| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| REGIONS INSURANCE INC3 Filed as: REGIONS INSURANCE | 405 E. ST. PETER STREET NEW IBERIA, LA 70560 | HCC LIFE INSURANCE COMPANY | — | $22K | $22K | 7.87% |
| MICHAEL CRATON/REGIONS INSURANCE3 | 405 E. ST. PETER STREET NEW IBERIA, LA 70560 | CIGNA HEALTHCARE | — | — | $0 | 0.00% |
| MICHAEL CRATON/REGIONS INSURANCE3 | 405 E. ST. PETER STREET NEW IBERIA, LA 70560 | MEDCOM CARE MANAGEMENT, INC. | — | — | $0 | 0.00% |
| REGIONS INSURANCE INC3 | 405 E ST., PETER STREET NEW IBERIA, LA 70560 | OXFORD STREET ASSOCIATES, LLC | — | — | $0 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| GILSBAR EIN 72-0519951 | Claims processing Service code 12 | P O BOX 998 COVINGTON, LA 70434 | $129K |
| MEDICAL EXCESS LLC EIN 46-0493280 | Other insurance fees and expenses Service code 73 | 3600 ROUTE 66, M.S. 4L NEPTUNE, NJ 07753 | $35K |
| CMB & ASSOCIATES EIN 65-0742969 | Consulting (pension) Service code 17 | 1100 NE 163 STREET N. MIAMA, FL 33162 | $4 |
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 | 250 | 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) | 250 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | HCC LIFE INSURANCE COMPANY | 250 | $324K |
| Other | MEDCOM CARE MANAGEMENT, INC. | 250 | $12K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 250 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.