| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JAMIE A CONTRERAS-VESTAL3 Filed as: JAMIE TAYLOR | — | BLUE CROSS & BLUE SHIELD OF MISSISSIPPI, A MUTUAL INSURANCE COMPANY | $12K | — | $12K | 4.09% |
| JAMIE A CONTRERAS-VESTAL3 Filed as: JAMIE TAYLOR | — | BLUE CROSS & BLUE SHIELD OF MISSISSIPPI, A MUTUAL INSURANCE COMPANY | $5K | — | $5K | 3.83% |
| JAMIE A CONTRERAS-VESTAL3 Filed as: JAMIE TAYLOR | — | BLUE CROSS & BLUE SHIELD OF MISSISSIPPI, A MUTUAL INSURANCE COMPANY | $6K | — | $6K | 4.50% |
| CEJ3 | PO BOX 87 LAUREL, MS 39441 | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | $2K | — | $2K | 1.54% |
| MARK THACKER AT INSURANCE3 | 517 N HAMILTON ST HIGH POINT, NC 27262 | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | $2K | — | $2K | 1.54% |
| KELLY & ASSOCIATES INSURANCE GROUP3 Filed as: KELLY SANNER | — | BLUE CROSS & BLUE SHIELD OF MISSISSIPPI, A MUTUAL INSURANCE COMPANY | $6K | — | $6K | 6.21% |
| JTS FINANCIAL SERVICES3 Filed as: JTS FINANCIAL SERVICES LLC | 1616 BROOKWOOD DR LITTLE ROCK, AR 72202 | SUN LIFE ASSURANCE COMPANY OF CANADA | $3K | — | $3K | 9.59% |
| TANYA R SKIPPER3 | 915 BEAT 4 SHUBUTA RD SHUBUTA, MS 39360 | AFLAC | $1K | $51 | $1K | 8.21% |
| CLAYTON E JOHNSON INSURANCE3 Filed as: CLAYTON E JOHNSON INS SVCS, INC | PO BOX 87 LAUREL, MS 39441 | AFLAC | $675 | $0 | $675 | 3.74% |
| J NELSON LLC3 | 112 HICKORY HILLS LOOP PURVIS, MS 39475 | AFLAC | $271 | $20 | $291 | 1.61% |
| TAMMY LYNN AINSWORTH3 | 650 PECAN GROVE RD ELLISVILLE, MS 39437 | AFLAC | $235 | $42 | $277 | 1.54% |
| MADISON STALEY3 | 10604 WREN GRV GULFPORT, MS 39503 | AFLAC | $115 | — | $115 | 0.64% |
| MELISSA WOMACK3 | 597 HEBRON CENTERVILLE RD SOSO, MS 39480 | AFLAC | $1 | — | $1 | 0.01% |
| JOSEPH E PARKER JR3 | 17 STONECREST HATTIESBURG, MS 39402 | AFLAC | $0 | — | $0 | 0.00% |
| CLAYTON E JOHNSON INSURANCE3 Filed as: CLAYTON E JOHNSON | PO BOX 87 LAUREL, MS 39441 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 15.00% |
| TANYA R SKIPPER3 | 915 BEAT 4 SHUBUTA RD SHUBUTA, MS 39360 | AFLAC | $1K | $0 | $1K | 9.82% |
| CLAYTON E JOHNSON INSURANCE3 Filed as: CLAYTON E JOHNSON INS SVCS, INC | PO BOX 87 LAUREL, MS 39441 | AFLAC | $239 | $0 | $239 | 2.29% |
| J NELSON LLC3 | 112 HICKORY HILLS LOOOP PURVIS, MS 39475 | AFLAC | $161 | $0 | $161 | 1.54% |
| TAMMY LYNN AINSWORTH3 | 650 PECAN GROVE RD ELLISVILLE, MS 39437 | AFLAC | $120 | $0 | $120 | 1.15% |
| MADISON STALEY3 | 10604 WREN GRV GULFPORT, MS 39503 | AFLAC | $65 | — | $65 | 0.62% |
| TANYA R SKIPPER3 | 915 BEAT 4 SHUBUTA RD SHUBUTA, MS 39360 | AFLAC | $670 | $18 | $688 | 6.89% |
