| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PJMI, INC.3 Filed as: PJMI INC | 9076 WOODBINE STEET BATON ROUGE, LA 70815 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $53K | — | $53K | 13.15% |
| GERALD R. DIDIER3 Filed as: GERALD R DIDIER | 2310 SUMMER LEAF CIRCLE BATON ROUGE, LA 70816 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $8K | — | $8K | 1.99% |
| PHILLIP J MUSCARELLO3 | 9076 WOODBINE STREET BATON ROUGE, LA 70815 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $8K | — | $8K | 1.99% |
| PJMI, INC.3 Filed as: PJMI INC | 9332 INTERLINE AVENUE BATON ROUGE, LA 70809 | HM LIFE INSURANCE COMPANY | $36K | — | $36K | 15.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF LOUISIANA EIN 23-7384555 SAME | Contract Administrator Service code 13 | P O BOX 98029 BATON ROUGE, LA 70898 | $28.4M |
| EXPRESS SCRIPTS INC EIN 43-1420563 NONE | Insurance services Service code 23 | P.O. BOX 52150 PHOENIX, AZ 85072 | $5.5M |
| SOUTHERN NATIONAL LIFE INSURANCE CO EIN 72-1267013 AFFILIATE OF SPONSOR | Insurance services Service code 23 | P.O. BOX 98029 BATON ROUGE, LA 70898 | $896K |
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 | 2,473 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 297 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,770 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF LOUISIANA | 4,995 | $28.4M |
| Dental | BLUE CROSS AND BLUE SHIELD OF LOUISIANA | 4,995 | $28.4M |
| Vision | HM LIFE INSURANCE COMPANY | 4,907 | $237K |
| Life insurance | SOUTHERN NATIONAL LIFE INSURANCE CO/BCBS OF LA | 2,727 | $1.5M |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF LOUISIANA | 4,995 | $28.4M |
| Other(3 contracts, 3 carriers) | BLUE CROSS AND BLUE SHIELD OF LOUISIANA | 4,995 | $30.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,995 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
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.