| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JACKIE HOLT3 | RENASANT INURANCE 403 WALDRON STREET CORINTH, MS 38834 | BLUE CROSS & BLUE SHIELD OF MISSISSIPPI | $19K | — | $19K | 4.53% |
| JACKIE HOLT3 Filed as: JACKIE SCOTT HOLT | RENASANT INSURANCE 403 WALDRON STREET CORINTH, MS 38834 | GULF GUARANTY LIFE | $17K | — | $17K | 15.00% |
| RENASANT INSURANCE3 Filed as: RENASANT INSURANCE INC | PO BOX 2220 CORINTH, MS 38835 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $10K | — | $10K | 10.47% |
| ASHFORD MISSISSIPPI LLC1 | PO BOX 13128 JACKSON, MS 39211 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $133 | — | $133 | 0.14% |
| ASHFORD MISSISSIPPI LLC3 | PO BOX 13128 JACKSON, MS 39211 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $56 | — | $56 | 0.06% |
| SAMUEL C. KEMP3 | 508 WALDRON STREET PO BOX 1452 CORINTH, MS 388351452 | SUN LIFE ASSURANCE COMPANY OF CANADA | $10K | — | $10K | 11.21% |
| STREAMLINE ENTERPRISES LLC1 | DBA CANOPY NATION 3725 CHAMPION HILLS DR. STE 3300 MEMPHIS, TN 38125 | SUN LIFE ASSURANCE COMPANY OF CANADA | $3K | — | $3K | 3.74% |
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 | 133 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 133 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS & BLUE SHIELD OF MISSISSIPPI | 133 | $419K |
| Dental(2 contracts, 2 carriers) | BLUE CROSS & BLUE SHIELD OF MISSISSIPPI | 133 | $514K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 112 | $95K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 57 | $86K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 57 | $86K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 57 | $86K |
| Other | GULF GUARANTY LIFE | 132 | $111K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 133 | — |
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.