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Form 5500 · Employee benefit plan · BOSTIC, NC

FAIR HAVEN HOME, INC.

FAIR HAVEN HOME, INC. of BOSTIC, NC files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is M WILSON. Coverage is written through BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA and 2 other carriers. The plan's most recent policy period ended in September.

Benefits broker of record
Plan renews
September

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 56-0813095 · plan 501 · as of Jul 2026

Participants
112
Carriers on file
3
Disclosed commissions
$39,052
Renewal month
September

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsCommission
BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINAHealth, Dental, Vision166September$35,562
USABLE LIFEDisability24September$2,465
USABLE LIFELife107September$1,025

Questions

Who is FAIR HAVEN HOME, INC.'s benefits broker?

Per its most recent Form 5500 Schedule A, FAIR HAVEN HOME, INC.'s broker of record is M WILSON.

What insurance carrier does FAIR HAVEN HOME, INC. use?

FAIR HAVEN HOME, INC.'s benefit plan is written through BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA, among 3 disclosed carriers.

When does FAIR HAVEN HOME, INC.'s group plan renew?

The most recent Schedule A policy period for FAIR HAVEN HOME, INC. ended in September. Group plans typically renew on the same annual cycle.

Where does this data come from?

All figures are drawn from FAIR HAVEN HOME, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.