Form 5500 · Employee benefit plan · KANNAPOLIS, NC
AUGUSTA SPORTSWEAR, INC.
The filing calls this plan MOMENTEC BRANDS WELFARE BENEFIT PLAN.
Public Form 5500 records show how AUGUSTA SPORTSWEAR, INC. of KANNAPOLIS, NC, a manufacturing employer, structures its employee benefits. Its broker of record is JAMES A SCOTT & SON INC. Coverage is written through BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 20-1967626 · plan 501 · plan year 2025, filed Aug 24, 2026
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1,311 other employer plans in North Carolina have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
Benefits declared on this filing
Also declared: death benefits, other welfare.
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
Schedule A lists 4 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA, covers 659 people.
Reported premium across the insured contracts is $5,697,553, with $161,443 in disclosed broker commissions — about 2.8% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
JAMES A SCOTT & SON INC is the broker of record on 2 of the 4 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA, HARTFORD LIFE AND ACCIDENT, DELTA DENTAL OF NORTH CAROLINA and COMMUNITY EYE CARE. BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| HARTFORD LIFE AND ACCIDENT | Life, Disability | 610 | Jan 1, 2026 | $362,322 | $81,822 |
| BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | Health | 659 | Jan 1, 2026 | $5,017,407 | $63,531 |
| DELTA DENTAL OF NORTH CAROLINA | Dental | 672 | Jan 1, 2026 | $271,294 | $11,437 |
| COMMUNITY EYE CARE | Vision | 661 | Jan 1, 2026 | $46,530 | $4,653 |
Premium and claims on this contract
DELTA DENTAL OF NORTH CAROLINA, contract 10825. For the contract year on this filing, the carrier reported $271,029 in premium earned and $209,835 in claims incurred. Dividing one by the other gives 77%.
- DELTA DENTAL OF NORTH CAROLINA, contract 10825 reported $46,076 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Other plans filed by this employer
How this plan compares
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Renewal calendar
1,311 other employer plans in North Carolina are January 1 renewals (policy year ends December).
Their policy years end in December, like this plan’s, so most renew January 1. The calendar lists every insured group by renewal date and state, with broker of record, carrier and disclosed commission. You can preview the five largest in each month for free.
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