| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GROGAN & CREWS, INC. | 729 DAVIS CROSSING ROAD CANTON, MS 39046 | TOKIO MARINE HCC LIFE INSURANCE COMPANY | $179K | — | $179K | 9.86% |
| JAS D COLLIER & CO Filed as: JAS D. COLLIER & CO. | 606 S. MENDENHALL SUITE 200 MEMPHIS, TN 38117 | TOKIO MARINE HCC LIFE INSURANCE COMPANY | $94 | — | $94 | 0.01% |
| WILLIAN N. GROGAN | PO BOX 16446 JACKSON, MS 39236 | HARTFORD LIFE AND ACCIDENT | $189K | — | $189K | 16.63% |
| ALLISON G CREWS | PO BOX 414 CANTON, MS 39046 | DELTA DENTAL INSURANCE COMPANY | $718 | — | $718 | — |
| GROGAN & CREWS, INC. | PO BOX 414 CANTON, MS 39046 | VISION SERVICE PLAN | $359 | — | $359 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 151 FARMINGTON AVENUE HARTFORD, CT 06156 | $1.2M |
| EPHIPHANY RX, LLC EIN 36-4855405 CLAIMS PROCESSOR | Claims processing Service code 12 | 361 INTEGRITY DRIVE MADISON, WI 53717 | $247K |
| HEALTH PLANS, INC. EIN 04-2734278 CLAIM PROCESSOR, TPA | Claims processing Service code 12 | 1500 WEST PARK DRIVE WESTBOROUGH, MA 01581 | $74K |
| INTERLINK CANCER CARE EIN 45-4672075 INSURANCE SERVICES | Insurance services Service code 23 | 4660 NE BELKNAP CT SUITE 209 HILLSBORO, OR 97124 | $5K |
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 | 1,253 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,253 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL INSURANCE COMPANY | 105 | $0 |
| Vision | VISION SERVICE PLAN | 105 | $0 |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 1,678 | $1.1M |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 1,678 | $1.1M |
| Stop-loss / reinsurancereinsurance | TOKIO MARINE HCC LIFE INSURANCE COMPANY | 1,253 | $1.8M |
| Other | HARTFORD LIFE AND ACCIDENT | 1,678 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,678 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.