| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIAM SPEED3 Filed as: WILLIAM SHOEMAKE III | UNKNOWN YAZOO CITY, MS 39194 | BLUE CROSS BLUE SHIELD OF MS, INC. | $54K | $0 | $54K | 2.65% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 920 EBENEZER BOULEVARD, SUITE A MADISON, MS 39110 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $18K | $0 | $18K | 10.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2850 GOLF ROAD, 11TH FLOOR ROLLING MEADOWS, IL 60008 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $3K | $3K | 1.46% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 920 EBENEZER BOULEVARD, SUITE A MADISON, MS 39110 | STARMOUNT LIFE INSURANCE COMPANY | $12K | $0 | $12K | 10.87% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2850 GOLF ROAD, 11TH FLOOR ROLLING MEADOWS, IL 60008 | STARMOUNT LIFE INSURANCE COMPANY | $0 | $1K | $1K | 1.36% |
| GALLAGHER BENEFIT SERVICES, INC.3 | PO BOX 2722 MADISON, MS 39130 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $8K | $98 | $8K | 10.52% |
| MJ INSURANCE3 Filed as: LISA S. LEE AND VARIOUS AGENTS | 5794 SCR 131 MORTON, MS 39117 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3K | $922 | $4K | 5.48% |
| JOHN RENE WALDRUP3 | 295 POSEY LANE VAUGHAN, MS 39179 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3K | $1K | $4K | 5.14% |
| ROBBINS RESEARCH AND PLANNING INC3 Filed as: ROBBINS RESEARCH AND PLANNING, INC. | 731 AVIGNON DRIVE RIDGELAND, MS 39157 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $1K | $2K | 3.18% |
| SEHC BENEFITS LLC3 Filed as: SEHC BENEFITS, LLC | 242 SAWBRIDGE DRIVE RIDGELAND, MS 39157 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $722 | $2K | 3.06% |
| ASHLEY S WALDRUP3 Filed as: ASHLEY S. WALDRUP | 295 POSEY LANE VAUGHAN, MS 39179 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $543 | $1K | $2K | 2.18% |
| J MICHAEL NORRIS INC3 Filed as: J MICHAEL NORRIS, INC. | 731 AVIGNON DRIVE RIDGELAND, MS 39157 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $170 | $1K | 2.03% |
| GALLAGHER BENEFIT SERVICES, INC.3 | PO BOX 2722 MADISON, MS 39130 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3K | $39 | $3K | 9.52% |
| MARGARET PUTNAM JEPSON3 Filed as: MARGARET P. JEPSON AND OTHER AGENTS | 173 WHISPER LAKE BOULEVARD MADISON, MS 39110 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $538 | $2K | 5.76% |
| JOHN RENE WALDRUP3 | 295 POSEY LANE VAUGHAN, MS 39179 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $447 | $1K | 4.40% |
| ROBBINS RESEARCH AND PLANNING INC3 Filed as: ROBBINS RESEARCH AND PLANNING, INC. | 731 AVIGNON DRIVE RIDGELAND, MS 39157 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $439 | $439 | $878 | 2.63% |
| SEHC BENEFITS LLC3 Filed as: SEHC BENEFITS, LLC | 242 SAWBRIDGE DRIVE RIDGELAND, MS 39157 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $548 | $248 | $796 | 2.39% |
| ASHLEY S WALDRUP3 Filed as: ASHLEY S. WALDRUP | 295 POSEY LANE VAUGHAN, MS 39179 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $215 | $416 | $631 | 1.89% |
| J MICHAEL NORRIS INC3 Filed as: J MICHAEL NORRIS, INC. | 731 AVIGNON DRIVE RIDGELAND, MS 39157 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $548 | $67 | $615 | 1.84% |
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 | 257 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 259 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MS, INC. | 345 | $2.0M |
| Dental | STARMOUNT LIFE INSURANCE COMPANY | 180 | $109K |
| Vision | STARMOUNT LIFE INSURANCE COMPANY | 180 | $109K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 247 | $178K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 247 | $178K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 247 | $178K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF MS, INC. | 345 | $2.0M |
| Other(3 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 247 | $286K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 345 | — |
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."
No prospect flags tripped on this filing.