| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE BOTTRELL INSURANCE AGENCY3 Filed as: BOTTRELL INSURANCE AGENCY | 248 E CAPITOL STREET SUITE 1200 JACKSON, MS 39215 | BLUE CROSS AND BLUE SHIELD OF MISSISSIPPI | $4K | — | $4K | 3.23% |
| THE BOTTRELL INSURANCE AGENCY3 | 248 E CAPITOL STREET SUITE 1200 JACKSON, MS 39215 | STARMOUNT LIFE INSURANCE COMPANY | $6K | $456 | $6K | 11.84% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: FISHER BROWN BOTTRELL INSURANCE INC | P O BOX 1490 JACKSON, MS 39215 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 7.86% |
| SEHC BENEFITS LLC3 | 211 SAWBRIDGE DRIVE RIDGELAND, MS 39157 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $680 | $232 | $912 | 3.16% |
| JOHN RENE WALDRUP3 | 295 POSEY LANE VAUGHAN, MS 39179 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $539 | $75 | $614 | 2.13% |
| J MICHAEL NORRIS INC3 | 731 AVIGNON DR RIDGELAND, MS 39157 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $443 | $60 | $503 | 1.74% |
| KATIE MULLINS WALDROP3 | 1042 POPLAR SPRINGS ROAD MENDENHALL, MS 39114 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $410 | $69 | $479 | 1.66% |
| ROBBINS RESEARCH AND PLANNING INC3 | 11012 COVINGTON WAY OXFORD, MS 39208 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $224 | $216 | $440 | 1.52% |
| SARA MULLINS3 | P O BOX 735 MENDENHALL, MS 39114 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $269 | $35 | $304 | 1.05% |
| HOLLINGSWORTH BENEFITS SOLUTIONS3 | 2 WIGEON RAYMOND, MS 39154 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $184 | $57 | $241 | 0.83% |
| FRANK WOODWARD CRAIG3 | 731 AVIGNON DRIVE RIDGELAND, MS 39157 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $70 | $162 | $232 | 0.80% |
| VIRGINIA W LAVENDER3 | 1915 BARNES RD CANTON, MS 39046 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $146 | $56 | $202 | 0.70% |
| BEVERLY DAWN JONES3 | 808 ASCHAM CT PEARL, MS 39208 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $143 | — | $143 | 0.49% |
| ASHLEY S WALDRUP3 | 295 POSEY LANE VAUGHAN, MS 39179 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $112 | $10 | $122 | 0.42% |
| LAUREN HAMMAN BAIN3 | 100 SADDLE CREEK COVE CANTON, MS 39046 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $117 | $2 | $119 | 0.41% |
| LORETTA PACKER3 | 704 SPRING HILL DR MADISON, MS 39110 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $106 | $5 | $111 | 0.38% |
| MARGARET ANN GRUBBS3 | 5136 GREEN GABLE ROAD TERRY, MS 39170 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $99 | $6 | $105 | 0.36% |
| EMILY MEGUMI ERVIN3 | 4938 VEAZEY RD COLDWATER, MS 38618 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $89 | $12 | $101 | 0.35% |
| WESLEY MILLER BROOKER3 | 1101 GREENBRIAR ST JACKSON, MS 39211 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $55 | $5 | $60 | 0.21% |
| STEVEN WELTON GREGORY3 | 614 CAMELLIA POINTE BLVD OCEAN SPRINGS, MS 39564 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $26 | $25 | $51 | 0.18% |
| ROBERT BRANDON BROOKER3 | 1101 GREENBRIAR STREET JACKSON, MS 39211 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $29 | — | $29 | 0.10% |
| JULIA B SMITH3 | 3188 DOVER ROAD BENTONIA, MS 39040 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $22 | $1 | $23 | 0.08% |
| MICHAEL HAMEL MCGRAW3 | 301 S 40TH AVENUE SUITE 4 HATTIESBURG, MS 39402 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $18 | — | $18 | 0.06% |
| GASPARD EMPLOYEE BENEFITS LLC3 | 102 RED OAK LANE BRANDON, MS 39042 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $17 | — | $17 | 0.06% |
| LAWRENCE BRADLEY HOOEY3 | 103 PINEHAVEN PLACE CLINTON, MS 39056 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $13 | $3 | $16 | 0.06% |
| BENEFIT CONSULTANTS INC3 Filed as: BENEFIT CONSULTANTS PA | 407 WINDSOR DRIVE CLINTON, MS 39056 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $9 | $7 | $16 | 0.06% |
| BEC SERVICES LLC3 | 103 GRANFIELD CT CANTON, MS 39046 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $4 | $1 | $5 | 0.02% |
| WILLIAM DAVID COOKE3 | 155 EAST SUNSET DR BRANDON, MS 39042 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1 | $1 | $2 | 0.01% |
| MARGARET PUTNAM JEPSON3 | 105 KENZIE DR MADISON, MS 39110 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: FISHER BROWN BOTTRELL INSURANCE INC | 248 E CAPITOL STREET STE 1200 JACKSON, MS 39201 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $1K | $6K | 23.64% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK SUITE A BEACHWOOD, OH 44122 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $736 | $736 | 2.82% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: FISHER BROWN BOTTRELL INSURANCE INC | 248 E CAPITOL ST SUITE 1200 JACKSON, MS 39201 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $749 | $3K | 20.08% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK SUITE A BEACHWOOD, OH 44122 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $375 | $375 | 2.54% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: FISHER BROWN BOTTRELL INSURANCE INC | P O BOX 1490 JACKSON, MS 39215 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $836 | — | $836 | 6.46% |
