| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SCBEBT, LLC3 | P.O. BOX 533 CHAPIN, SC 29036 | DELTA DENTAL OF MISSOURI | $143 | — | $143 | 3.97% |
| THE BENEFIT COMPANY INC3 Filed as: THE BENEFIT COMPANY | P.O BOX 211486 COLUMBIA, SC 29221 | DELTA DENTAL OF MISSOURI | $72 | — | $72 | 2.00% |
| SCBEBT, LLC3 | P.O. BOX 533 CHAPIN, SC 29036 | RELIASTAR LIFE INSURANCE COMPANY | $414 | — | $414 | 11.66% |
| THE BENEFIT COMPANY INC3 Filed as: THE BENEFIT COMPANY, INC. | P.O. BOX 211486 COLUMBIA, SC 29221 | RELIASTAR LIFE INSURANCE COMPANY | — | $107 | $107 | 3.01% |
| SCBEBT, LLC3 | P.O. BOX 533 CHAPIN, SC 29036 | DELTA DENTAL OF MISSOURI | $41 | — | $41 | 5.37% |
| THE BENEFIT COMPANY INC3 Filed as: THE BENEFIT COMPANY, INC. | P.O. BOX 211486 COLUMBIA, SC 29221 | DELTA DENTAL OF MISSOURI | $10 | — | $10 | 1.31% |
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 | 6 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 6 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD | 3 | $55K |
| Dental | DELTA DENTAL OF MISSOURI | 11 | $4K |
| Vision | DELTA DENTAL OF MISSOURI | 11 | $763 |
| Life insurance | RELIASTAR LIFE INSURANCE COMPANY | 10 | $4K |
| Long-term disability | RELIASTAR LIFE INSURANCE COMPANY | 10 | $4K |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD | 3 | $55K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 11 | — |
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.