| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAROLD W WELLS & SONS INC3 Filed as: HAROLD W. WELLS, IV | PO BOX 2320 WILMINGTON, NC 28401 | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | $18K | — | $18K | 1.16% |
| HAROLD W WELLS & SONS INC3 Filed as: HAROLD W. WELLS & SONS INC | PO BOX 2320 WILMINGTON, NC 28402 | METROPOLITAN LIFE INSURANCE COMPANY | $8K | — | $8K | 7.96% |
| HAROLD W WELLS & SONS INC3 Filed as: HAROLD W. WELLS & SONS INC | PO BOX 2320 WILMINGTON, NC 28402 | COMMUNITY EYE CARE | $2K | — | $2K | 12.00% |
| HAROLD W WELLS & SONS INC3 Filed as: HAROLD W. WELLS & SONS INC | 1 N 3RD ST WILMINGTON, NC 28401 | USABLE LIFE | $1K | — | $1K | 10.90% |
| MOSAIC GROUP SERVICES3 | PO BOX 2291 DURHAM, NC 27702 | USABLE LIFE | $856 | — | $856 | 8.72% |
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 | 165 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 165 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 165 | $1.6M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 330 | $105K |
| Vision | COMMUNITY EYE CARE | 224 | $14K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 165 | $1.6M |
| Other(2 contracts, 2 carriers) | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 190 | $1.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 330 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.