| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: TIS INSURANCE SERVICES INC | — | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $132K | — | $132K | 9.55% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: TIS INSURANCE SERVICES INC | 1900 NORTH WINSTON ROAD SUITE 100 KNOXVILLE, TN 37919 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $17K | — | $17K | 12.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: TIS INSURANCE SERVICES INC | 1900 NORTH WINSTON ROAD SUITE 100 KNOXVILLE, TN 37919 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $13K | — | $13K | 12.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: TIS INSURANCE SERVICES INC | 1900 NORTH WINSTON ROAD SUITE 100 KNOXVILLE, TN 37919 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $6K | — | $6K | 12.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: TIS INSURANCE SERVICE, INC | 1900 NORTH WINSTON ROAD SUITE 100 KNOXVILLE, TN 37919 | PHYSICIANS EYECARE PLAN | — | $4K | $4K | 10.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: TIS INSURANCE SERVICES | 1900 NORTH WINSTON ROAD SUITE 100 KNOXVILLE, TN 37919 | METLIFE | $5K | — | $5K | 20.44% |
| JAMES R MCCOMB3 | 1063 COATESDALE ROAD COLUMBIA, SC 29209 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $5K | — | $5K | 18.46% |
| BENEITS AT WORK LLC3 | 3600 CHATEAU DRIVE COLUMBIA, SC 29204 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $634 | $1 | $635 | 2.44% |
| DONALD B FAULKNER SR3 | 612 IVY GREEN LANE IRMO, SC 29063 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $508 | $9 | $517 | 1.99% |
| WILLIAM KRAMER3 | 876 BURNSIDE DRIVE COLUMBIA, SC 29209 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $489 | $7 | $496 | 1.90% |
| ADVANCED BENEFIT SYSTEM INC3 | 145 RIVER LANDING DRIVE DANIEL ISLAND, SC 29492 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $237 | $223 | $460 | 1.77% |
| DONNA D TOMASINI3 | 740 SHADOW MIST LANE COLUMBIA, SC 29210 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $175 | — | $175 | 0.67% |
| JUDITH A MILLER3 | 444 PITNEY ROAD COLUMBIA, SC 29212 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $29 | — | $29 | 0.11% |
| GARY M HARDEMAN3 | 16810 CORALBEND DRIVE HOUSTON, TX 77095 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $12 | — | $12 | 0.05% |
| CARROLL REYNOLDS3 | 237 SANDHURST ROAD COLUMBIA, SC 29210 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $10 | — | $10 | 0.04% |
| JACK ALLEN NORRIS3 | 2439 DUTCH BRANCH ROAD COLUMBIA, SC 29210 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $9 | — | $9 | 0.03% |
| JANICE A SMITH3 | 217 S WOODGREEN WAY GREENVILLE, SC 29615 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $6 | — | $6 | 0.02% |
| STEPHANIE A LEVINS3 | 3941 HERITAGE VIEW TRAIL WAKE FOREST, NC 27587 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.02% |
| LAURA SHARPE3 | 1017 SUNSET POINT ROAD IRMO, SC 29063 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $4 | — | $4 | 0.02% |
| KAREN TOBIAS3 | 1366 DUNRAVEN DRIVE MURFREESBORO, TN 37128 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.01% |
| DEBORAH ANN ROYER3 | 124 CENTERFIELD ROAD COLUMBIA, SC 29212 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.01% |
| ADRIAN L MANN3 | 1029 MINERAL CREEK COURT LEXINGTON, SC 29073 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.01% |
| JOHN E LEVINS3 | 3941 HERITAGE VIEW TRAIL WAKE FOREST, NC 27587 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.01% |
| JAMES R MCCOMB3 | 1063 COATESDALE ROAD COLUMBIA, SC 29209 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $5K | — | $5K | 20.86% |
| WILLIAM KRAMER3 | 876 BURNSIDE DRIVE COLUMBIA, SC 29209 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $816 | $12 | $828 | 3.55% |
| BENEFITS AT WORK LLC3 | 3600 CHATEAU DRIVE COLUMBIA, SC 29204 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $582 | — | $582 | 2.49% |
| ADVANCED BENEFIT SYSTEM INC3 | 145 RIVER LANDING DRIVE DANIEL ISLAND, SC 29492 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $212 | $189 | $401 | 1.72% |
