| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AUGUSTINE A OLALERE3 Filed as: AUGUSTINE A. OLALERE | 845 LOW COUNTRY BLVD STE S MT PLEASANT, SC 29464 | THE UNION LABOR LIFE INSURANCE COMPANY | $34K | — | $34K | 12.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MILA MANAGED HEALTH CARE TRUST FUND EIN 13-3968546 AFFILIATED INSURANCE | Participant communication; Insurance services; Claims processing; Direct payment from the plan Service code 12 | 111 BROADWAY, 5TH FLOOR NEW YORK, NY 10006 | $153K |
| KATHY WOMACK EIN 58-2126333 EMPLOYEE | Direct payment from the plan; Participant communication; Recordkeeping and information management (computing, tabulating, data processing, etc.); Employee (plan) Service code 15 | — | $118K |
| RENATE GRAY EIN 58-2126333 EMPLOYEE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Participant communication; Employee (plan); Direct payment from the plan Service code 15 | — | $67K |
| MARLENE PAK-SMITH EIN 58-2126333 EMPLOYEE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Employee (plan); Participant communication Service code 15 | — | $50K |
| JUDY BALLARD EIN 58-2126333 EMPLOYEE | Employee (plan); Direct payment from the plan; Participant communication; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $49K |
| JTM ACUUSTIC & DRYWALL EIN 56-1920555 VENDOR | Direct payment from the plan; Other services Service code 49 | PO BOX 7186 WILMINGTON, NC 28406 | $22K |
| TJS DEEMER DANA LLP EIN 58-2663273 AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | P O BOX 9706 SAVANNAH, GA 31412 | $21K |
| LIVEWIRE ELECTRICAL & AIR VENDOR | Direct payment from the plan; Other services Service code 49 | 410 KINGSWORTH LANE LELAND, NC 28451 | $18K |
| EBERTS & HARRISON, INC. VENDER | Direct payment from the plan; Insurance agents and brokers Service code 22 | 1604 RIDGESIDE DR. 203 MOUNT AIRY, MD 21771 | $18K |
| STEVIES FLOORS & MORE, INC. VENDOR | Other services; Direct payment from the plan Service code 49 | 4701 WRIGHTSVILLE AVE WILMINGTON, NC 28403 | $12K |
| ATLANTIC COMPUTER SERVICES VENDOR | Direct payment from the plan; Other services Service code 49 | PO BOX 7834 WILMINGTON, NC 28406 | $11K |
| DARRELL GALLOWAY PAINTING EIN 47-2966474 VENDOR | Other services; Direct payment from the plan Service code 49 | 4301 FIRESIDE CT. WILLMINGTON, NC 28412 | $8K |
| ROCKHILL SERVICES, INC. VENDOR | Other services; Direct payment from the plan Service code 49 | 811 CAMPBELL ST. WILMINGTON, NC 28401 | $8K |
| J&M EXECUTIVE LEASING EIN 45-4804558 VENDOR | Direct payment from the plan; Copying and duplicating Service code 36 | PO BOX 911608 DENVER, CO 802911608 | $7K |
| DORSEY'S PAINTING CO. VENDOR | Other services; Direct payment from the plan Service code 49 | 3435 BROAD STREET,APT 210 WILMINGTON, NC 28403 | $7K |
| TIME WARNER CABLE UTILITY VENDOR | Other services; Direct payment from the plan Service code 49 | P O BOX 70872 CHARLOTTE, NC 28272 | $6K |
| FINDLEY DAVIS EIN 34-1213174 ACTUARY AND CONSULTANT | Consulting (general); Direct payment from the plan; Actuarial Service code 11 | 800 GREEN VALLEY ROAD GREENSBORO, NC 27408 | $5K |
| DUKE ENERGY PROGRESS UTILITY VENDOR | Other services; Direct payment from the plan Service code 49 | P O BOX 1771 RALEIGH, NC 27602 | $5K |
| WELLS FARGO BANK, N.A. EIN 94-1347393 DIRECTED TRUSTEE/CUSTDN | Direct payment from the plan; Trustee (bank, trust company, or similar financial institution); Investment management fees paid directly by plan Service code 21 | NW 5159 PO BOX 1450 MINNEAPOLIS, MN 554855159 | $4K |
| ILA LOCAL UNION 1426 EIN 56-0519634 PARTY-IN-INTEREST RENT | Other services; Direct payment from the plan Service code 49 | P.O. BOX 1928 WILMINGTON, NC 28402 | $3K |
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 | 295 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 195 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 490 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 424 | $287K |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 424 | $287K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 424 | — |
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.