| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PIEDMONT BENEFITS GROUP, INC.3 Filed as: PIEDMONT BENEFITS GROUP INC | 18809 W. CATAWBA AVE STE 101 CORNELIUS, NC 28031 | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | $184K | — | $184K | 5.20% |
| PIEDMONT BENEFITS GROUP, INC.3 Filed as: PIEDMONT BENEFITS GROUP INC | 18809 W. CATAWBA AVE SUITE 101 CORNELIUS, NC 28031 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | $32K | — | $32K | 12.85% |
| IBSI HOLDINGS INC3 Filed as: IBSI HOLDINGS | IBSI HOLDINGS WINSON SALEM, NC 27114 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | — | $12K | $12K | 4.99% |
| PIEDMONT BENEFITS GROUP, INC.3 Filed as: PIEDMONT BENEFITS GROUP INC | 18809 W. CATAWBA AVE SUITE 101 CORNELIUS, NC 28031 | HARTFORD LIFE AND ACCIDENT | $50K | $11K | $62K | 28.36% |
| MOSAIC GROUP SERVICES3 | 4611 UNIVERSITY DR DURHAM, NC 27702 | HARTFORD LIFE AND ACCIDENT | — | $15K | $15K | 7.00% |
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 | 596 | 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) | 596 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 493 | $3.5M |
| Dental | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | 312 | $250K |
| Vision | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | 312 | $250K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 596 | $218K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 596 | $218K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 596 | $218K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 493 | $3.5M |
| Other | HARTFORD LIFE AND ACCIDENT | 596 | $218K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 596 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
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.