| JOHN RENE WALDRUP3 | 295 POSEY LANE VAUGHAN, MS 39179 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $267 | $48 | $315 | 2.44% |
| SEHC BENEFITS LLC3 | 211 SAWBRIDGE DRIVE RIDGELAND, MS 39157 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $200 | $68 | $268 | 2.07% |
| VIRGINIA W LAVENDER3 | 1915 BARNES ROAD CANTON, MS 39046 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $165 | $70 | $235 | 1.82% |
| J MICHAEL NORRIS INC3 | 731 AVIGNON DR RIDGELAND, MS 39157 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $155 | $17 | $172 | 1.33% |
| ROBBINS RESEARCH AND PLANNING INC3 | 11012 COVINGTON WAY OXFORD, MS 39208 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $72 | $62 | $134 | 1.04% |
| KATIE MULLINS WALDROP3 | 1042 POPLAR SPRINGS RD MENDEHALL, MS 39114 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $114 | $19 | $133 | 1.03% |
| ASHLEY S WALDRUP3 | 295 POSEY LANE VAUGHAN, MS 39179 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $73 | $6 | $79 | 0.61% |
| HOLLINGSWORTH BENEFITS SOLUTIONS3 | 2 WIGEON RAYMOND, MS 39154 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $52 | $15 | $67 | 0.52% |
| FRANK WOODWARD CRAIG3 | 731 AVIGNON DRIVE RIDGELAND, MS 39157 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $20 | $46 | $66 | 0.51% |
| BEVERLY DAWN JONES3 | 808 ASCHAM CT PEARL, MS 39208 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $62 | — | $62 | 0.48% |
| EMILY MEGUMI ERVIN3 | 4938 VEAZEY ROAD COLDWATER, MS 38618 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $45 | $7 | $52 | 0.40% |
| WESLEY MILLER BROOKER3 | 1101 GREENBRIAR ST JACKSON, MS 39211 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $36 | $1 | $37 | 0.29% |
| LAUREN HAMMAN BAIN3 | 100 SADDLE CREEK COVE CANTON, MS 39046 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $30 | $1 | $31 | 0.24% |
| JULIA B SMITH3 | 3188 DOVER ROAD BENTONIA, MS 39040 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $29 | $1 | $30 | 0.23% |
| LAWRENCE BRADLEY HOOEY3 | 103 PINEHAVEN PLACE CLINTON, MS 39056 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $22 | $5 | $27 | 0.21% |
| MARGARET ANN GRUBBS3 | 5136 GREEN GABLE RD TERRY, MS 39170 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $25 | $1 | $26 | 0.20% |
| BENEFIT CONSULTANTS INC3 Filed as: BENEFIT CONSULTANTS PA | 407 WINDSOR DRIVE CLINTON, MS 39056 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $11 | $9 | $20 | 0.15% |
| STEVEN WELTON GREGORY3 | 614 CAMELLIA POINTE BLVD OCEAN SPRINGS, MS 39564 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $8 | $7 | $15 | 0.12% |
| MICHAEL HAMEL MCGRAW3 | 301 S 40TH AVENUE SUITE 4 HATTIESBURG, MS 39402 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $13 | — | $13 | 0.10% |
| GASPARD EMPLOYEE BENEFITS LLC3 | 102 RED OAK LANE BRANDON, MS 39042 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $6 | — | $6 | 0.05% |
| ROBERT BRANDON BROOKER3 | 1101 GREENBRIAR STREET JACKSON, MS 39179 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | — | $6 | $6 | 0.05% |
| WILLIAM DAVID COOKE3 | 155 EAST SUNSET DR BRANDON, MS 39042 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2 | $1 | $3 | 0.02% |
| MARGARET PUTNAM JEPSON3 | 105 KENZIE DRIVE MADISON, MS 39110 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.01% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: FISHER BROWN BOTTRELL INSURANCE INC | 248 E CAPITOL ST SUITE 1200 JACKSON, MS 39201 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $462 | $462 | 5.19% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK SUITE A BEACHWOOD, OH 44122 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $231 | $231 | 2.60% |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 113 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 113 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF MISSISSIPPI | 29 | $133K |
| Dental | STARMOUNT LIFE INSURANCE COMPANY | 167 | $52K |
| Vision | STARMOUNT LIFE INSURANCE COMPANY | 167 | $52K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 105 | $26K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 113 | $15K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 38 | $9K |
| Other(3 contracts, 2 carriers) | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 105 | $68K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 167 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.