| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BXS INSURANCE INC3 Filed as: BANCORPSOUTH INSURANCE SERVICES INC | P.O. BOX 1976 HATTIESBURG, MS 39403 | SUN LIFE ASSURANCE COMPANY OF CANADA | $22K | — | $22K | 10.37% |
| BXS INSURANCE INC3 Filed as: BANCORPSOUTH INS SERVICES INC | P.O. BOX 1976 HATTIESBURG, MS 39403 | SUN LIFE ASSURANCE COMPANY OF CANADA | $5K | — | $5K | 8.99% |
| BXS INSURANCE INC3 Filed as: BANCORPSOUTH INS SERVICES INC | P.O. BOX 3809 BATON ROUGE, LA 708213809 | NATIONAL GUARDIAN LIFE | $7K | — | $7K | 13.64% |
| BXS INSURANCE INC3 Filed as: BANCORPSOUTH INS SERVICES INC | P.O. BOX 1976 HATTIESBURG, MS 39403 | SUN LIFE ASSURANCE COMPANY OF CANADA | $590 | — | $590 | 8.91% |
| BXS INSURANCE INC Filed as: BANCORPSOUTH INS SERVICES INC | P.O. BOX 1976 HATTIESBURG, MS 39403 | SUN LIFE ASSURANCE COMPANY OF CANADA | $99 | — | $99 | 8.92% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE SERVICES, INC. EIN 41-1289245 CLAIMS PROCESSOR | Other services; Claims processing Service code 12 | 9900 BREN ROAD MN008-T390 MINNETONKA, MN 55343 | $386K |
| BANCORPSOUTH INS SERVICES, INC. EIN 72-1381997 BROKER | Other commissions Service code 55 | P.O. BOX 250 GULFPORT, MS 395020250 | $0 |
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 | 665 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 665 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 632 | $208K |
| Vision | NATIONAL GUARDIAN LIFE | 454 | $53K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 315 | $7K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 315 | $53K |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 315 | $1K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 665 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.