| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MOUNTCASTLE INSURANCE3 | 916 WEST 4TH STEET WINSTON SALEM, NC 27101 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $31K | — | $31K | 11.46% |
| GW MOUNTAIN CASTLE AGENCY INC.3 | 307 WEST CENTER STREET LEXINGTON, NC 27292 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $11K | — | $11K | 13.69% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COM EIN 59-1031071 ADMINSTRATOR | Contract Administrator; Plan Administrator Service code 13 | — | $41K |
| FLORES AND ASSOCIATES EIN 56-1542307 HRA / FSA ADMIN | Claims processing; Other fees; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $7K |
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 | 98 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 98 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 107 | $270K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 98 | $82K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 98 | $82K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 98 | $82K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 98 | $82K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 107 | — |
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.