| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EBENCONCEPTS COMPANY3 Filed as: EBENCONCEPTS | 921-C S MCPHERSON CHURCH ROAD FAYETTEVILLE, NC 28303 | IOARE/AMERICAN NATIONAL | $35K | — | $35K | 10.11% |
| EBENCONCEPTS COMPANY3 | 521-C S MCPHERSON CHURCH RD FAYETTEVILLE, NC 28303 | USABLE LIFE | $9K | — | $9K | 8.34% |
| MOSAIC GROUP SERVICES3 | PO BOX 2291 DURHAM, NC 27702 | USABLE LIFE | $6K | — | $6K | 6.34% |
| EBENCONCEPTS COMPANY3 | 921-C S. MCPHERSON CHURCH ROAD FAYETTEVILLE, NC 28303 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $4K | — | $4K | 7.27% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PHP OF THE CAROLINAS EIN 26-3109108 THIRD PARTY ADMINISTRATIO | Other fees; Claims processing; Contract Administrator Service code 12 | — | $38K |
| CIGNA EIN 56-1971088 NETWORK ACCESS | Claims processing; Other fees Service code 12 | — | $37K |
| MEDWATCH EIN 16-1662117 UTILIZATION REVIEW | Claims processing; Other fees Service code 12 | — | $7K |
| TELADOC EIN 04-3705970 TELEMEDICINE | Claims processing; Other fees Service code 12 | — | $4K |
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 | 188 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 188 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 188 | $61K |
| Life insurance | USABLE LIFE | 188 | $102K |
| Long-term disability | USABLE LIFE | 188 | $102K |
| Prescription drug | IOARE/AMERICAN NATIONAL | 155 | $350K |
| Stop-loss / reinsurancereinsurance | IOARE/AMERICAN NATIONAL | 155 | $350K |
| Other(2 contracts, 2 carriers) | USABLE LIFE | 188 | $163K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 188 | — |
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.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.