| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMICK, BAHNMULLER & ASSOCIATES, INC3 | P.O. BOX 88 LEXINGTON, SC 29071 | BLUECHOICE HEALTHPLAN | $30K | $0 | $30K | 3.00% |
| AMICK, BAHNMULLER & ASSOCIATES, INC3 | 171 LOTT COURT WEST COLUMBIA, SC 29169 | BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA | $2K | $0 | $2K | 4.26% |
| 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 BROKERS | P.O. BOX 24337 WINSTON-SALEM, NC 27114 | LIFE INSURANCE OF NORTH AMERICA | $1K | $0 | $1K | 5.00% |
| AMICK, BAHNMULLER & ASSOCIATES, INC3 | P.O. BOX 88 LEXINGTON, SC 29071 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | $0 | $3K | 15.00% |
| IBSI HOLDINGS INC3 Filed as: IBSI BROKERS | P.O. BOX 24337 WINSTON-SALEM, NC 27114 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $947 | $0 | $947 | 5.00% |
| AMICK, BAHNMULLER & ASSOCIATES, INC3 | P.O. BOX 88 LEXINGTON, SC 29071 | LIFE INSURANCE OF NORTH AMERICA | $2K | $0 | $2K | 14.99% |
| IBSI HOLDINGS INC3 Filed as: IBSI BROKERS | P.O. BOX 24337 WINSTON-SALEM, NC 27114 | LIFE INSURANCE OF NORTH AMERICA | $665 | $0 | $665 | 5.00% |
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 | 101 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 101 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECHOICE HEALTHPLAN | 101 | $983K |
| Dental | BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA | 131 | $49K |
| Life insurance | LIFE INSURANCE OF NORTH AMERICA | 124 | $27K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 124 | $19K |
| Long-term disability | LIFE INSURANCE OF NORTH AMERICA | 124 | $13K |
| Prescription drug | BLUECHOICE HEALTHPLAN | 101 | $983K |
| Other | LIFE INSURANCE OF NORTH AMERICA | 124 | $27K |
| 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.