| DONALD B FAULKNER SR3 | 612 IVY GREEN LANE IRMO, SC 29063 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $116 | $2 | $118 | 0.51% |
| DAVID MASON DOKELL3 | 127 GREAT POINT DR MOORESVILLE, NC 28117 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $23 | — | $23 | 0.10% |
| DONNA D TOMASINI3 | 740 SHADOW MIST LANE COLUMBIA, SC 29210 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $21 | — | $21 | 0.09% |
| MAYNARD BENEFITS GRP INC3 Filed as: MAYNARD BENEFITS GROUP INC | PO BOX 9115 NORTH MYRTLE BEACH, SC 29582 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $21 | — | $21 | 0.09% |
| DEBORAH ANN ROYER3 | 124 CANTERFIELD ROAD COLUMBIA, SC 29212 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $15 | — | $15 | 0.06% |
| AON CONSULTING INC3 | 29840 NETWORK PLACE CHICAGO, IL 60673 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $12 | — | $12 | 0.05% |
| LAURA SHARPE3 | 1017 SUNSET POINT ROAD IRMO, SC 29063 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $6 | — | $6 | 0.03% |
| JACK ALLEN NORRIS3 | 2439 DUTCH BRANCH ROAD COLUMBIA, SC 29210 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.01% |
| JANICE A SMITH3 | 217 SOUTH WOODGREEN WAY GREENVILLE, SC 29615 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.01% |
| JAMES R MCCOMB3 | 1063 COATESDALE ROAD COLUMBIA, SC 29209 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $4K | — | $4K | 17.47% |
| BENEFITS AT WORK LLC3 | 3600 CHATEAU DRIVE COLUMBIA, SC 29204 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $458 | — | $458 | 2.02% |
| ADVANCED BENEFIT SYSTEM INC3 | 145 RIVER LANDING DRIVE DANIEL ISLAND, SC 29492 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $175 | $156 | $331 | 1.46% |
| WILLIAM KRAMER3 | 876 BURNSIDE DRIVE COLUMBIA, SC 29209 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $282 | $4 | $286 | 1.26% |
| DONALD B FAULKNER SR3 | 612 IVY GREEN LANE IRMO, SC 29063 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $183 | $3 | $186 | 0.82% |
| DONNA D TOMASINI3 | 740 SHADOW MIST LANE COLUMBIA, SC 29210 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $153 | — | $153 | 0.67% |
| DEBORAH ANN ROYER3 | 124 CANTERFIELD ROAD COLUMBIA, SC 29212 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $16 | — | $16 | 0.07% |
| JACK ALLEN NORRIS3 | 2439 DUTCH BRANCH ROAD COLUMBIA, SC 29210 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $15 | — | $15 | 0.07% |
| DONALD R GASKINS3 | 1982 RAYFIELD BRIDGE ROAD CHESTERFIELD, SC 29709 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $12 | — | $12 | 0.05% |
| JANICE A SMITH3 | 217 S WOODGREEN WAY GREENVILLE, SC 29615 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $12 | — | $12 | 0.05% |
| JUDITH A MILLER3 | 444 PITNEY ROAD COLUMBIA, SC 29212 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $10 | — | $10 | 0.04% |
| GARY M HARDEMAN3 | 16810 CORALBEND DRIVE HOUSTON, TX 77095 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $8 | — | $8 | 0.04% |
| CARROLL REYNOLDS3 | 237 SANDHURST ROAD COLUMBIA, SC 29210 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $7 | — | $7 | 0.03% |
| STEPHANIE A LEVINS3 | 3941 HERITAGE VIEW TRAIL WAKE FOREST, NC 27587 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $6 | — | $6 | 0.03% |
| ADRIAN L MANN3 | 1029 MINERAL CREEK COURT LEXINGTON, SC 29073 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.02% |
| KAREN TOBIAS3 | 1366 DUNRAVEN DRIVE MURFREEBORO, TN 37128 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| MAYNARD BENEFITS GRP INC3 Filed as: MAYNARD BENEFITS GROUP INC | PO BOX 915 NORTH MYRTLE BEACH, SC 29582 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| JAMES R MCCOMB3 | 1063 COATESDALE ROAD COLUMBIA, SC 29209 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $5K | — | $5K | 21.75% |
| BENEFITS AT WORK LLC3 | 3600 CHATEAU DRIVE COLUMBIA, SC 29204 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $591 | — | $591 | 2.79% |
