCE | 33,629 | $1.0M |
| Long-term disability(2 contracts, 2 carriers) | LIBERTY MUTUAL LIFE INSURANCE | 5,862 | $613K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF NORTH CAROLINA | 19,852 | $0 |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF NORTH CAROLINA | 19,852 | $0 |
| Other(5 contracts, 4 carriers) | LIBERTY MUTUAL LIFE INSURANCE | 59,042 | $911K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 59,042 | — |
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.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.