Form 5500 · Employee benefit plan · TRAVELERS REST, SC
SPRINGBROOK BEHAVIORAL HEALTH SYSTEM
The filing calls this plan CHESTNUT HILL MENTAL HEALTH CENTER, INC. DBA SPRINGBROOK BEHAVIORAL WELFARE BENEFITS PLAN.
SPRINGBROOK BEHAVIORAL HEALTH SYSTEM of TRAVELERS REST, SC insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is AP BENEFIT ADVISORS LLC. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in August.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 57-0693272 · plan 503 · plan year 2024, filed Mar 24, 2025
Get an email when this employer files a new Form 5500, and again about four months before its plan renews.
29 other employer plans in South Carolina have policy years ending in August. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
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
Also declared: death benefits, other welfare.
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.
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 CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 204 people.
Reported premium across the insured contracts is $866,272, with $118,703 in disclosed broker commissions — about 14% of premium.
The most recent policy period ended in August, and the plan year ends August 31. Group contracts typically renew on that annual cycle.
AP BENEFIT ADVISORS LLC is the broker of record on all 3 contracts.
3 carriers appear on the filing, including CIGNA HEALTH AND LIFE INSURANCE COMPANY, UNITED OF OMAHA LIFE INSURANCE COMPANY and DELTA DENTAL OF MISSOURI. CIGNA HEALTH AND LIFE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health | 204 | Sep 1, 2024 | $671,929 | $96,685 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Vision, Life, Disability | 268 | Sep 1, 2024 | $131,519 | $16,284 |
| DELTA DENTAL OF MISSOURI | Dental | 268 | Sep 1, 2024 | $62,824 | $5,734 |
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
Subscribers see how this compares with similar plans in South Carolina. A subscription also adds this plan's filing history and the renewal calendar for its state. See plans and prices
Without an account you can open 10 employer, broker and carrier pages a day, including through an AI assistant, and 50 a day with a free account. Paid plans are what keep these records free to read.
Renewal calendar
29 other employer plans in South Carolina are September 1 renewals (policy year ends August).
Their policy years end in August, like this plan’s, so most renew September 1. The calendar lists every insured group by renewal date and state, with broker of record, carrier and disclosed commission. You can preview the five largest in each month for free.
Claude & ChatGPT
Look up records from Claude or ChatGPT
Add Form5500Lookup to Claude or ChatGPT and ask about any employer, broker or carrier in plain English. Lookups are free. Renewal lists, full books of business and exports are included with a subscription.
Building a list or a tool from these records? Match a list you already have from $29 per 1,000 records, or license the whole dataset as a weekly file for $499 a month. See both
More employer plans in South Carolina — largest plans, brokers, carriers and renewal months.