| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BURCHFIELD INSURANCE GROUP INC3 | PO BOX 3414 CONCORD, NC 28025 | USABLE LIFE | $7K | $0 | $7K | 9.96% |
| MOSAIC GROUP SERVICES3 | PO BOX 2291 DURHAM, NC 27702 | USABLE LIFE | $5K | $0 | $5K | 6.97% |
| BURCHFIELD INSURANCE GROUP INC3 | PO BOX 3414 CONCORD, NC 28025 | USABLE LIFE | $3K | $0 | $3K | 9.96% |
| MOASIC GROUP SERVICES3 | PO BOX 2291 DURHAM, NC 27702 | USABLE LIFE | $2K | $0 | $2K | 6.97% |
| BURCHFIELD INSURANCE GROUP INC3 | PO BOX 3414 CONCORD, NC 28025 | USABLE LIFE | $2K | $0 | $2K | 10.02% |
| MOSAIC GROUP SERVICES3 | PO BOX 2291 DURHAM, NC 27702 | USABLE LIFE | $1K | $0 | $1K | 7.02% |
| BURCHFIELD INSURANCE GROUP INC3 | PO BOX 3414 CONCORD, NC 27025 | USABLE LIFE | $3K | $876 | $4K | 19.37% |
| MOSAIC GROUP SERVICES3 | PO BOX 2291 DURHAM, NC 27702 | USABLE LIFE | $1K | $0 | $1K | 6.90% |
| BURCHFIELD INSURANCE GROUP INC3 Filed as: BURCHFIELD INSURANCE AGENCY | PO BOX 3414 CONCORD, NC 28025 | USABLE LIFE | $327 | $109 | $436 | 19.82% |
| MOSAIC GROUP SERVICES3 | PO BOX 2291 DURHAM, NC 27702 | USABLE LIFE | $152 | $0 | $152 | 6.91% |
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 | 183 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 41 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 224 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts) | USABLE LIFE | 222 | $90K |
| Short-term disability | USABLE LIFE | 98 | $21K |
| Long-term disability | USABLE LIFE | 182 | $30K |
| Other(3 contracts) | USABLE LIFE | 222 | $92K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 222 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.