| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PLAN BENEFIT SERVICES INC Filed as: PLAN BENEFITS SERVICES INC | PO BOX 2307 COLUMBIA, SC 29202 | MUTUAL OF OMAHA INSURANCE COMPANY | $25K | $6K | $31K | 8.29% |
| PLAN BENEFIT SERVICES INC | PO BOX 2307 COLUMBIA, SC 29202 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $30K | $0 | $30K | 20.77% |
| ANGELA F CLARK | PO BOX 727 BLYTHEWOOD, SC 29016 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $25K | $3K | $28K | 19.35% |
| INSYNC BENEFITS INC | PO BOX 1474 CORNELIUS, NC 28031 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $11K | $7K | $18K | 12.32% |
| SUSAN FONTENOT | 10717 DAPPLE GREY LANE CHARLOTTE, NC 28213 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $10K | $631 | $10K | 7.19% |
| PATRICIA L CARON | 190 TESQUE VILLAGE ROAD SANTE FE, NM 87506 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $6K | $2K | $8K | 5.47% |
| THE ADAMSON GROUP INC Filed as: THE ADAMSON GROUP INC. | 344 SUMMERSET DR CHAPIN, SC 29036 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $7 | $0 | $7 | 0.00% |
| DANIEL CONYERS | 7150 CALEDONIA LANE COLUMBIA, SC 29209 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $5 | $0 | $5 | 0.00% |
| SHELLEY G KIRK | 567 CREOLE RETREAT MOUNT PLEASANT, SC 29464 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $4 | $0 | $4 | 0.00% |
| SAP INC | 2017 KATHLEEN DR COLUMBIA, SC 29210 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3 | $0 | $3 | 0.00% |
| ADVANCED BENEFIT SYSTEM INC | 1301 GERVAIS ST COLUMBIA, SC 29201 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2 | $0 | $2 | 0.00% |
| DAVID C REID LLC | 566 LANHAM RD EDGEFIELD, SC 29824 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2 | $0 | $2 | 0.00% |
| GRAEM M CLARK | 589 WINDMERE DR LEXINGTON, SC 29072 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2 | $0 | $2 | 0.00% |
| SMIFECCIA TYNES | 1132 CORAL VINE LN COLUMBIA, SC 29223 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1 | $0 | $1 | 0.00% |
| RONALD BURRELL | 1 MARROB COURT COLUMBIA, SC 29203 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1 | $0 | $1 | 0.00% |
| KATRINA SWEET | 1501 NUNAMAKER DRIVE COLUMBIA, SC 29210 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1 | $0 | $1 | 0.00% |
| JOAN DUNBAR | PO BOX 50703 COLUMBIA, SC 29250 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| WE CARE INSURANCE SERVICES LLC | 1 MARROB COURT COLUMBIA, SC 29203 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| PLAN BENEFIT SERVICES INC Filed as: PLAN BENEFIT SERVICES, INC | 101 SUM-MOR DRIVE WEST COLUMBIA, SC 29169 | PHYSICIANS EYECARE PLAN | — | $4K | $4K | 10.00% |
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 | 343 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 343 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | MUTUAL OF OMAHA INSURANCE COMPANY | 268 | $372K |
| Life insurance | MUTUAL OF OMAHA INSURANCE COMPANY | 268 | $372K |
| Short-term disability | MUTUAL OF OMAHA INSURANCE COMPANY | 268 | $372K |
| Long-term disability | MUTUAL OF OMAHA INSURANCE COMPANY | 268 | $372K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 474 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.