| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT COORDINATORS, INC.3 | PO BOX 210546 COLUMBIA, SC 29221 | BCBS OF SOUTH CAROLINA | $19K | — | $19K | 1.81% |
| BENEFIT COORDINATORS, INC.3 | PO BOX 210546 COLUMBIA, SC 29221 | PRUDENTIAL | $13K | $2K | $14K | 11.45% |
| IBSI HOLDINGS INC3 | PO BOX 24337 WINSTON SALEM, NC 27114 | PRUDENTIAL | $4K | $549 | $4K | 3.43% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVE SUITE 1100 CHICAGO, IL 60603 | PRUDENTIAL | — | $56 | $56 | 0.04% |
| UNITED PRODUCERS GROUP LLC3 Filed as: UNITED PRODUCERS GROUP | 1031 CHUCK DAWLEY BLVD MOUNT PLEASANT, SC 29464 | GUARDIAN | $4K | — | $4K | 5.00% |
| BENEFIT COORDINATORS, INC.3 | PO BOX 210546 COLUMBIA, SC 29221 | GUARDIAN | $3K | — | $3K | 3.87% |
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 | 197 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 197 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BCBS OF SOUTH CAROLINA | 191 | $1.1M |
| Dental | GUARDIAN | 172 | $84K |
| Vision | BCBS OF SOUTH CAROLINA | 191 | $1.1M |
| Life insurance | PRUDENTIAL | 197 | $126K |
| Short-term disability | PRUDENTIAL | 197 | $126K |
| Long-term disability | PRUDENTIAL | 197 | $126K |
| Prescription drug | BCBS OF SOUTH CAROLINA | 191 | $1.1M |
| Other | PRUDENTIAL | 197 | $126K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 197 | — |
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.