Form 5500 · Employee benefit plan · CHARLOTTE, NC
CHARLOTTE COUNTRY CLUB, INC.
CHARLOTTE COUNTRY CLUB, INC. of CHARLOTTE, NC files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is JAMES A SCOTT & SON INC. Coverage is written through DELTA DENTAL OF NORTH CAROLINA and 4 other carriers. The plan's most recent policy period ended in January.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 56-0173700 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| DELTA DENTAL OF NORTH CAROLINA | Dental | 171 | January | $7,623 |
| HARTFORD LIFE AND ACCIDENT | Life, Disability | 161 | January | $7,403 |
| COMBINED STATES L.S., INC | — | 21 | January | $1,000 |
| DELTA DENTAL OF NORTH CAROLINA | Vision | 150 | January | $863 |
| BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | Health | 160 | January | $0 |
Questions
Who is CHARLOTTE COUNTRY CLUB, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, CHARLOTTE COUNTRY CLUB, INC.'s broker of record is JAMES A SCOTT & SON INC.
What insurance carrier does CHARLOTTE COUNTRY CLUB, INC. use?
CHARLOTTE COUNTRY CLUB, INC.'s benefit plan is written through DELTA DENTAL OF NORTH CAROLINA, among 5 disclosed carriers.
When does CHARLOTTE COUNTRY CLUB, INC.'s group plan renew?
The most recent Schedule A policy period for CHARLOTTE COUNTRY CLUB, INC. ended in January. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from CHARLOTTE COUNTRY CLUB, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.