| 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 | $5K | $15K | 2.33% |
| BURTON MARMANDE3 | 120 SAINT MICHEL PLANTATION CT HOUMA, LA 70363 | AFLAC | $2K | — | $2K | 6.78% |
| JOSEPH BARRE3 | 117 INGLESIDE ROAD LAPLACE, LA 70068 | AFLAC | $2K | — | $2K | 4.40% |
| TESSIE P CANTRELLE3 Filed as: TESSIE CANTRELLE | 1340 WEST TUNNEL BLVD STE 650 HOUMA, LA 70360 | AFLAC | $522 | — | $522 | 1.50% |
| MASON C LEE3 Filed as: MASON LEE | 132 N ENGLEWOOD DRIVE ROCKY MOUNT, NC 27804 | AFLAC | $310 | — | $310 | 0.89% |
| FELTON J SHORT3 Filed as: FELTON SHORT | 105 ADOUE STREET HOUMA, LA 70360 | AFLAC | $308 | — | $308 | 0.88% |
| MISTY DETIVEAUX3 Filed as: MISTY DETIVEAU | 735 BAYOU DULARGE ROAD HOUMA, LA 70363 | AFLAC | $167 | — | $167 | 0.48% |
| DARREN JOSEPH VERDIN3 Filed as: DARREN VERDIN | 1340 W TUNNEL BLVD STE 650 HOUMA, LA 70363 | AFLAC | $163 | — | $163 | 0.47% |
| NEIL M MORGAN JR1 Filed as: NEIL M MORGAN, JR | 1904 ELLIS DRIVE MAIDENS, VA 23102 | AFLAC | $139 | — | $139 | 0.40% |
| FELTON J SHORT3 | 1340 W TUNEL BLVD STE 650 HOUMA, LA 70360 | AFLAC | $132 | — | $132 | 0.38% |
| CRUSER MARKETING INC3 | 7516 BLUEBONNET BLVD #116 BATON ROUGE, LA 70810 | AFLAC | $107 | — | $107 | 0.31% |
| ROCKY B CUNNINGHAM JR3 Filed as: ROCKY CUNNINGHAM JR | P. O. BOX 84478 BATON ROUGE, LA 70884 | AFLAC | $105 | — | $105 | 0.30% |
| WENDY LAPOINTE3 | 125 VOGT DRIVE BELLE CHASSE, LA 70037 | AFLAC | $87 | — | $87 | 0.25% |
| TIMOTHY VICE3 | 5118 NORTHSIDE ROAD NEW IBERIA, LA 70563 | AFLAC | $82 | — | $82 | 0.24% |
| RICKY C PISANI3 Filed as: RICKY PISANI | P. O. BOX 13757 NEW IBERIA, LA 70562 | AFLAC | $79 | — | $79 | 0.23% |
| JOHN J BASCLE3 Filed as: JOHN BASCLE | 1363 DOCTOR BEATROUS ROAD THERIOT, LA 70397 | AFLAC | $56 | — | $56 | 0.16% |
| JACOB BURTON BROUILLETTE3 Filed as: JACOB BROUILLETTE | 452 BELLE POINTE DRIVE MADISONVILLE, LA 70447 | AFLAC | $47 | — | $47 | 0.13% |
| ROGER A PISANI3 Filed as: ROGER PISANI | P. O. BOX 11136 NEW IBERIA, LA 70562 | AFLAC | $44 | — | $44 | 0.13% |
| ANN DUTHU SHANK3 | 35 ADIN DRIVE MANDEVILLE, LA 70471 | AFLAC | $39 | — | $39 | 0.11% |
| ROBERT BODIN3 | 600 MCILHENNY STREET NEW IBERIA, LA 70563 | AFLAC | $38 | — | $38 | 0.11% |
| JAMES VERGENAL3 | 811 DARTEZ DRIVE NEW IBERIA, LA 70563 | AFLAC | $36 | — | $36 | 0.10% |
| TAMMY M GASPARD3 Filed as: TAMMY GASPARD | 501 OAK MANOR DRIVE NEW IBERIA, LA 70563 | AFLAC | $34 | — | $34 | 0.10% |
| HEATHER BASCLE3 | 1363 DOCTOR BEATROUS ROAD THERIOT, LA 70397 | AFLAC | $27 | — | $27 | 0.08% |
| AMY BARYLAK3 | 15094 COLDWATER DRIVE WALKER, LA 70785 | AFLAC | $21 | — | $21 | 0.06% |
