Form 5500 · Employee benefit plan · LAKE LURE, NC
FAIRFIELD MOUNTAINS POA, INC.
FAIRFIELD MOUNTAINS POA, INC. of LAKE LURE, NC files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is THOMAS FLACK. Coverage is written through BLUE CROSS BLUE SHIELD OF NORTH CAROLINA and 6 other carriers. The plan's most recent policy period ended in September.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 74-2107635 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF NORTH CAROLINA | Health | 58 | September | $19,168 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Dental | 61 | September | $4,704 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 13 | September | $2,745 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 16 | September | $2,438 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 27 | September | $2,028 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 89 | September | $956 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Vision | 49 | September | $582 |
Questions
Who is FAIRFIELD MOUNTAINS POA, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, FAIRFIELD MOUNTAINS POA, INC.'s broker of record is THOMAS FLACK.
What insurance carrier does FAIRFIELD MOUNTAINS POA, INC. use?
FAIRFIELD MOUNTAINS POA, INC.'s benefit plan is written through BLUE CROSS BLUE SHIELD OF NORTH CAROLINA, among 7 disclosed carriers.
When does FAIRFIELD MOUNTAINS POA, INC.'s group plan renew?
The most recent Schedule A policy period for FAIRFIELD MOUNTAINS POA, INC. ended in September. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from FAIRFIELD MOUNTAINS POA, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.