Form 5500 · Employee benefit plan · SUMTER, SC
TANDEM HEALTH SC
The filing calls this plan TANDEM HEALTH SC WELFARE BENEFITS PLAN.
TANDEM HEALTH SC of SUMTER, SC insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is CLARKE & COMPANY BENEFITS, LLC. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in September.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 57-1095992 · plan 501 · plan year 2025, filed Jul 8, 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
Also declared: 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 2 insured contracts covering health, dental, vision, life and disability; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 157 people.
Reported premium across the insured contracts is $2,619,888, with $42,028 in disclosed broker commissions — about 1.6% of premium.
The health contract's policy period ended in September, while at least one ancillary line's policy period ended in December. The plan is on a split renewal cycle.
CLARKE & COMPANY BENEFITS, LLC is the broker of record on 1 of the 2 contracts; the rest name a different broker or none.
Two carriers split the book: CIGNA HEALTH AND LIFE INSURANCE COMPANY and COMPANION LIFE.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| COMPANION LIFE | Dental, Vision, Life, Disability | 204 | Jan 1, 2026 | $341,135 | $42,028 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health | 157 | Oct 1, 2025 | $2,278,753 | $0 |
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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