Form 5500 · Employee benefit plan · COLUMBIA, SC
WATEREE COMMUNITY ACTIONS, INC.
The filing calls this plan WATEREE COMMUNITY ACTIONS, INC. HEALTH AND WELFARE.
WATEREE COMMUNITY ACTIONS, INC. of COLUMBIA, SC files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is HUB INTERNATIONAL MIDWEST LIMITED. Coverage is written through BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA and 1 other carrier. The plan's most recent policy period ended in May.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 57-0524980 · plan 501 · plan year 2026, filed Sep 24, 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: death benefits.
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 BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA, covers 178 people.
Reported premium across the insured contracts is $2,290,886, with $114,804 in disclosed broker commissions — about 5% of premium.
The most recent policy period ended in May, and the plan year ends January 31. Group contracts typically renew on that annual cycle.
HUB INTERNATIONAL MIDWEST LIMITED is the broker of record on all 2 contracts.
Two carriers split the book: BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA and EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA | Health, Dental | 178 | Jun 1, 2025 | $2,163,692 | $92,793 |
| EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | Vision, Life, Disability | 228 | Jun 1, 2025 | $127,194 | $22,011 |
Premium and claims on this contract
BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA, contract 25-85660. For the contract year on this filing, the carrier reported $2,163,692 in premium earned and $2,174,106 in claims incurred. Dividing one by the other gives 100%.
- BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA, contract 25-85660 reported $-10,414 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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