| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: DWIGHT W. ANDRUS INSURANCE INC. | 500 DOVER BLVD., #110 LAFAYETTE, LA 70503 | QBE INSURANCE | — | — | $0 | 0.00% |
| JASON MAYNARD3 | 131 E EDITH RD LAFAYETTE, LA 70508 | AFLAC | $2K | $10 | $2K | 2.41% |
| KEITH WILLIAM BELLE3 | 302 LA RUE FRANCE STE 100 LAFAYETTE, LA 70508 | AFLAC | $1K | $5 | $1K | 1.29% |
| SHERRY DEAN HOMAN | 1307 THOMASSEE RD ARNAUDVILLE, LA 70512 | AFLAC | $1K | $10 | $1K | 1.09% |
| FRANKLIN W STOUTE3 | 2388 PEACH BLOOM HWY CHURCH POINT, LA 70525 | AFLAC | $658 | — | $658 | 0.68% |
| MICHAEL JOSEPH ROBICHEAUX3 | 104 WAYSIDE DR LAFAYETTE, LA 70506 | AFLAC | $630 | — | $630 | 0.65% |
| BLAZE J FREMIN3 | PO BOX 53871 LAFAYETTE, LA 70505 | AFLAC | $625 | — | $625 | 0.65% |
| TROY DANIEL DESLATTE3 | 107 SHADY PARK DR LAFAYETTE, LA 70508 | AFLAC | $425 | — | $425 | 0.44% |
| TED MARION LEGE3 | 302 BON TEMPS DR LAFAYETTE, LA 70506 | AFLAC | $289 | — | $289 | 0.30% |
| ROBERT G ANGERS3 | PO BOX 91624 LAFAYETTE, LA 70509 | AFLAC | $275 | — | $275 | 0.29% |
| SOUTH CENTRAL INSURANCE BROKERS LLC3 Filed as: SOUTH CENTRAL INSURANCE BROKERS | 305 E 3RD ST CROWLEY, LA 70526 | AFLAC | $157 | — | $157 | 0.16% |
| DEREK JOSEPH STUTES | 1301 WESTMORELAND ST LAKE CHARLES, LA 70605 | AFLAC | $157 | — | $157 | 0.16% |
| CRUSER MARKETING INC3 | 7516 BLUEBONNET BLVD 116 BATON ROUGE, LA 70810 | AFLAC | $152 | — | $152 | 0.16% |
| MICHELLE A BAUGHMAN3 | 109 BAKER ST BROUSSARD, LA 70518 | AFLAC | $152 | — | $152 | 0.16% |
| THEODORE AUTHEMENT3 | 800 RYAN ST STE 200 LAKE CHARLES, LA 70601 | AFLAC | $140 | — | $140 | 0.15% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: FREMIN INSURANCE & RISK MANAGEMENT | 140 RUE BEAUREGARD STE C LAFAYETTE, LA 70508 | AFLAC | $136 | — | $136 | 0.14% |
| TERRY JAMES LAPORTE3 | 1007 HUGH DRIVE SAINT MARTINVILLE, LA 70582 | AFLAC | $74 | — | $74 | 0.08% |
| KAYLA M SIMON3 | 1050 COOPER RD ARNAUDVILLE, LA 70512 | AFLAC | $70 | — | $70 | 0.07% |
| SHANE A DUPONT3 | 771 PELICAN LANE COPPELL, TX 75019 | AFLAC | $66 | — | $66 | 0.07% |
| BRIAN JASON THOMPSON3 | 103 BEAU REPOSE LAFAYETTE, LA 70508 | AFLAC | $49 | — | $49 | 0.05% |
| NICHOLAS S LAFLEUR | P.O. BOX 748 YOUNGSVILLE, LA 70592 | AFLAC | $47 | — | $47 | 0.05% |
| ADRIAN S JOHNSON3 | 289 MONTROSE PL BOSSIER CITY, LA 71111 | AFLAC | $46 | — | $46 | 0.05% |
| SHERRIE DENISE ARCENEAUX3 | 107 KEENELAND LN LAFAYETTE, LA 70503 | AFLAC | $40 | — | $40 | 0.04% |
| MICHAEL SCHROEDER | 2303 ASHLAND AVE BOSSIER CITY, LA 71111 | AFLAC | $38 | — | $38 | 0.04% |
| TROY JAMES LEBLANC3 | 201 PRESCOTT BLVD APT 1136 YOUNGSVILLE, LA 70592 | AFLAC | $36 | — | $36 | 0.04% |
| PATRICK J NEWSOM | 368 HIGHLAND OAKS AVE GRAY, LA 70359 | AFLAC | $32 | — | $32 | 0.03% |
| STACIE K BELLE3 | 105 GENNA LN YOUNGSVILLE, LA 70592 | AFLAC | $28 | — | $28 | 0.03% |
