Form 5500 · Employee benefit plan · WENDELL, NC
DAEDONG USA INC
The filing calls this plan DAEDONG USA INC WELFARE BENEFIT PLAN.
DAEDONG USA INC of WENDELL, NC insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is HAROLD WELLS, IV. 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 April.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 63-1105933 · plan 501 · plan year 2025, filed Nov 18, 2025
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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: 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 182 people.
Reported premium across the insured contracts is $1,919,160, with $85,423 in disclosed broker commissions — about 4.5% of premium.
The most recent policy period ended in April, and the plan year ends April 30. Group contracts typically renew on that annual cycle.
HAROLD WELLS, IV is the broker of record on 1 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, METROPOLITAN LIFE INSURANCE COMPANY, USABLE LIFE 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 |
|---|---|---|---|---|---|
| BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | Health | 182 | May 1, 2025 | $1,684,204 | $59,613 |
| USABLE LIFE | Life, Disability | 203 | May 1, 2025 | $108,201 | $15,243 |
| METROPOLITAN LIFE INSURANCE COMPANY | Dental | 388 | May 1, 2025 | $111,975 | $8,793 |
| COMMUNITY EYE CARE | Vision | 263 | May 1, 2025 | $14,780 | $1,774 |
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.
Reported to OSHA
Reported to OSHA for 2025: 224 employees, 8 recordable cases, 3 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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