| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BXS INSURANCE INC3 Filed as: BANCORPSOUTH INSURANCE SVCS OF MS I | PO BOX 631202 NACODGOCHES, TN 75963 | AETNA LIFE INSURANCE CO. | $26K | — | $26K | 2.12% |
| AON CONSULTING INC3 Filed as: AON CORPORATION | 29840 NETWORK PLACE CHICAGO, IL 60673 | AETNA LIFE INSURANCE CO. | $24K | — | $24K | 1.96% |
| BXS INSURANCE INC3 | P.O. BOX 631202 NACOGDOCHES, TX 75963 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $10K | — | $10K | 10.78% |
| AON CONSULTING INC3 | 29840 NETWORK PLACE CHICAGO, IL 60673 | SUN LIFE ASSURANCE COMPANY OF CANADA | $2K | — | $2K | 2.85% |
| BXS INSURANCE INC3 | PO BOX 250 GULFPORT, MS 39502 | SUN LIFE ASSURANCE COMPANY OF CANADA | $1K | — | $1K | 1.38% |
| BXS INSURANCE INC3 Filed as: BXS INSURANCE, INC. | 3310 NORTH UNIVERSITY DRIVE NACOGDOCHES, TX 75965 | HARTFORD LIFE AND ACCIDENT | $5K | — | $5K | 8.63% |
| AON CONSULTING INC3 | 29840 NETWORK PLACE CHICAGO, IL 60673 | HARTFORD LIFE AND ACCIDENT | $4K | $663 | $4K | 7.56% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL INC | 75 REMITTANCE DRIVE #1446 CHICAGO, IL 60675 | HARTFORD LIFE AND ACCIDENT | — | $63 | $63 | 0.11% |
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 | 134 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | 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) | AETNA LIFE INSURANCE CO. | 243 | $1.2M |
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 111 | $80K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 129 | $56K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 129 | $56K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 129 | $56K |
| Other(2 contracts, 2 carriers) | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 129 | $152K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 243 | — |
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.