| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMICK, BAHNMULLER & ASSOCIATES, INC3 | P.O. BOX 88 LEXINGTON, SC 29071 | BLUECHOICE HEALTHPLAN | $27K | $0 | $27K | 3.00% |
| AMICK, BAHNMULLER & ASSOCIATES, INC3 | 171 LOTT COURT WEST COLUMBIA, SC 29169 | BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA | $2K | $0 | $2K | 4.68% |
| AMICK, BAHNMULLER & ASSOCIATES, INC3 | P.O. BOX 88 LEXINGTON, SC 29071 | LIFE INSURANCE OF NORTH AMERICA | $4K | $0 | $4K | 15.00% |
| IBSI HOLDINGS INC3 Filed as: IBSI | P.O. BOX 24337 WINSTON-SALEM, NC 27114 | LIFE INSURANCE OF NORTH AMERICA | $1K | $0 | $1K | 4.99% |
| AMICK, BAHNMULLER & ASSOCIATES, INC3 | P.O. BOX 88 LEXINGTON, SC 29071 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $0 | $2K | 14.92% |
| IBSI HOLDINGS INC3 Filed as: IBSI | P.O. BOX 24337 WINSTON-SALEM, NC 27114 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $770 | $0 | $770 | 4.97% |
| AMICK, BAHNMULLER & ASSOCIATES, INC3 | P.O. BOX 88 LEXINGTON, SC 29071 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $0 | $2K | 14.99% |
| IBSI HOLDINGS INC3 Filed as: IBSI | P.O. BOX 24337 WINSTON-SALEM, NC 27114 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $526 | $0 | $526 | 4.99% |
| AMICK, BAHNMULLER & ASSOCIATES, INC3 | P.O. BOX 88 LEXINGTON, SC 29071 | FIDELITY SECURITY LIFE INSURANCE | $1K | $0 | $1K | 13.72% |
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 | 106 | 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) | 106 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECHOICE HEALTHPLAN | 106 | $898K |
| Dental | BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA | 131 | $45K |
| Vision | FIDELITY SECURITY LIFE INSURANCE | 98 | $9K |
| Life insurance | LIFE INSURANCE OF NORTH AMERICA | 126 | $24K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 126 | $15K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 126 | $11K |
| Prescription drug | BLUECHOICE HEALTHPLAN | 106 | $898K |
| Other | LIFE INSURANCE OF NORTH AMERICA | 126 | $24K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 131 | — |
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.