| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | 6100 FAIRVIEW ROAD, SUITE 1400 CHARLOTTE, NC 28210 | BLUECROSS BLUESHIELD OF SOUTH CAROLINA | $43K | $0 | $43K | 2.27% |
| PEOPLES FIRST INSURANCE AND REALTY3 Filed as: PEOPLES FIRST INSURANCE & REAL | 6100 FAIRVIEW ROAD, SUITE 1400 CHARLOTTE, NC 28210 | BLUECROSS BLUESHIELD OF SOUTH CAROLINA | $23K | $0 | $23K | 1.22% |
| USI INSURANCE SERVICES LLC3 | 6400 FAIRVIEW ROAD CHARLOTTE, NC 28210 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $21K | $0 | $21K | 10.36% |
| PEOPLES FIRST INSURANCE3 | PO BOX 66 ROCK HILL, SC 29731 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $9K | $0 | $9K | 4.48% |
| IMG5 | 2960 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $0 | $42 | $42 | 0.02% |
| USI INSURANCE SERVICES LLC3 | 6100 FAIRVIEW ROAD, SUITE 1400 CHARLOTTE, NC 28210 | BLUECROSS BLUESHIELD OF SOUTH CAROLINA | $1K | $0 | $1K | 6.75% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62819 VIRGINIA BEACH, VA 23466 | COMMUNITY EYE CARE | $1K | $0 | $1K | — |
No Schedule C service providers reported on this filing.
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 | 138 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 140 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF SOUTH CAROLINA | 177 | $1.9M |
| Dental | BLUECROSS BLUESHIELD OF SOUTH CAROLINA | 179 | $20K |
| Vision | COMMUNITY EYE CARE | 227 | $0 |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 167 | $201K |
| Short-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 167 | $201K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 167 | $201K |
| Prescription drug | BLUECROSS BLUESHIELD OF SOUTH CAROLINA | 177 | $1.9M |
| Other | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 167 | $201K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 227 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.