| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| REGIONS INSURANCE INC3 | PO BOX 13389 JACKSON, MS 39236 | UNITED HEALTHCARE INSURANCE CO | $16K | — | $16K | 7.61% |
| REGIONS INS GROUP, INC.3 | PO BOX 2153 BIRMINGHAM, AL 352870001 | UNITED OF OMAHA LIFE INSURANCE CO. | $12K | $6K | $18K | 17.03% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE | PO BOX 896620 CHARLOTTE, NC 28289 | UNITED OF OMAHA LIFE INSURANCE CO. | $4K | — | $4K | 3.93% |
| REGIONS INS GROUP, INC.3 | PO BOX 2153 BIRMINGHAM, AL 35287 | UNITED OF OMAHA LIFE INSURANCE CO. | $5K | $2K | $8K | 19.78% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE | PO BOX 896620 CHARLOTTE, NC 28289 | UNITED OF OMAHA LIFE INSURANCE CO. | $493 | — | $493 | 1.26% |
| REGIONS INSURANCE INC | 6000 POPLAR AVE, STE 300 MEMPHIS, TN 38119 | UNITED OF OMAHA LIFE INSURANCE CO. | $2K | $2K | $4K | 10.36% |
| MCGRIFF INSURANCE SERVICES INC Filed as: MCGRIFF INSURANCE | PO BOX 896620 CHARLOTTE, NC 28289 | UNITED OF OMAHA LIFE INSURANCE CO. | $3K | — | $3K | 7.89% |
| PAYCOM PAYROLL LLC5 Filed as: PAYCOM PAYROLL, LLC | 7501 W MEMORIAL RD OKLAHOMA CITY, OK 73142 | UNITED OF OMAHA LIFE INSURANCE CO. | — | $2K | $2K | 6.12% |
| REGIONS INS GROUP, INC.3 | PO BOX 2153 BIRMINGHAM, AL 35287 | UNITED OF OMAHA LIFE INSURANCE CO. | $1K | — | $1K | 2.87% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE | PO BOX 896620 CHARLOTTE, NC 23289 | UNITED OF OMAHA LIFE INSURANCE CO. | $3K | — | $3K | 8.51% |
| REGIONS INSURANCE INC3 | 6000 POPLAR AVE, STE 300 MEMPHIS, TN 38119 | UNITED OF OMAHA LIFE INSURANCE CO. | $1K | $1K | $3K | 8.48% |
| PAYCOM PAYROLL LLC5 Filed as: PAYCOM PAYROLL, LLC | 7501 W MEMORIAL RD OKLAHOMA CITY, OK 73142 | UNITED OF OMAHA LIFE INSURANCE CO. | — | $2K | $2K | 7.13% |
| REGIONS INS GROUP, INC.3 | PO BOX 2153 BIRMINGHAM, AL 35287 | UNITED OF OMAHA LIFE INSURANCE CO. | $858 | — | $858 | 2.75% |
| MWGB3 | PO BOX 14067 JACKSON, MS 39236 | MORGAN WHITE GROUP | $423 | — | $423 | 13.96% |
| MWL3 | PO BOX 14067 JACKSON, MS 39236 | MORGAN WHITE GROUP | $1 | — | $1 | 0.03% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE SERVICES, INC EIN 41-1289245 CLAIMS PROCESSOR | Claims processing Service code 12 | 795 WOODLANDS PARKWAY RIDGELAND, MS 39157 | $213K |
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 | 301 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 301 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED HEALTHCARE INSURANCE CO | 303 | $213K |
| Dental(2 contracts, 2 carriers) | UNITED HEALTHCARE INSURANCE CO | 303 | $216K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE CO. | 376 | $147K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE CO. | 376 | $39K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE CO. | 115 | $31K |
| Other | UNITED OF OMAHA LIFE INSURANCE CO. | 102 | $36K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 376 | — |
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.