| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BOBBY SHERRILL3 | 900 20TH AVE MERIDIAN, MS 39301 | BLUE CROSS BLUE SHIELD OF MISSISSIPPI, INC. | $5K | — | $5K | 4.28% |
| BOBBY SHERRILL3 | 900 20TH AVE MERIDIAN, MS 39301 | BLUE CROSS BLUE SHIELD OF MS, INC. | $288 | — | $288 | 1.06% |
| BOBBY SHERRILL3 Filed as: BOBBY L. SHERRILL | 900 20TH AVE PO BOX 990 MERIDIAN, MS 393020990 | AMERITAS LIFE INSURANCE CORP | $3K | $335 | $3K | 11.31% |
| INSURANCE ADVISORY GROUP, LLC3 Filed as: INSURANCE ADVISORY GROUP | 900 20TH AVE MERIDIAN, MS 39301 | METLIFE INSURANCE COMPANY | $2K | — | $2K | 18.00% |
| COASTAL STATES INSURANCE CORP3 | PO BOX 1042 PELAHATCHIE, MS 39157 | METLIFE INSURANCE COMPANY | $320 | — | $320 | 2.72% |
| EDWIN DEREK PEARCE3 | 523 PICKETTS MILL DR SHREVEPORT, LA 71115 | METLIFE INSURANCE COMPANY | $59 | — | $59 | 0.50% |
| RAMONA S PEARCE3 | 432 GULDE ROAD BRANDON, MS 39042 | METLIFE INSURANCE COMPANY | $57 | — | $57 | 0.48% |
| INSURANCE ADVISORY GROUP, LLC3 Filed as: INSURANCE ADVISORY GROUP | 900 20TH AVE MERIDIAN, MS 393015115 | METROPOLITAN LIFE INSURANCE COMPANY | $866 | — | $866 | 10.32% |
| BOBBY SHERRILL3 Filed as: BOBBY SHERRIL | 900 20TH AVE MERIDIAN, MS 39301 | BLUE CROSS BLUE SHIELD OF MISSISSIPPI, INC. | $104 | — | $104 | 1.27% |
| INSURANCE ADVISORY GROUP, LLC3 | PO BOX 990 MERIDIAN, MS 39302 | STARMOUNT LIFE INSURANCE COMPANY | $332 | — | $332 | 11.14% |
| INSURANCE ADVISORY GROUP, LLC3 | P.O. BOX 990 MERIDIAN, MS 39301 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $242 | — | $242 | 9.26% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: BLUE CROSS & BLUE SHIELD OF ALABAMA | 450 RIVERCHASE PKWY E HOOVER, AL 352442858 | VISION SERVICE PLAN | $214 | — | $214 | 10.02% |
| ABLE BENEFIT SOLUTIONS3 Filed as: ABLE BENEFIT SOLUTIONS, INC. | P.O. BOX 11407, DEPT #2142 BIRMINGHAM, AL 35246 | USABLE LIFE | $144 | — | $144 | 9.97% |
| SONIA POWELL3 | 2015 JOHN D ODOM RD DOTHAN, AL 36303 | USABLE LIFE | $33 | — | $33 | 2.29% |
| TROY MAXWELL3 | C/O BCBS OF ALABAMA 3320 SKYWAY DRIVE SUITE 601 OPELIKA, AL 36801 | USABLE LIFE | $14 | — | $14 | 0.97% |
| BRENDA ADKINSON BARNES3 | 822 BOAT LANDING ROAD GORDON, AL 36343 | USABLE LIFE | $10 | — | $10 | 0.69% |
| BOBBY SHERRILL3 | 900 20TH AVE MERIDIAN, MS 39301 | HUMANA INSURANCE COMPANY | $168 | — | $168 | 17.99% |
| COASTAL STATES INSURANCE CORP3 Filed as: COASTAL STATES INSURANCE CORP. | P.O. BOX 1042 PELAHATCHIE, MS 39157 | HUMANA INSURANCE COMPANY | $41 | — | $41 | 4.39% |
| BAFFIN BAY MARKETING GROUP, LLC3 Filed as: BAFFIN BAY MARKETING GROUP | P.O. BOX 161690 AUSTIN, TX 78716 | HUMANA INSURANCE COMPANY | $34 | — | $34 | 3.64% |
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 | 137 | 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) | 137 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(10 contracts, 5 carriers) | BLUE CROSS BLUE SHIELD OF LOUISIANA, LLC | 19 | $671K |
| Dental(3 contracts, 3 carriers) | BLUE CROSS BLUE SHIELD OF ALABAMA | 137 | $143K |
| Vision(3 contracts, 3 carriers) | AMERITAS LIFE INSURANCE CORP | 132 | $31K |
| Life insurance(3 contracts, 3 carriers) | BLUE CROSS BLUE SHIELD OF MISSISSIPPI, INC. | 58 | $15K |
| Prescription drug(2 contracts) | BLUE CROSS BLUE SHIELD OF ALABAMA | 19 | $127K |
| Other(5 contracts, 5 carriers) | BLUE CROSS BLUE SHIELD OF ALABAMA | 58 | $35K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 137 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.