| ADVANCED BENEFIT SYSTEM INC3 | 145 RIVER LANDING DRIVE DANIEL ISLAND, SC 29492 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $215 | $206 | $421 | 1.99% |
| DONALD B FAULKNER SR3 | 612 IVY GREEN LANE IRMO, SC 29063 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $261 | $4 | $265 | 1.25% |
| WILLIAM KRAMER3 | 876 BURNSIDE DRIVE COLUMBIA, SC 29209 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $233 | $4 | $237 | 1.12% |
| DONNA D TOMASINI3 | 740 SHADOW MIST LANE COLUMBIA, SC 29210 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $57 | — | $57 | 0.27% |
| JACK ALLEN NORRIS3 | 2439 DUTCH BRANCH ROAD COLUMIA, SC 29210 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $7 | — | $7 | 0.03% |
| DEBORAH ANN ROYER3 | 124 CANTERFIELD ROAD COLUMBIA, SC 29212 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $7 | — | $7 | 0.03% |
| JUDITH A MILLER3 | 444 PITNEY ROAD COLUMBIA, SC 29212 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.01% |
| STEPHANIE A LEVINS3 | 3941 HERITAGE VIEW TRAIL WAKE FOREST, NC 27587 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.01% |
| CARROLL REYNOLDS3 | 237 SANDHURST ROAD COLUMBIA, SC 29210 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.01% |
| GARY M HARDEMAN3 | 16810 CORALBEND DRIVE HOUSTON, TX 77095 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| JOHN E LEVINS3 | 3941 HERITAGE VIEW TRAIL WAKE FOREST, NC 27587 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| JAMES R MCCOMB3 | 1063 COATESDALE ROAD COLUMBIA, SC 29209 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6K | — | $6K | 31.87% |
| BENEFITS AT WORK LLC3 | 3600 CHATEAU DRIVE COLUMBIA, SC 29204 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $765 | $1 | $766 | 3.79% |
| WILLIAM KRAMER3 | 876 BURNSIDE DRIVE COLUMBIA, SC 29209 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $656 | $10 | $666 | 3.29% |
| DONALD B FAULKNER SR3 | 612 IVY GREEN LANE IRMO, SC 29063 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $540 | $9 | $549 | 2.72% |
| ADVANCED BENEFIT SYSTEM INC3 | 145 RIVER LANDING DRIVE DANIEL ISLAND, SC 29492 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $263 | $273 | $536 | 2.65% |
| DONNA D TOMASINI3 | 740 SHADOW MIST LANE COLUMBIA, SC 29210 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $31 | — | $31 | 0.15% |
| JACK ALLEN NORRIS3 | 2439 DUTCH BRANCH ROAD COLUMBIA, SC 29210 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.02% |
| DEBORAH ANN ROYER3 | 124 CANTERFIELD ROAD COLUMBIA, SC 29212 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | — | $4 | 0.02% |
| JANICE A SMITH3 | 217 SOUTH WOODGREEN WAY GREENVILLE, SC 29615 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| JAMES R MCCOMB3 | 1063 COATESDALE ROAD COLUMBIA, SC 29209 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $4K | — | $4K | 18.10% |
| BENEFITS AT WORK LLC3 | 3600 CHATEAU DRIVE COLUMBIA, SC 29204 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $447 | — | $447 | 2.27% |
| DONALD B FAULKNER SR3 | 612 IVY GREEN LANE IRMO, SC 29063 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $386 | $7 | $393 | 2.00% |
| ADVANCED BENEFIT SYSTEM INC3 | 145 RIVER LANDING DRIVE DANIEL ISLAND, SC 29492 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $169 | $151 | $320 | 1.63% |
| WILLIAM KRAMER3 | 876 BURNSIDE DRIVE COLUMBIA, SC 29209 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $288 | $4 | $292 | 1.49% |
| DONNA D TOMASINI3 | 740 SHADDOW MIST LANE COLUMBIA, SC 29210 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $56 | — | $56 | 0.28% |
| MAYNARD BENEFITS GRP INC3 Filed as: MAYNARD BENEFITS GROUP INC | PO BOX 9115 NORTH MYRTLE BEACH, SC 29582 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $30 | — | $30 | 0.15% |
| ADRIAN L MANN3 | 1029 MINERAL CREEK COURT LEXINGTON, SC 29073 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $25 | — | $25 | 0.13% |
| JUDITH A MILLER3 | 444 PITNEY ROAD COLUMBIA, SC 29212 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $12 | — | $12 | 0.06% |
