| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FORTENBERRY MCNAMARA, LLC3 | 1640 LELIA DR STE 220 JACKSON, MS 39216 | IRONSHORE INDEMNITY, INC. | $30K | — | $30K | 3.75% |
| PERCY L BLAND JR. & COMPANY3 Filed as: PERCY L BLAND, JR. & COMPANY | PO BOX 10076 JACKSON, MS 392860076 | IRONSHORE INDEMNITY, INC. | $30K | — | $30K | 3.75% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MS EIN 64-0295748 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | P.O. BOX 1043 JACKSON, MS 392151043 | $420K |
| MPE EMPLOYEE BENEFIT SERVICES, INC. EIN 13-4222123 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | P.O. BOX 24327 JACKSON, MS 392254327 | $43K |
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 | 1,226 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,226 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | IRONSHORE INDEMNITY, INC. | 1,226 | $790K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,226 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.