Form 5500 · Employee benefit plan · MT. PLEASANT, SC
SEAMON WHITESIDE & ASSOCIATES, INC.
The filing calls this plan SEAMON, WHITESIDE AND ASSOCIATES, INC. MEDICAL PLAN.
SEAMON WHITESIDE & ASSOCIATES, INC. of MT. PLEASANT, SC files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is RICK CROSBY. Coverage is written through BLUECHOICE HEALTHPLAN SOUTH CAROLINA and 2 other carriers. The plan's most recent policy period ended in September.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 57-0807412 · plan 501 · plan year 2025, filed Mar 12, 2026
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How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
Benefits declared on this filing
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
Schedule A lists 3 insured contracts covering health, dental, vision, life and disability; the largest, with BLUECHOICE HEALTHPLAN SOUTH CAROLINA, covers 203 people.
Reported premium is $3,151,529; the filing discloses no broker commission on these contracts.
The most recent policy period ended in September, and the plan year ends September 30. Group contracts typically renew on that annual cycle.
RICK CROSBY is the broker of record on 1 of the 3 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including BLUECHOICE HEALTHPLAN SOUTH CAROLINA, THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA and ALLSTATE BENEFITS. BLUECHOICE HEALTHPLAN SOUTH CAROLINA writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUECHOICE HEALTHPLAN SOUTH CAROLINA | Health | 203 | Oct 1, 2025 | $2,719,230 | $0 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Vision, Life, Disability | 222 | Oct 1, 2025 | $425,612 | $0 |
| ALLSTATE BENEFITS | Life | 20 | Oct 1, 2025 | $6,687 | $0 |
Premium and claims on this contract
BLUECHOICE HEALTHPLAN SOUTH CAROLINA, contract 05835. For the contract year on this filing, the carrier reported $2,719,230 in premium earned and $2,805,376 in claims incurred. Dividing one by the other gives 103%.
- BLUECHOICE HEALTHPLAN SOUTH CAROLINA, contract 05835 reported $-86,146 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Other plans filed by this employer
How this plan compares
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