| CLAYTON E JOHNSON INSURANCE3 Filed as: CLAYTON E. JOHNSON INS SVCS, INC. | PO BOX 87 LAUREL, MS 39441 | AFLAC | $316 | — | $316 | 3.17% |
| J NELSON LLC3 | 112 HICKORY HILLS LOOOP PURVIS, MS 39475 | AFLAC | $140 | $7 | $147 | 1.47% |
| TAMMY LYNN AINSWORTH3 | 650 PECAN GROVE RD ELLISVILLE, MS 39437 | AFLAC | $76 | $14 | $90 | 0.90% |
| CANDICE JAMES3 | PO BOX 309 MOSELLE, MS 39459 | AFLAC | $72 | — | $72 | 0.72% |
| MADISON STALEY3 | 10604 WREN GRV GULFPORT, MS 39503 | AFLAC | $43 | — | $43 | 0.43% |
| JOSEPH E PARKER JR3 | 17 STONECREST HATTIESBURG, MS 39532 | AFLAC | $20 | — | $20 | 0.20% |
| MARK BUTLER INC3 | 747 HOLLY HILLS DR BILOXI, MS 39532 | AFLAC | $12 | — | $12 | 0.12% |
| KERMIT REGINALD THAMES3 | PO BOX 4320 LAUREL, MS 39441 | AFLAC | $8 | — | $8 | 0.08% |
| RANDALL D LADNER3 | 18 53RD CIR GULFPORT, MS 39441 | AFLAC | $2 | — | $2 | 0.02% |
| GARY L THORNTON3 | PO BOX 8173 LAUREL, MS 39441 | AFLAC | $1 | — | $1 | 0.01% |
| MARY ANN TRICE3 | 70 TRACE RD LAUREL, MS 39443 | AFLAC | $1 | — | $1 | 0.01% |
| PETER B WILKINSON JR3 | 1408 LANCELOT AVE WOLFFORTH, TX 79382 | AFLAC | $1 | — | $1 | 0.01% |
| VICKI M BUTLER3 | 105 LONG LEAF PL MADISON, MS 39110 | AFLAC | $1 | — | $1 | 0.01% |
| JOSEPH E PARKER JR3 | 17 STONECREST HATTIESBURG, MS 39402 | AFLAC | $2K | $52 | $2K | 23.43% |
| MADISON STALEY3 | 10604 WREN GRV GULFPORT, MS 39503 | AFLAC | $142 | — | $142 | 1.44% |
| J NELSON LLC3 | 112 HICKORY HILLS LOOP PURVIS, MS 39475 | AFLAC | $113 | $11 | $124 | 1.26% |
| ROBERT GUY FAIRLEY3 | 1317 DR CAMPBELL DR WIGGINS, MS 39577 | AFLAC | $56 | $11 | $67 | 0.68% |
| TANYA R SKIPPER3 | 915 BEAT 4 SHUBUTA RD SHUBUTA, MS 39360 | AFLAC | $131 | $0 | $131 | 5.89% |
| JILLIAN C NELSON3 | 1929 SPILLWAY RD STE 3 BRANDON, MS 39047 | AFLAC | $39 | $0 | $39 | 1.75% |
| CLAYTON E JOHNSON INSURANCE3 Filed as: CLAYTON E JOHNSON INS SVCS, INC | PO BOX 87 LAUREL, MS 39441 | AFLAC | $13 | — | $13 | 0.58% |
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 | 104 | 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) | 104 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 2 carriers) | BLUE CROSS & BLUE SHIELD OF MISSISSIPPI, A MUTUAL INSURANCE COMPANY | 52 | $800K |
| Dental | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | 11 | $123K |
| Life insurance(3 contracts, 3 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 99 | $53K |
| Short-term disability(5 contracts) | AFLAC | 37 | $51K |
| Other(7 contracts, 3 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 99 | $94K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 99 | — |
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.