Form 5500 · Employee benefit plan · FAIRFAX, SC
LOW COUNTRY HEALTH CARE SYSTEM
Public Form 5500 records show how LOW COUNTRY HEALTH CARE SYSTEM of FAIRFAX, SC, a health care and social assistance employer, structures its employee benefits. Its broker of record is J. SAM PLEXICO & ASSOCIATES. Coverage is written through BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA and 1 other carrier. The plan's most recent policy period ended in March.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 58-2366697 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 2 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA, covers 164 people.
Reported premium across the insured contracts is $1,836,157, with $105,521 in disclosed broker commissions — about 5.7% of premium.
The most recent policy period ended in March, and the plan year ends March 31. Group contracts typically renew on that annual cycle.
J. SAM PLEXICO & ASSOCIATES is the broker of record on 1 of the 2 contracts; the rest name a different broker or none.
Two carriers split the book: BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA and STANDARD INSURANCE COMPANY.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA | Health, Dental, Vision | 164 | March | $1,562,287 | $62,883 |
| STANDARD INSURANCE COMPANY | Dental, Vision, Life, Disability | 218 | March | $273,870 | $42,638 |
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