| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SCBA SERVICES, INC.3 | P.O. BOX 1483 COLUMBIA, SC 29201 | RELIASTAR LIFE INSURANCE COMPANY | $73K | — | $73K | 11.28% |
| THE BENEFIT COMPANY INC3 Filed as: THE BENEFIT COMPANY | P.O. BOX 211486 COLUMBIA, SC 29221 | RELIASTAR LIFE INSURANCE COMPANY | — | $19K | $19K | 3.00% |
| SCBEBT, LLC3 | P.O. BOX 533 CHAPIN, SC 29036 | RELIASTAR LIFE INSURANCE COMPANY | $15K | — | $15K | 2.29% |
| SCBA SERVICES, INC.3 | P.O. BOX 1483 COLUMBIA, SC 29202 | DELTA DENTAL OF MISSOURI | $23K | — | $23K | 3.71% |
| THE BENEFIT COMPANY INC3 Filed as: THE BENEFIT COMPANY | P.O. BOX 211486 COLUMBIA, SC 29221 | DELTA DENTAL OF MISSOURI | $13K | — | $13K | 2.02% |
| SCBEBT, LLC3 | P.O. BOX 533 CHAPIN, SC 29036 | DELTA DENTAL OF MISSOURI | $2K | — | $2K | 0.34% |
| SCBA SERVICES, INC.3 | P.O. BOX 1483 COLUMBIA, SC 29202 | VISION SERVICE PLAN | $3K | — | $3K | 3.32% |
| SCBEBT, LLC3 | P.O. BOX 533 CHAPIN, SC 29036 | VISION SERVICE PLAN | $638 | — | $638 | 0.68% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF SC EIN 57-0287419 NONE | Claims processing Service code 12 | I-20 AT ALPINE ROAD COLUMBIA, SC 29219 | $1.4M |
| SCBA SERVICES, INC. EIN 57-0732324 SUB-FORMER SPONSOR | Contract Administrator Service code 13 | P.O. BOX 1483 COLUMBIA, SC 29202 | $90K |
| THE BENEFIT COMPANY, INC. EIN 57-0968080 NONE | Contract Administrator Service code 13 | P.O. BOX 211486 COLUMBIA, SC 29221 | $54K |
| NELSON MULLINS RILEY & SCARBOROUGH EIN 57-0215445 NONE | Legal Service code 29 | 1320 MAIN STREET COLUMBIA, SC 29201 | $53K |
| KEENANSUGGS INSURANCE EIN 57-1013744 NONE | Insurance agents and brokers Service code 22 | P.O. BOX 8087 COLUMBIA, SC 29202 | $18K |
| J.W. HUNT & COMPANY, LLP EIN 57-0138290 NONE | Accounting (including auditing) Service code 10 | P.O. BOX 265 COLUMBIA, SC 29202 | $18K |
| PALMETTO TRUST EIN 58-2184934 NONE | Accounting (including auditing) Service code 10 | 306 EAST NORTH STREET GREENVILLE, SC 29601 | $10K |
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 | 2,124 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 2,124 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA | 1,217 | $17.9M |
| Dental | DELTA DENTAL OF MISSOURI | 1,993 | $630K |
| Vision | VISION SERVICE PLAN | 627 | $94K |
| Life insurance | RELIASTAR LIFE INSURANCE COMPANY | 1,698 | $649K |
| Short-term disability | RELIASTAR LIFE INSURANCE COMPANY | 1,698 | $649K |
| Long-term disability | RELIASTAR LIFE INSURANCE COMPANY | 1,698 | $649K |
| Other | RELIASTAR LIFE INSURANCE COMPANY | 1,698 | $649K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,993 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.