No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM, INC. EIN 06-1475928 | Claims processing; Direct payment from the plan Service code 12 | MAIL DROP OH3403-A266 CINCINNATI, OH 45209 | $404K |
| AMERICAN BENEFIT CORPORATION EIN 55-0672859 | Claims processing; Direct payment from the plan Service code 12 | 3150 US ROUTE 60 ONA, WV 25545 | $137K |
| ROBERT J. HILL | Direct payment from the plan; Employee (plan) Service code 30 | 4767 I-55 S FRONTAGE RD 601-373-8434 JACKSON, MS 39212 | $120K |
| MARY J. FOSHEE | Direct payment from the plan; Employee (plan) Service code 30 | 4767 I-55 S FRONTAGE RD 601-373-8434 JACKSON, MS 39212 | $81K |
| MAXEY WANN, PLLC EIN 64-0933626 | Legal; Direct payment from the plan Service code 29 | P O BOX 3977 JACKSON, MS 39207 | $73K |
| BHA CONSULTING, LLC EIN 26-1384808 | Actuarial; Direct payment from the plan Service code 11 | 5400 LAUREL SPRINGS PKWY SUWANEE, GA 30024 | $38K |
| TANN, BROWN & RUSS CO., PLLC EIN 20-5630688 | Accounting (including auditing); Direct payment from the plan Service code 10 | 1501 LAKELAND DR. STE 300 JACKSON, MS 39216 | $29K |
| ANDERSON EXPRESS CARE CLINIC EIN 64-0362400 | Other services; Direct payment from the plan Service code 49 | 1523 22ND AVENUE, SUITE B MERIDIAN, MS 39301 | $9K |
| UNION INSURANCE GROUP EIN 36-4226088 | Direct payment from the plan; Insurance services Service code 23 | 303 W. ERIE ST,STE 310 CHICAGO, IL 60654 | $8K |
| INTL BROTH OF ELECTR WKRS LOCAL 480 EIN 64-0158485 RELATED LABOR UNION | Direct payment from the plan; Other services Service code 49 | PO BOX 721119 BYRAM, MS 392721119 | $8K |
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 | 785 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 16 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 801 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 801 | $74K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 801 | $201K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 801 | — |
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."
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.