| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NOT PROVIDED3 | — | BLUE CROSS & BLUE SHIELD OF MISSISSIPPI, A MUTUAL INSURANCE COMPANY | $13K | — | $13K | 1.79% |
| JOSEPH E PARKER JR3 | 17 STONECREST HATTIESBURG, MS 39402 | AFLAC | $7K | $255 | $7K | 13.33% |
| J NELSON LLC3 | 112 HICKORY HILLS LOOP PURVIS, MS 39475 | AFLAC | $705 | $83 | $788 | 1.40% |
| SHARON E PRINE3 | 90 DYESS CIR COLUMBIA, MS 39429 | AFLAC | $499 | — | $499 | 0.89% |
| DORELL SCOTT JOHNIKIN3 | 1207 LUCAS ST LAUREL, MS 39440 | AFLAC | $229 | $43 | $272 | 0.48% |
| MARK BUTLER INC3 | 747 HOLLY HILLS DR BILOXI, MS 39532 | AFLAC | $206 | — | $206 | 0.37% |
| CHRISTIAN ANDRE LEVERN3 | 1929 SPILLWAY RD STE D BRANDON, MS 39047 | AFLAC | $124 | — | $124 | 0.22% |
| JILLIAN C NELSON3 | 112 HICKORY HILLS LOOP PURVIS, MS 39475 | AFLAC | $120 | — | $120 | 0.21% |
| TWIGGY N FALL3 | PO BOX 422 1476 WILLOW ST SANDERSVILLE, MS 39477 | AFLAC | $113 | — | $113 | 0.20% |
| JOSEPH E PARKER JR3 Filed as: JOSEPH R DOSS | 8 MADISON PL HATTIESBURG, MS 39402 | AFLAC | $86 | — | $86 | 0.15% |
| TANYA R SKIPPER3 | 915 BEAT 4 SHUBUTA RD SHUBUTA, MS 39360 | AFLAC | $74 | — | $74 | 0.13% |
| GARY L PRINE3 | 90 DYESS CIR COLUMBIA, MS 39429 | AFLAC | $64 | — | $64 | 0.11% |
| NICOLE L CARLSON3 | 217 PINEWOOD DR HATTISBURG, MS 39402 | AFLAC | $54 | — | $54 | 0.10% |
| ROBERT GUY FAIRLEY3 | 1317 DR CAMPBELL DR WIGGINS, MS 39577 | AFLAC | $35 | — | $35 | 0.06% |
| LACY JUANITA LOCKHART3 | 1655 PARKWOOD DR LAUREL, MS 39440 | AFLAC | $29 | — | $29 | 0.05% |
| DOROTHY A SCOTT3 | 2465 HIGHWAY 15 S OVETT, MS 39464 | AFLAC | $21 | — | $21 | 0.04% |
| ANNA L HUNTER3 | 4128 WILLIS BLVD TOLEDO, OH 43623 | AFLAC | $19 | — | $19 | 0.03% |
| ANTHONY JOSEPH MOTTER3 | 134 W SOUTH BOUNDARY ST STE A PERRYSBURG, OH 43551 | AFLAC | $15 | — | $15 | 0.03% |
| JAMES D U SRY3 | PO BOX 393 THOMSON, GA 30824 | AFLAC | $14 | — | $14 | 0.02% |
| THERESA JANE PITTMAN3 | 368 COUNTY ROAD 1612 LOUIN, MS 39338 | AFLAC | $11 | — | $11 | 0.02% |
| JOHN BRODERSEN3 Filed as: JOHN M BRODERSEN | 2557 WOODSTOCK DR HIGHLAND PARK, MI 48203 | AFLAC | $8 | — | $8 | 0.01% |
| TIMOTHY DEWAYNE CARTER3 | 319 WOODSHIRE DR HATTIESBURG, MS 39402 | AFLAC | $7 | — | $7 | 0.01% |
| MOLLIE R DILLENKOFFER3 | 82 POPLAR DR HATTIESBURG, MS 39402 | AFLAC | $7 | — | $7 | 0.01% |
| CHAD A POLLOCK3 | 6506 ANTHONY DR MAUMEE, OH 43537 | AFLAC | $7 | — | $7 | 0.01% |
| TAMARA DIANNE NEWSOME3 | 238 VISTA CIR MACON, GA 31204 | AFLAC | $5 | — | $5 | 0.01% |
| WATSON AND KNOX INC3 | PO BOX 539 THOMSON, GA 30824 | AFLAC | $5 | — | $5 | 0.01% |
| LAPRINCESS J JACKSON3 | 30 FERNCREST LOOP PETAL, MS 39465 | AFLAC | $3 | — | $3 | 0.01% |
| PETER B WILKINSON JR3 | 1408 LANCELOT AVE WOLFFORTH, TX 79382 | AFLAC | $1 | — | $1 | 0.00% |
| RANDALL D LADNER3 | 6 GREENBRIAR DR GULFPORT, MS 39507 | AFLAC | $1 | — | $1 | 0.00% |
| ROSS & YERGER INSURANCE INC3 | 100 VISION DR STE 100 JACKSON, MS 39211 | PRINCIPAL LIFE INSURANCE COMPANY | $5K | — | $5K | 11.52% |
| STEPHENS INSURANCE LLC3 | 111 CENTER ST STE 100 LITTLE ROCK, AR 72201 | PRINCIPAL LIFE INSURANCE COMPANY | $1K | — | $1K | 2.41% |
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 | 123 | 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) | 123 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS & BLUE SHIELD OF MISSISSIPPI, A MUTUAL INSURANCE COMPANY | 146 | $712K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 167 | $44K |
| Short-term disability | AFLAC | 44 | $56K |
| Other | AFLAC | 44 | $56K |
| 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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.