| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT COORDINATORS, INC.3 | PO BOX 197 IRMO, SC 29063 | BCBS OF SOUTH CAROLINA | $26K | — | $26K | 1.86% |
| L G GOLDSTEIN & ASSOCIATES3 | 171 LOTT COURT WEST COLUMBIA, SC 29169 | BCBS OF SOUTH CAROLINA | $2K | — | $2K | 0.16% |
| BENEFIT COORDINATORS, INC.3 | PO BOX 197 IRMO, SC 29063 | PRUDENTIAL | $15K | — | $15K | 10.00% |
| IBSI HOLDINGS INC3 Filed as: IBSI HOLDINGS, INC. | PO BOX 24337 WINSTON SALEM, NC 27114 | PRUDENTIAL | $5K | — | $5K | 3.48% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 60603 | PRUDENTIAL | — | $84 | $84 | 0.06% |
| UNITED PRODUCERS GROUP LLC3 Filed as: UNITED PRODUCERS GROUP, LLC | 1031 CHUCK DAWLEY BLVD MOUNT PLEASANT, SC 29464 | GUARDIAN | $5K | — | $5K | 5.00% |
| BENEFIT COORDINATORS, INC.3 | PO BOX 197 IRMO, SC 29063 | GUARDIAN | $4K | $1K | $5K | 4.95% |
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 | 222 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 222 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BCBS OF SOUTH CAROLINA | 191 | $1.4M |
| Dental | GUARDIAN | 181 | $101K |
| Vision | BCBS OF SOUTH CAROLINA | 191 | $1.4M |
| Life insurance | PRUDENTIAL | 222 | $148K |
| Short-term disability | PRUDENTIAL | 222 | $148K |
| Long-term disability | PRUDENTIAL | 222 | $148K |
| Prescription drug | BCBS OF SOUTH CAROLINA | 191 | $1.4M |
| Other | PRUDENTIAL | 222 | $148K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 222 | — |
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."
No prospect flags tripped on this filing.