| ERROL B WILKEN3 | 5204 CRAIG AVE KENNER, LA 70065 | AFLAC | $20 | — | $20 | 0.02% |
| JIMMY LEON JOHNSON3 | 40 AVERY ST ST AUGUSTINE, FL 32084 | AFLAC | $19 | — | $19 | 0.02% |
| DAVID MARKS3 | 4021 WE HECK CT BLDG J BATON ROUGE, LA 70816 | AFLAC | $16 | — | $16 | 0.02% |
| DAVID MARKS | 14161 PARK SQUARE DR BATON ROUGE, LA 70810 | AFLAC | $13 | — | $13 | 0.01% |
| PATRICK J NEWSOM3 | 2506 VIDA SHAW RD NEW IBERIA, LA 70563 | AFLAC | $12 | — | $12 | 0.01% |
| LISA SARRADET NEWSOM3 Filed as: LISA NEWSOM | 104 ARAPAHOE DR LAFAYETTE, LA 70503 | AFLAC | $12 | — | $12 | 0.01% |
| TERRY J STUTES | 1825 MOSS ST LAKE CHARLES, LA 70601 | AFLAC | $12 | — | $12 | 0.01% |
| LACEY A FONTENOT3 | 5264 HIGHWAY 182 OPELOUSAS, LA 70570 | AFLAC | $10 | — | $10 | 0.01% |
| RONDA R LAHOOD | PO BOX 893 IOWA, LA 70647 | AFLAC | $10 | — | $10 | 0.01% |
| JIMMY LEON JOHNSON | 411 WALNUT ST #16846 GREEN COVE SPRINGS, FL 32043 | AFLAC | $2 | — | $2 | 0.00% |
| ASSUREDPARTNERS Filed as: DWIGHT W. ANDRUS INSURANCE INC. | 500 DOVER BLVD., #110 LAFAYETTE, LA 70503 | DELTA DENTAL INSURANCE COMPANY | $8K | — | $8K | 10.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS INC. | 421 W 3RD ST STE 800 FORT WORTH, TX 76102 | DELTA DENTAL INSURANCE COMPANY | $1K | — | $1K | 1.76% |
| ASSUREDPARTNERS3 Filed as: DWIGHT W. ANDRUS INSURANCE INC. | 500 DOVER BLVD., #110 LAFAYETTE, LA 70503 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $9K | — | $9K | 19.15% |
| ODON LESSLEY BACQUE3 | 102 VERSAILLES BLVD STE 808 LAFAYETTE, LA 70501 | MML BAYSTATE LIFE INSURANCE COMPANY | $1K | — | $1K | — |
| RICHARD A SCHEGA3 | 3838 N CAUSEWAY BLVD STE 3400 METARIE, LA 70002 | MML BAYSTATE LIFE INSURANCE COMPANY | $430 | — | $430 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| OPTUMRX, INC EIN 33-0441200 PHARMACY BENEFIT MGMT | Direct payment from the plan; Claims processing; Other fees; Float revenue Service code 12 | PO BOX 2975 MISSION, KS 66201 | $713K |
| RX BENEFITS EIN 63-1157085 PHARMACY BENEFIT MGMT | Claims processing; Direct payment from the plan Service code 12 | 3700 COLONNADE PKWY STE 600 BIRMINGHAM, AL 35243 | $487K |
| UMR, INC. EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | 11 SCOTT ST, SUITE 100 WAUSAU, WI 54403 | $113K |
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 | 180 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 180 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | QBE INSURANCE | 180 | $338K |
| Dental | DELTA DENTAL INSURANCE COMPANY | 279 | $83K |
| Life insurance(3 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 181 | $48K |
| Short-term disability | AFLAC | 102 | $96K |
| Other(2 contracts, 2 carriers) | QBE INSURANCE | 181 | $385K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 279 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.