Form 5500 · Employee benefit plan · DUNN, NC
TRI-COUNTY COMMUNITY HEALTH COUNCIL, INC.
The filing calls this plan TRI-COUNTY COMMUNITY HEALTH COUNCIL, INC. HEALTH & WELFARE PLAN.
TRI-COUNTY COMMUNITY HEALTH COUNCIL, INC. of DUNN, NC insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is HUB INTERNATIONAL MIDWEST LIMITED. Coverage is written through AETNA LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in March.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 58-1319204 · plan 501 · plan year 2025, filed Aug 6, 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 3 insured contracts covering health, dental, vision, life and disability; the largest, with AETNA LIFE INSURANCE COMPANY, covers 284 people.
Reported premium across the insured contracts is $1,801,398, with $127,346 in disclosed broker commissions — about 7.1% of premium.
The most recent policy period ended in March, and the plan year ends March 31. Group contracts typically renew on that annual cycle.
HUB INTERNATIONAL MIDWEST LIMITED is the broker of record on 2 of the 3 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including AETNA LIFE INSURANCE COMPANY, UNITED OF OMAHA LIFE INSURANCE COMPANY and THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA. AETNA LIFE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| AETNA LIFE INSURANCE COMPANY | Health, Dental, Vision | 284 | Apr 1, 2025 | $1,602,348 | $94,887 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life, Disability | 259 | Apr 1, 2025 | $150,023 | $22,504 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | — | 78 | Apr 1, 2025 | $49,027 | $9,955 |
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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