Form 5500 · Employee benefit plan · YORK, SC
SUBSTATION CONCRETE SERVICES INCORPORATED
The filing calls this plan SUBSTATION CONCRETE SERVICES INCORPORATED MEDICAL.
SUBSTATION CONCRETE SERVICES INCORPORATED of YORK, SC insures health, dental and vision coverage for its employees, per Schedule A of its Form 5500. Its broker of record is RONALD DEAL. Coverage is written through BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA. The plan's most recent policy period ended in February.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 20-8538333 · plan 501 · plan year 2024, filed Sep 23, 2024
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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.
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 and vision; the largest, with BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA, covers 157 people.
Reported premium across the insured contracts is $1,399,280, with $86,137 in disclosed broker commissions — about 6.2% of premium.
The most recent policy period ended in February, and the plan year ends February 29. Group contracts typically renew on that annual cycle.
RONALD DEAL is the broker of record on 1 of the 3 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA | Health | 157 | Mar 1, 2024 | $1,305,697 | $78,404 |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA | Dental | 137 | Mar 1, 2024 | $77,327 | $7,733 |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA | Vision | 157 | Mar 1, 2024 | $16,256 | $0 |
Premium and claims on these contracts
BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA, contract 25-87359. For the contract year on this filing, the carrier reported $1,305,697 in premium earned and $1,534,406 in claims incurred. Dividing one by the other gives 118%.
BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA, contract 25-87359. For the contract year on this filing, the carrier reported $77,327 in premium earned and $46,536 in claims incurred. Dividing one by the other gives 60%.
- BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA, contract 25-87359 reported $-228,710 in retention.
- BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA, contract 25-87359 reported $30,791 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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