| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SCBA SERVICES, INC.3 | P.O. BOX 1483 COLUMBIA, SC 292012006 | RELIASTAR LIFE INSURANCE COMPANY | $7K | — | $7K | 10.65% |
| THE BENEFIT COMPANY INC3 Filed as: THE BENEFIT COMPANY | P.O. BOX 211486 COLUMBIA, SC 292216486 | RELIASTAR LIFE INSURANCE COMPANY | — | $2K | $2K | 3.00% |
| SCBEBT, LLC3 | P.O. BOX 533 CHAPIN, SC 290360533 | RELIASTAR LIFE INSURANCE COMPANY | $1K | — | $1K | 2.14% |
| SCBA SERVICES, INC.3 | P.O. BOX 1483 COLUMBIA, SC 29202 | DELTA DENTAL OF MISSOURI | $2K | — | $2K | 3.71% |
| THE BENEFIT COMPANY INC3 Filed as: THE BENEFIT COMPANY | P.O. BOX 211486 COLUMBIA, SC 29221 | DELTA DENTAL OF MISSOURI | $936 | — | $936 | 2.03% |
| SCBEBT, LLC3 | P.O. BOX 533 CHAPIN, SC 29036 | DELTA DENTAL OF MISSOURI | $158 | — | $158 | 0.34% |
| SCBA SERVICES, INC.3 | P.O. BOX 1483 COLUMBIA, SC 292021483 | VISION SERVICE PLAN | $305 | — | $305 | 3.45% |
| SCBEBT, LLC3 | P.O. BOX 533 CHAPIN, SC 290360533 | VISION SERVICE PLAN | $63 | — | $63 | 0.71% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF SC EIN 57-0287419 NONE | Claims processing Service code 12 | ALPINE ROAD I-20 COLUMBIA, SC 29219 | $68K |
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. |
| Total participants (= "Plan participants" tile) | 101 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA | 64 | $810K |
| Dental | DELTA DENTAL OF MISSOURI | 81 | $46K |
| Vision | VISION SERVICE PLAN | 61 | $9K |
| Life insurance | RELIASTAR LIFE INSURANCE COMPANY | 86 | $62K |
| Long-term disability | RELIASTAR LIFE INSURANCE COMPANY | 86 | $62K |
| Other | RELIASTAR LIFE INSURANCE COMPANY | 86 | $62K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 86 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.