| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CONTEMPORARY BENEFITS ADVISORS LLC3 | 1801 SKYWAY DR MONROE, NC 28110 | AETNA LIFE INSURANCE CO. | $14K | $8K | $21K | 1.62% |
| CONTEMPORARY BENEFITS ADVISORS LLC3 Filed as: CONTEMPORARY BENEFITS ADVISORS | 1801 SKYWAY DR MONROE, NC 28110 | PRINCIPAL LIFE INSURANCE COMPANY | $30K | — | $30K | 9.91% |
| MOSAIC GROUP SERVICES3 Filed as: MOSAIC GROUP SERVICES LLC | PO BOX 2291 DURHAM, NC 27702 | PRINCIPAL LIFE INSURANCE COMPANY | — | $16K | $16K | 5.14% |
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 | 458 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 458 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 368 | $1.3M |
| Dental | AETNA LIFE INSURANCE CO. | 368 | $1.3M |
| Vision | AETNA LIFE INSURANCE CO. | 368 | $1.3M |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 500 | $306K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 500 | $306K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 500 | $306K |
| Other | PRINCIPAL LIFE INSURANCE COMPANY | 500 | $306K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 500 | — |
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.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.