| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CLAYTON E JOHNSON INSURANCE3 | SERVICE, INC PO BOX 87 LAUREL, MS 394410087 | UNITEDHEALTHCARE INSURANCE COMPANY | $38K | — | $38K | 5.15% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GROUP INC-LA | 3900 N CAUSEWAY BLVD STE 1042 METAIRIE, LA 700027285 | UNITEDHEALTHCARE INSURANCE COMPANY | $17K | — | $17K | 2.25% |
| ROGERS BENEFIT GROUP INC3 | 3300 W ESPLANADE AVE # 205 METAIRIE, LA 70002 | UNITEDHEALTHCARE INSURANCE COMPANY | $0 | $2K | $2K | 0.34% |
| LACY JUANITA LOCKHART3 | 1655 PARKWOOD DR LAUREL, MS 39440 | AFLAC | $51K | $1K | $52K | 18.58% |
| J NELSON LLC3 | 112 HICKORY HILLS LOOP PURVIS, MS 39475 | AFLAC | $7K | $366 | $7K | 2.61% |
| MICHEAL ANDREW PETTY3 | 205 PECAN TER PETAL, MS 39565 | AFLAC | $6K | $26 | $6K | 2.09% |
| MICHELLE LEE MCDONALD3 | 20 MAYFIELD RD COLLINS, MS 39428 | AFLAC | $4K | — | $4K | 1.31% |
| LINDSEY MARIE DUFEK3 | 1009 PELICAN CV OCEAN SPRINGS, MS 39564 | AFLAC | $1K | — | $1K | 0.47% |
| KYMBERLY CAMILLIA JORDAN3 | 62 COUNTY ROAD 195 STRINGER, MS 39481 | AFLAC | $873 | $100 | $973 | 0.35% |
| MARK BUTLER INC3 | 747 HOLLY HILLS DR BILOXI, MS 39532 | AFLAC | $703 | — | $703 | 0.25% |
| JOSEPH E PARKER JR3 | 17 STONECREST HATTIESBURG, MS 39402 | AFLAC | $548 | — | $548 | 0.19% |
| SHANA LEIGH BYRD3 | 31 SASSER RD LAUREL, MS 39443 | AFLAC | $393 | $98 | $491 | 0.17% |
| JILLIAN C NELSON3 | 112 HICKORY HILLS LOOP PURVIS, MS 39475 | AFLAC | $398 | $26 | $424 | 0.15% |
| NICOLE R HUFFMAN3 | 106 E CRANFORD AVE VALDOSTA, GA 31602 | AFLAC | $341 | — | $341 | 0.12% |
| MICHELLE B RILEY3 | 3558 OLD HIGHWAY 19 SE MERIDIAN, MS 39301 | AFLAC | $298 | — | $298 | 0.11% |
| TANYA R SKIPPER3 | 915 BEAT 4 SHUBUTA RD SHUBUTA, MS 39360 | AFLAC | $276 | — | $276 | 0.10% |
| THERESA JANE PITTMAN3 | 368 COUNTY ROAD 1612 LOUIN, MS 39338 | AFLAC | $183 | — | $183 | 0.07% |
| OSHANNA DOMANIQU SIMMONS3 | 1137 N 10TH AVE LAUREL, MS 39440 | AFLAC | $160 | — | $160 | 0.06% |
| DOROTHY WADE3 | 35 CHARLIE GREEN RD LOT 4 LAUREL, MS 39443 | AFLAC | $73 | — | $73 | 0.03% |
| GWENDALYN G MCCOOL3 | 51 LAKE RDG LUMBERTON, MS 39455 | AFLAC | $45 | — | $45 | 0.02% |
| TAMMY FOX MATHIS3 | 1950 COUNTY ROAD 450 QUITMAN, MS 39355 | AFLAC | $40 | — | $40 | 0.01% |
| TWIGGY N FALL3 | PO BOX 422 1476 WILLOW ST SANDERSVILLE, MS 39477 | AFLAC | $35 | — | $35 | 0.01% |
| PETER B WILKINSON JR3 | 1408 LANCELOT AVE WOLFFORTH, TX 79382 | AFLAC | $35 | — | $35 | 0.01% |
| RANDALL D LADNER3 | 6 GREENBRIAR DR GULFPORT, MS 39507 | AFLAC | $31 | — | $31 | 0.01% |
| HEALTHCARE NETWORKS OF AMERICA3 | 6127 S RAINBOW BLVD STE 100 LAS VEGAS, NV 98118 | AFLAC | $12 | — | $12 | 0.00% |
| CHRISTIE MARZARI3 Filed as: CHRISTIE M MARZARI | 3343 LANELL LN PEARL, MS 39208 | AFLAC | $9 | — | $9 | 0.00% |
| TRACY S KENDRICK3 | 70 GLEN CLINTON RD HATTIESBURG, MS 39401 | AFLAC | $6 | — | $6 | 0.00% |
| E SPEED INC3 | 129 GLENWOOD BND MADISON, MS 39110 | AFLAC | $5 | — | $5 | 0.00% |
| VICKI M BUTLER3 | 105 LONG LEAF PL MADISON, MS 39110 | AFLAC | $4 | — | $4 | 0.00% |
| AON CONSULTING INC3 Filed as: C HEWITT INC | 308 LAKE VILLAGE DR MADISON, MS 39110 | AFLAC | $2 | — | $2 | 0.00% |
| PATRICK A MCCOOL3 | 51 LAKE RDG LUMBERTON, MS 39455 | AFLAC | $2 | — | $2 | 0.00% |
| CLAYTON E JOHNSON INSURANCE3 | SERVICES, INC 925 N 12TH AVE LAUREL, MS 39440 | AMFIRST | $6K | — | $6K | 10.00% |
| MORGAN WHITE LIMITED3 Filed as: MORGAN WHITE LIMITED D/B/A | MWG BROKER SERVICES PO BOX 14067 JACKSON, MS 392364067 | AMFIRST | $3K | — | $3K | 5.00% |
| CLAYTON E JOHNSON INSURANCE3 | SERVICES INC PO BOX 87 LAUREL, MS 394410087 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | — | $4K | 14.17% |
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 | 112 | 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. |
| Total participants (= "Plan participants" tile) | 112 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 373 | $1.1M |
| Dental(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 373 | $1.0M |
| Vision(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 373 | $1.0M |
| Life insurance(2 contracts, 2 carriers) | AFLAC | 373 | $308K |
| Short-term disability | AFLAC | 373 | $281K |
| Other(3 contracts, 3 carriers) | AFLAC | 373 | $371K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 373 | — |
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.