| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| COBBS ALLEN & HALL INC3 Filed as: COBBS, ALLEN & HALL OF LA, INC. | — | BLUE CROSS BLUE SHIELD OF LOUISIANA | $15K | — | $15K | 2.66% |
| COBBS ALLEN & HALL INC3 Filed as: COBBS, ALLEN & HALL OF LA, INC. | 2250 HOSPITAL DRIVE SUITE 120 BOSSIER CITY, LA 71111 | STARMOUNT LIFE INSURANCE COMPANY | $2K | — | $2K | 8.55% |
| HIGGINBOTHAM INS AGENCY INC3 Filed as: HIGGINBOTHAM INSURANCE AGENCY, INC. | P.O. BOX 908 FORT WORTH, TX 76101 | STARMOUNT LIFE INSURANCE COMPANY | $930 | — | $930 | 3.22% |
| SUMMIT FINANCIAL GROUP INC.3 Filed as: SUMMIT FINANCIAL GROUP | 5420 LBJ FRWY, SUITE 1940 DALLAS, TX 75240 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 6.23% |
| SHEMWELL DAVID CLAYTON3 Filed as: SHEMWELL DAVID CLAYTON 7R670 | 2483 TOWER DRIVE, UNIT 5 MONROE, LA 71201 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 5.79% |
| SHEMWELL DAVID CLAYTON3 Filed as: SHEMWELL DAVID CLAYTON 7L640 | 2483 TOWER DRIVE, UNIT 5 MONROE, LA 71201 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $299 | — | $299 | 1.37% |
| KNOTTS JO NELL3 | 235 WELHAM TRACE BOSSIER CITY, LA 71112 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $250 | — | $250 | 1.15% |
| COBBS ALLEN & HALL INC3 Filed as: COBBS ALLEN & HALL OF LA, INC. | 2250 HOSPITAL DRIVE, SUITE 120 BOSSIER CITY, LA 71111 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $240 | — | $240 | 1.10% |
| COBBS ALLEN & HALL INC3 Filed as: COBBS ALLEN & HALL OF LA, INC. | 2250 HOSPITAL DRIVE, STE. 120 BOSSIER CITY, LA 71111 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $800 | — | $800 | 4.03% |
| BRIAN TATES3 | 146 MOOR ROAD SHREVEPORT, LA 71106 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $83 | $54 | $137 | 0.69% |
| VANESSA MARIA WARNER3 | 8209 HEATHERBROOK CIRCLE HAUGHTON, LA 71037 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $92 | $41 | $133 | 0.67% |
| PATRICIA T WATT3 Filed as: PATRICIA T. WATT | 2650 ANITA LANE MONROE, LA 71201 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $118 | — | $118 | 0.60% |
| CHRISTINA TURNER3 | 8715 DIXIE BLANCHARD RD. SHREVEPORT, LA 71107 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $89 | $5 | $94 | 0.47% |
| JONITA ANGELA OAKES3 | P.O. BOX 256 TROUP, TX 75789 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $74 | — | $74 | 0.37% |
| GROUP VOLUNTARY BENEFITS LLC3 Filed as: GROUP VOLUNTARY BENEFITS, LLC | 29103 CHURCH OF GOD RD. SPRINGFIELD, LA 70462 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $63 | — | $63 | 0.32% |
| 3B VENTURE GROUP INC3 Filed as: 3B VENTURE GROUP, INC. | 4915 VERGANO VILLA DR. KATY, TX 77493 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $49 | — | $49 | 0.25% |
| JENNIFER ANNE EVANS3 | 632 MUSTANG DR. CONVERSE, LA 71419 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $47 | $1 | $48 | 0.24% |
| CHRISTOPHER ELLIOTT MENARD3 | 15963 CHICKAMAUGA AVE. BATON ROUGE, LA 70817 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $47 | — | $47 | 0.24% |
| KATHERINE C WOOD3 Filed as: KATHERINE ROBERTS NOLA | 2102 POPE ST MONROE, LA 71201 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $23 | — | $23 | 0.12% |
| MICHELLE ELIZABETH CURRY3 | 2301 OLD MANSFIELD RD LOGANSPORT, LA 71049 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7 | $0 | $7 | 0.04% |
| WHITNEY NICOLE JOHNSON3 | 2631 PLUM GROVE ROAD PIONEER, LA 71266 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.03% |
| BENEFIT COUNTS, LLC3 | P.O. BOX 256 TROUP, TX 75789 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.03% |
| SONIA MELINDA PORTERO3 | 724 DUDLEY DRIVE SHREVEPORT, LA 71104 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.01% |
| BUSINESS BENEFIT CONSULTANTS LLC3 Filed as: BUSINESS BENEFIT CONSULTANTS | 2483 TOWER DR., STE. 5 MONROE, LA 712015773 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $251 | $2K | 14.08% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC DBA BUSINESS BENEFIT | 4921 SHED RD. STE. 500 BOSSIER CITY, LA 711115476 | METROPOLITAN LIFE INSURANCE COMPANY | $595 | — | $595 | 3.60% |
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 | 82 | 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) | 82 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF LOUISIANA | 67 | $576K |
| Dental | STARMOUNT LIFE INSURANCE COMPANY | 82 | $29K |
| Vision | STARMOUNT LIFE INSURANCE COMPANY | 82 | $29K |
| Life insurance(2 contracts, 2 carriers) | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 78 | $38K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 78 | $17K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF LOUISIANA | 67 | $576K |
| Other(3 contracts, 3 carriers) | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 78 | $58K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 82 | — |
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.