| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MIDSOUTH BENEFITS CORPORATION3 Filed as: MIDSOUTH BENEFITS CORP | 4994 LOWER ROSWELL ROAD SUITE 500 MARIETTA, GA 30068 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $0 | $50K | $50K | 4.75% |
| MIDSOUTH BENEFITS CORPORATION3 Filed as: MIDSOUTH BENEFITS CORP | 4994 LOWER ROSWELL ROAD SUITE 5 MARIETTA, GA 30068 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $6K | $6K | $12K | 14.80% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: NORTHWESTERN BENEFITS CORPORATION | 3438 PEACHTREE ROAD PHIPPS TOWER SUITE 1100 ATLANTA, GA 30326 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $28 | $1K | 1.78% |
| MIDSOUTH BENEFITS CORPORATION3 Filed as: MIDSOUTH BENEFITS CORP | 4994 LOWER ROSWELL ROAD SUITE 5 MARIETTA, GA 30068 | UNITED CONCORDIA INSURANCE COMPANY | $7K | $7K | $13K | 18.80% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: NORTHWESTERN BENEFITS CORPORATION | 3438 PEACHTREE ROAD PHIPPS TOWER SUITE 1100 ATLANTA, GA 30326 | UNITED CONCORDIA INSURANCE COMPANY | $1K | $218 | $1K | 1.85% |
| MIDSOUTH BENEFITS CORPORATION3 Filed as: MIDSOUTH BENEFITS CORP | 4994 LOWER ROSWELL ROAD SUITE 5 MARIETTA, GA 30068 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 12.58% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: NORTHWESTERN BENEFITS CORPORATION | 3438 PEACHTREE ROAD PHIPPS TOWER SUITE 1100 ATLANTA, GA 30326 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $456 | $61 | $517 | 2.55% |
| MIDSOUTH BENEFITS CORPORATION3 Filed as: MIDSOUTH BENEFITS | 4994 LOWER ROSWELL ROAD SUITE 5 MARIETTA, GA 30068 | EYEMED VISION CARE | $889 | $889 | $2K | 16.88% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: NORTHWESTERN BENEFITS CORP. OF GA | PHIPPS TOWER SUITE 1100 ATLANTA, GA 30326 | EYEMED VISION CARE | $271 | $271 | $542 | 5.15% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: NORTHWESTERN BENEFITS CORP OF GA | 3438 PEACHTREE ROAD PHIPPS TOWER SUITE 1100 ATLANTA, GA 30326 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $204 | — | $204 | 2.13% |
| MIDSOUTH BENEFITS CORPORATION3 Filed as: MIDSOUTH BENEFITS CORP | 4994 LOWER ROSWELL ROAD SUITE 5 MARIETTA, GA 30068 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $22 | — | $22 | 0.23% |
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 | 177 | 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. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 177 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 122 | $1.0M |
| Dental | UNITED CONCORDIA INSURANCE COMPANY | 61 | $70K |
| Vision | EYEMED VISION CARE | 239 | $11K |
| Life insurance(3 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 123 | $113K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 239 | — |
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.