| JACK ALLEN NORRIS3 | 2439 DUTCH BRANCH ROAD COLUMBIA, SC 29210 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $11 | — | $11 | 0.06% |
| DEBORAH ANN ROYER3 | 124 CANTERFIELD ROAD COLUMBIA, SC 29212 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $11 | — | $11 | 0.06% |
| JOHNNY REID THOMPSON3 | 1801 IVANHOE DRIVE COLUMBIA, SC 29210 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $9 | — | $9 | 0.05% |
| THE CLARK GROUP OF SC3 | 589 WINDMERE DRIVE LEXINGTON, SC 29072 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.03% |
| GARY M HARDEMAN3 | 16810 CORALBEND DRIVE HOUSTON, TX 77095 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $4 | — | $4 | 0.02% |
| JANICE A SMITH3 | 217 SOUTH WOODGREEN WAY GREENVILLE, SC 29615 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $4 | — | $4 | 0.02% |
| KAREN TOBIAS3 | 1366 DUNRAVEN DRIVE MURFREESBORO, TN 37128 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.02% |
| STEPHANIE A LEVINS3 | 3941 HERITAGE VIEW TRAIL WAKE FOREST, NC 27587 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.01% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: TIS INSURANCE SERVICES, INC | — | TELADOC | $2K | — | $2K | 13.85% |
| JAMES R MCCOMB3 | 1063 COATESDALE ROAD COLUMBIA, SC 29209 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 18.37% |
| WILLIAM KRAMER3 | 876 BURNSIDE DRIVE COLUMBIA, SC 29209 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $352 | $5 | $357 | 2.83% |
| BENEFITS AT WORK LLC3 | 3600 CHATEAU DRIVE COLUMBIA, SC 29204 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $289 | — | $289 | 2.29% |
| DONALD B FAULKNER SR3 | 612 IVY GREEN LANE IRNO, SC 29063 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $233 | $4 | $237 | 1.88% |
| ADVANCED BENEFIT SYSTEM INC3 | 145 RIVER LANDING DRIVE DANIEL ISLAND, SC 29492 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $110 | $99 | $209 | 1.66% |
| DONNA D TOMASINI3 | 740 SHADOW MIST LANE COLUMBIA, SC 29210 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $46 | — | $46 | 0.37% |
| JANICE A SMITH3 | 217 SOUTH WOODGREEN WAY GREENVILLE, SC 29615 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | — | $6 | 0.05% |
| STEPHANIE A LEVINS3 | 3941 HERITAGE VIEW TRAIL WAKE FOREST, NC 27587 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.04% |
| JACK ALLEN NORRIS3 | 2439 DUTCH BRANCH ROAD COLUMBIA, SC 29210 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.02% |
| CARROLL REYNOLDS3 | 237 SANDHURST ROAD COLUMBIA, SC 29210 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.02% |
| JOHN E LEVINS3 | 3941 HERITAGE VIEW TRAIL WAKE FOREST, NC 27587 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.01% |
| JAMES R MCCOMB3 | 1063 COATESDALE ROAD COLUMBIA, SC 29209 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3K | — | $3K | 30.56% |
| BENEFITS AT WORK LLC3 | 3600 CHATEAU DRIVE COLUMBIA, SC 29204 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $345 | — | $345 | 3.36% |
| ADVANCED BENEFIT SYSTEM INC3 | 145 RIVER LANDING DRIVE DANIEL ISLAND, SC 29492 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $118 | $121 | $239 | 2.33% |
| DONNA D TOMASINI3 | 740 SHADOW MIST LANE COLUMBIA, SC 29210 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $58 | — | $58 | 0.57% |
| WILLIAM KRAMER3 | 876 BURNSIDE DRIVE COLUMBIA, SC 29209 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $46 | $1 | $47 | 0.46% |
| MARKHAM GRAY AND DENNIS INC3 | PO BOX 6159 KINSTON, NC 28502 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $18 | — | $18 | 0.18% |
| DONALD R GASKINS3 | 1982 RAYFIELD BRIDGE ROAD CHESTERFIELD, SC 29709 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $8 | — | $8 | 0.08% |
| JOHN L MORRIS3 | 117 ALLISON STREET FORT MILL, SC 29715 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $7 | — | $7 | 0.07% |
| TONI E STEED LLC3 | 11218 WARFIELD AVENUE HUNTERSVILLE, NC 28078 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $4 | — | $4 | 0.04% |
