BenefitsLedger
Employer health plan record · Plan year 2024 · Form 5500

Fairfield Mountains Poa, Inc.

Arts & entertainment · Lake Lure, North Carolina · EIN ending 7635 · doing business as Rumbling Bald on Lake Lure

Updated Filing received by DOL

Fairfield Mountains Poa, Inc., an arts & entertainment employer in Lake Lure, North Carolina, reported 101 participants in its health and welfare plan for plan year 2024. Its Form 5500 shows 7 insurance contracts with no premium reported and $41,940 in broker commissions and fees. The plan is a mix of insured and self-funded coverage. The Department of Labor received the filing on April 24, 2026, before the deadline.

Participants
101
+1.0% vs 2023
Premiums filed
none
premium not reported on 1 medical contract
Broker commissions + fees
$41,940
−19.6% vs 2023
Commission rate
n/a
needs insured medical premium

Who was paid on Fairfield Mountains Poa, Inc.'s plan

Schedule A, Part I lists each broker or agent paid on each insurance contract and the amount. Totals below add every contract Fairfield Mountains Poa, Inc. filed for 2024.

Broker or agentCommissionsFeesTotalContracts
Thomas Flack · Forest City, NC$19,168$0$19,1681
Main Street Financial Group LLC · Tryon, NC$13,453$4,466$17,9196
United Producers Group LLC · MT Pleasant, SC$0$4,853$4,8536

Source: DOL Form 5500 Schedule A, Part I (broker commissions and fees), plan year 2024, as published in EBSA's 2024 "Latest" dataset. Part I names whoever the carrier paid, which can be a firm or an individual agent; both are public record. Amounts exclude pay from carriers not tied to a listed contract.

Insurance contracts and carriers

Every insurance contract reported on Schedule A: carrier, what it covers, people covered at year end, earned premium, and broker compensation.

Carrier · coverageCoveredPremiumBroker payRate
United of Omaha Life Insurance Companyvision49—$1,251—
United of Omaha Life Insurance Companylife89—$1,484—
United of Omaha Life Insurance Companyshort-term disability16—$3,888—
United of Omaha Life Insurance Companydental61—$8,528—
United of Omaha Life Insurance Companylong-term disability13—$4,085—
United of Omaha Life Insurance Companycoverage not coded27—$3,536—
Blue Cross Blue Shield of North Carolinahealth, prescription drug, PPO58—$19,168—

Source: DOL Form 5500 Schedule A, plan year 2024. Self-funded medical coverage has no premium; amounts shown for it are stop-loss or administrative contracts.

How Fairfield Mountains Poa, Inc. compares

Medians across employers for plan year 2024, the most recent complete year. Commission rates use fully insured medical contracts only; dollar medians use every employer that disclosed broker pay.

Broker commissions + fees, dollars
Fairfield Mountains Poa, Inc.
$41,940
Commission rate, % of medical premium

Not computable: no insured medical premium on the filing.

Source: BenefitsLedger benchmarks from 58,547 employer health plans with 100 or more participants, plan year 2024. Methodology.

Year over year

$52,163$41,940Broker pay20232024
Fairfield Mountains Poa, Inc.: premiums and broker commissions + fees, 2023 vs 2024
20232024Change
Participants100101+1.0%
Premiums filed$0$0not comparable
Broker commissions + fees$52,163$41,940−19.6%
Commission rate———

Source: DOL Form 5500 filings for plan years 2023 and 2024.

Filings and timeliness

Plans this employer filed under its EIN with a health benefit code. Large plans are due seven months after the plan year ends, or two and a half months later with an extension; amended filings carry the amendment date, so no timing is asserted for them.

PlanPlan year endReceived by DOLTimingParticipants
Fairfield Mountains Poa dba Rumbling Bald on Lake Lure Welfare Benefits Plan#501 · insurance, general assetsSeptember 30, 2025April 24, 2026before deadline101

Source: DOL Form 5500 Part I and signature dates; "late" means received after the extended deadline (the 15th day of the tenth month after plan year end). What a late Form 5500 costs.

How much did Fairfield Mountains Poa, Inc. pay in health insurance broker commissions in 2024?

Fairfield Mountains Poa, Inc.'s 2024 Form 5500 reports $41,940 in broker commissions and fees across 7 insurance contracts ($32,621 in commissions, $9,319 in fees), with Thomas Flack receiving the largest share.

Is Fairfield Mountains Poa, Inc.'s health plan self-funded or fully insured?

The 2024 filing indicates the plan is a mix of insured and self-funded coverage. Medical coverage is written by Blue Cross Blue Shield of North Carolina.

How does Fairfield Mountains Poa, Inc.'s broker compensation compare with similar employers?

A commission-to-premium ratio cannot be computed for Fairfield Mountains Poa, Inc. because the filing does not report medical premium on Schedule A (usual for self-funded plans). In dollars, employers with 100-199 participants that disclosed broker pay reported a median of $53,852.

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Record built October 24, 2026 from U.S. Department of Labor, EBSA Form 5500 datasets (2025, 2024, 2023 plan years, 'Latest' files). Filings can run 7 to 10 months behind the plan year; always confirm against current plan documents. BenefitsLedger is not affiliated with the U.S. Department of Labor. Open the DOL filing search.