| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ELLSWORTH CORPORATION3 | 3636 I-10 SERVICE ROAD STE 100-101 METAIRIE, LA 70001 | BLUE CROSS BLUE SHIELD OF LOUISIANA | $10K | $2K | $12K | 1.01% |
| ELLSWORTH CORPORATION3 | 3636 S I-10 SERVICE RD STE 101 METAIRIE, LA 70001 | HM LIFE INSURANCE COMPANY | $38K | — | $38K | 14.83% |
| BURTON MARMANDE3 | 120 SAINT MICHEL PLANTATION CT HOUMA, LA 70363 | AFLAC | $2K | $22 | $2K | 4.93% |
| JOSEPH BARRE3 | 117 INGLESIDE ROAD LAPLACE, LA 70068 | AFLAC | $998 | $22 | $1K | 2.35% |
| MASON C LEE3 Filed as: MASON LEE | 132 N ENGLEWOOD DRIVE ROCKY MOUNT, NC 27804 | AFLAC | $413 | — | $413 | 0.95% |
| TESSIE P CANTRELLE3 Filed as: TESSIE CANTRELLE | 1340 WEST TUNNEL BLVD STE 650 HOUMA, LA 70360 | AFLAC | $380 | — | $380 | 0.87% |
| MISTY DETIVEAUX3 Filed as: MISTY DETIVEAU | 735 BAYOU DULARGE ROAD HOUMA, LA 70363 | AFLAC | $295 | $9 | $304 | 0.70% |
| DARREN JOSEPH VERDIN3 Filed as: DARREN VERDIN | 1340 W TUNNEL BLVD STE 650 HOUMA, LA 70363 | AFLAC | $259 | — | $259 | 0.60% |
| NEIL M MORGAN JR3 Filed as: NEIL MORGAN JR | 1904 ELLIS DRIVE MAIDENS, VA 23102 | AFLAC | $185 | — | $185 | 0.43% |
| ROCKY B CUNNINGHAM JR3 Filed as: ROCKY CUNNINGHAM JR | P. O. BOX 84478 BATON ROUGE, LA 70884 | AFLAC | $162 | — | $162 | 0.37% |
| CRUSER MARKETING INC3 | 7516 BLUEBONNET BLVD #116 BATON ROUGE, LA 70810 | AFLAC | $142 | — | $142 | 0.33% |
| WENDY LAPOINTE3 | 125 VOGT DRIVE BELLE CHASSE, LA 70037 | AFLAC | $120 | $4 | $124 | 0.29% |
| TIMOTHY VICE3 | 5118 NORTHSIDE ROAD NEW IBERIA, LA 70563 | AFLAC | $107 | — | $107 | 0.25% |
| RICKY C PISANI3 Filed as: RICKY PISANI | P. O. BOX 13757 NEW IBERIA, LA 70562 | AFLAC | $103 | — | $103 | 0.24% |
| JACOB BURTON BROUILLETTE3 Filed as: JACOB ROUILLETTE | 452 BELLE POINTE DRIVE MADISONVILLE, LA 70447 | AFLAC | $85 | — | $85 | 0.20% |
| JOHN J BASCLE3 Filed as: JOHN BASCLE | 1363 DOCTOR BEATROUS ROAD THERIOT, LA 70397 | AFLAC | $77 | $4 | $81 | 0.19% |
| ROGER A PISANI3 Filed as: ROGER PISANI | P. O. BOX 11136 NEW IBERIA, LA 70562 | AFLAC | $57 | — | $57 | 0.13% |
| ANN DUTHU SHANK3 Filed as: ANN SHANK | 36 ARDIN DDRIVE MANDEVILLE, LA 70471 | AFLAC | $54 | — | $54 | 0.12% |
| ROBERT BODIN3 | 600 MCILHENNY STREET NEW IBERIA, LA 70563 | AFLAC | $49 | — | $49 | 0.11% |
| HEATHER BASCLE3 | 1363 DOCTOR BEATROUS ROAD THERIOT, LA 70397 | AFLAC | $36 | — | $36 | 0.08% |
| JEFF M DEROUEN3 Filed as: JEFF DEROUEN | 5216 HIGHWAY 14 NEW IBERIA, LA 70560 | AFLAC | $27 | — | $27 | 0.06% |
| AMY BARYLAK3 | 15094 COLDWATER DRIVE WALKER, LA 70785 | AFLAC | $24 | — | $24 | 0.06% |
| JAMES VERGENAL3 | 811 DARTEZ DRIVE NEW IBERIA, LA 70563 | AFLAC | $23 | — | $23 | 0.05% |
| JOHN D BODKER3 Filed as: JOHN BODKER | 11230 WEST AVE STE 3101 SAN ANTONIO, TX 78213 | AFLAC | $23 | — | $23 | 0.05% |
| KEITH WILLIAM BELLE3 Filed as: KEITH BELLE | 113 FLAGG PLACE BLDG 6 STE C LAFAYETTE, LA 70508 | AFLAC | $8 | $9 | $17 | 0.04% |
| DAVID LAVIGNE3 | 210 ELYSIAN FIELDS DRIVE LAFAYETTE, LA 70508 | AFLAC | $15 | — | $15 | 0.03% |
| CALVIN BEGNAUD3 | 605 ASTOR PLACE DRIVE NEW IBERIA, LA 70563 | AFLAC | $13 | — | $13 | 0.03% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE ITASCA, IL 60143 | AFLAC | $13 | — | $13 | 0.03% |
| DANA GALBREATH3 | 301 NEDERLAND DRIVE HOUMA, LA 70363 | AFLAC | $10 | — | $10 | 0.02% |
| RUDY LANDRY3 | P. O. BOX 365 PORT BARRE, LA 70577 | AFLAC | $10 | — | $10 | 0.02% |
| SIERRA RODRIGUEZ ERHART3 | 16 S CANE CIR HOUMA, LA 70363 | AFLAC | $9 | — | $9 | 0.02% |
| TROY DANIEL DESLATTE3 Filed as: TROY DESLATTE | 107 SHADY PARK DRIVE LAFAYETTE, LA 70508 | AFLAC | $8 | — | $8 | 0.02% |
| ROBERT S BOX3 Filed as: ROBERT BOX | 2311 WILLOW PASS DRIVE KINGWOOD, TX 77339 | AFLAC | $7 | — | $7 | 0.02% |
| BLAZE FREMIN3 | P. O. BOX 53871 LAFAYETTE, LA 70505 | AFLAC | $3 | — | $3 | 0.01% |
| ELLSWORTH CORPORATION3 | P. O. BOX 8210 METAIRIE, LA 700118210 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | — | $6K | 18.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD EIN 23-7384555 NONE | Contract Administrator Service code 13 | P. O. BOX 98029 BATON ROUGE, LA 708989029 | $64K |
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 | 107 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 107 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF LOUISIANA | 107 | $1.2M |
| Dental | BLUE CROSS BLUE SHIELD OF LOUISIANA | 107 | $1.2M |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 106 | $34K |
| Stop-loss / reinsurancereinsurance | HM LIFE INSURANCE COMPANY | 107 | $256K |
| Other(2 contracts, 2 carriers) | AFLAC | 106 | $77K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 107 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.