| GARY M HARDEMAN3 | 16810 CORALBEND DRIVE HOUSTON, TX 77095 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $4 | — | $4 | 0.04% |
| DAVID MASON DOKELL3 | 127 GREAT POINT DRIVE MORRESVILLE, NC 28117 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $4 | — | $4 | 0.04% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NATIONAL INC | 6100 FAIRVIEW ROAD CHARLOTTE, NC 28210 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.03% |
| MAYNARD BENEFITS GRP INC3 Filed as: MAYNARD BENEFITS GROUP INC | PO BOX 9115 NORTH MYRTLE BEACH, SC 29582 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.03% |
| SUSAN P TRACY3 | 1650 BLACKGUM LANE RIDGEWAY, SC 29130 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.02% |
| PHIL COLEMAN3 | 18908 RIVERWIND LANE DAVIDSON, NC 28036 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.02% |
| NORTH STAR FINANCIAL SERVICES INC3 Filed as: NORTH STAR FINANCIAL GROUP | 101 GOVERNMENT AVENUE SOUTHWEST HICKORY, NC 28677 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.02% |
| DONNA E JACKS3 | PO BOX 746 DUNNELION, FL 34430 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.02% |
| CARROLL REYNOLDS3 | 237 SANDHURST ROAD COLUMBIA, SC 29210 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.01% |
| LAURA SHARPE3 | 1017 SUNSET POINT ROAD IRMO, SC 29063 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.01% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: TIS INSURANCE SERVICES INC | 1900 NORTH WINSTON ROAD SUITE 100 KNOXVILLE, TN 37919 | METLIFE LEGAL PLANS | $909 | — | $909 | 10.04% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: TIS INSURANCE SERVICES INC | 1900 NORTH WINSTON ROAD SUITE 100 KNOXVILLE, TN 37919 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $565 | — | $565 | 12.00% |
| JAMES R MCCOMB3 | 1063 COATESDALE ROAD COLUMBIA, SC 29209 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $831 | — | $831 | 26.15% |
| BENEFITS AT WORK LLC3 | 3600 CHATEAU DRIVE COLUMBIA, SC 29204 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $105 | — | $105 | 3.30% |
| ADVANCED BENEFIT SYSTEM INC3 | 145 RIVER LANDING DRIVE DANIEL ISLAND, SC 29492 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $37 | $38 | $75 | 2.36% |
| DONALD B FAULKNER SR3 | 612 IVY GREEN LANE IRMO, SC 29063 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $46 | $1 | $47 | 1.48% |
| JACK ALLEN NORRIS3 | 2439 DUTCH BRANCH ROAD COLUMBIA, SC 29210 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $4 | — | $4 | 0.13% |
| JANICE A SMITH3 | 217 SOUTH WOODGREEN WAY GREENVILLE, SC 29615 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.09% |
| DEBORAH ANN ROYER3 | 124 CANTERFIELD ROAD COLUMBIA, SC 29212 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.03% |
| JAMES R MCCOMB3 | 1063 COATESDALE ROAD COLUMBIA, SC 29209 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $296 | — | $296 | 36.45% |
| BENEFITS AT WORK LLC3 | 3600 CHATEAU DRIVE COLUMBIA, SC 29204 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $37 | — | $37 | 4.56% |
| ADVANCED BENEFIT SYSTEM INC3 | 145 RIVER LANDING DRIVE DANIEL ISLAND, SC 29492 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $12 | $13 | $25 | 3.08% |
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 | 720 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 720 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 680 | $1.4M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 680 | $1.4M |
| Vision | PHYSICIANS EYECARE PLAN | 343 | $42K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 578 | $50K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 312 | $140K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 720 | $105K |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 680 | $1.4M |
| Other(15 contracts, 5 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 578 | $263K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 720 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.