| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KRIM, RICHARD3 | 4371 NORTHLAKE BLVD PMB 370 PALM BEACH, FL 33410 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $12K | — | $12K | 2.95% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 101 PARK AVENUE, 12TH FLOOR NEW YORK, NY 10016 | THE HARTFORD LIFE AND ACCIDENT | $10K | — | $10K | 3.22% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | THE HARTFORD LIFE AND ACCIDENT | — | $4K | $4K | 1.46% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 101 PARK AVENUE, 12TH FLOOR NEW YORK, NY 10016 | THE HARTFORD LIFE AND ACCIDENT | $5K | — | $5K | 3.22% |
| ALLIANT INSURANCE SERVICES, INC. Filed as: ALLIANT INSURANCE SERVICES INC | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | THE HARTFORD LIFE AND ACCIDENT | — | $2K | $2K | 1.45% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUECROSS BLUESHIELD OF SC EIN 57-0287419 | Contract Administrator; Insurance services; Claims processing Service code 12 | I-20 EAST AT ALPINE ROAD COLUMBIA, SC 29219 | $426K |
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 987 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 987 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF SOUTH CAROLINA | 185 | $10K |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 789 | $403K |
| Life insurance | THE HARTFORD LIFE AND ACCIDENT | 986 | $302K |
| Long-term disability | THE HARTFORD LIFE AND ACCIDENT | 850 | $167K |
| Stop-loss / reinsurancereinsurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 782 | $844K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 986 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.