| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CLARK & CO BENEFITS LLC3 Filed as: CLARK & CO BENEFITS, LLC | 2422 DEVINE STREET SUITE B COLUMBIA, SC 29205 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $85K | $40K | $125K | 9.72% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 203 N LASALLE ST 20TH FLOOR CHICAGO, IL 60601 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $29K | $29K | $57K | 4.45% |
| CLARK & CO BENEFITS LLC3 | PO BOX 5672 COLUMBIA, SC 29205 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $11K | $2K | $14K | 8.92% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | PO BOX 5672 COLUMBIA, SC 29205 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $4K | $0 | $4K | 2.50% |
| CLARK & CO BENEFITS LLC3 | 2422 DEVINE STREET SUITE B COLUMBIA, SC 29205 | COMPANION LIFE | $11K | — | $11K | 11.75% |
| CLARK & CO BENEFITS LLC3 | 2422 DEVINE STREET SUITE B COLUMBIA, SC 29205 | COMPANION LIFE | $3K | — | $3K | 9.13% |
| PAULA J FAMBROUGH3 Filed as: PAULA FAMBROUGH | 715 BLUE SKY DRIVE NW CONCORD, NC 28027 | TRANSAMERICA LIFE INSURANCE COMPANY | $1K | — | $1K | 7.16% |
| C & K BENEFITS LLC3 | 106 RENAISSANCE CIRCLE MAULDING, SC 29662 | TRANSAMERICA LIFE INSURANCE COMPANY | $641 | — | $641 | 3.31% |
| BISHOP INSURANCE, LLC3 Filed as: BISHOP INSURANCE LLC | 113 HOMESTEAD DRIVE BOILING SPRINGS, SC 29316 | TRANSAMERICA LIFE INSURANCE COMPANY | $359 | — | $359 | 1.86% |
| VOLUNTARY BENEFITS AT WORK3 | 1090 HERSHEY DRIVE SE MARIETTA, GA 30062 | TRANSAMERICA LIFE INSURANCE COMPANY | $317 | — | $317 | 1.64% |
| SHARON D ROBERTS3 | PO BOX 1129 YOUNG HARRIS, GA 30582 | TRANSAMERICA LIFE INSURANCE COMPANY | $35 | — | $35 | 0.18% |
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 | 644 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 644 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 301 | $1.3M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 330 | $155K |
| Vision(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 310 | $1.3M |
| Life insurance(2 contracts, 2 carriers) | COMPANION LIFE | 644 | $112K |
| Other | COMPANION LIFE | 644 | $93K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 644 | — |
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.