| JEFF M DEROUEN3 Filed as: JEFF DEROUEN | 5216 HIGHWAY 14 NEW IBERIA, LA 70560 | AFLAC | $20 | — | $20 | 0.06% |
| JOHN D BODKER3 Filed as: JOHN BODKER | 11230 WEST AVE STE 3101 SAN ANTONIO, TX 78213 | AFLAC | $17 | — | $17 | 0.05% |
| DAVID LAVIGNE3 | 210 ELYSIAN FIELDS DRIVE LAFAYETTE, LA 70508 | AFLAC | $11 | — | $11 | 0.03% |
| JUSTIN C LAMB3 | 3612 DAYDREAM PL ST CLOUD, FL 34772 | AFLAC | $10 | — | $10 | 0.03% |
| CALVIN BEGNAUD3 | 605 ASTOR PLACE DRIVE NEW IBERIA, LA 70563 | AFLAC | $10 | — | $10 | 0.03% |
| GALLAGHER BENEFIT SERVICES, INC.3 | P. O. BOX 3009 ARLINGTON HEIGHTS, IL 60006 | AFLAC | $10 | — | $10 | 0.03% |
| RUDY LANDRY3 | P. O. BOX 365 PORT BARRE, LA 70577 | AFLAC | $8 | — | $8 | 0.02% |
| SIERRA RODRIGUEZ ERHART3 | 16 S CANE CIR HOUMA, LA 70363 | AFLAC | $7 | — | $7 | 0.02% |
| TROY DANIEL DESLATTE3 Filed as: TROY DESLATTE | 107 SHADY PARK DRIVE LAFAYETTE, LA 70508 | AFLAC | $6 | — | $6 | 0.02% |
| ROBERT S BOX3 Filed as: ROBERT BOX | 2311 WILLOW PASS DRIVE KINGWOOD, TX 77339 | AFLAC | $6 | — | $6 | 0.02% |
| ERROL B WILKEN3 Filed as: ERROL B WILKIN | 5204 CRAIG AVE KENNER, LA 70065 | AFLAC | $6 | — | $6 | 0.02% |
| HEC BENEFIT SOLUTIONS LLC3 | P. O. BOX 84478 BATON ROUGE, LA 70084 | AFLAC | $6 | — | $6 | 0.02% |
| KAREN LYNN GRACZYK3 | 378 LEE ROAD 2194 PHEXNIX CITY, AL 36870 | AFLAC | $4 | — | $4 | 0.01% |
| KEITH WILLIAM BELLE3 Filed as: KEITH BELLE | 302 LA RUE FRANCE STE 100 LAFAYETTE, LA 70508 | AFLAC | $3 | — | $3 | 0.01% |
| BLAZE FREMIN3 | P. O. BOX 53871 LAFAYETTE, LA 70505 | AFLAC | $3 | — | $3 | 0.01% |
| BYRON KEITH BURRELL3 | 2330 QUATTLEBAUM CV CONWAY, AR 72034 | AFLAC | $2 | — | $2 | 0.01% |
| RYAN BENTON WILLIAMS3 | 12526 LAKE LAMOND AVE BATON ROUGE, LA 70816 | AFLAC | $2 | — | $2 | 0.01% |
| ELLSWORTH CORPORATION3 | P. O. BOX 8210 METAIRIE, LA 700118210 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | — | $5K | 16.54% |
| 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 | $67K |
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 | 97 | 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) | 97 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF LOUISIANA | 97 | $655K |
| Dental | BLUE CROSS BLUE SHIELD OF LOUISIANA | 97 | $655K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 93 | $33K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF LOUISIANA | 97 | $655K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF LOUISIANA | 97 | $655K |
| Other(2 contracts, 2 carriers) | AFLAC | 93 | $68K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 97 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.