| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KENNETH ST. ROMAIN3 | P.O. BOX 728 NEW ROADS, LA 70760 | BLUE CROSS BLUESHIELD OF LOUISIANA | $25K | $0 | $25K | 3.05% |
| BENEFIT STRATEGIES & ADMIN3 | 325 HIAWATHA TRAIL PINEVILLE, LA 71360 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $446 | $59 | $505 | 1.46% |
| DANIEL C. BENNETTS3 | 333 GARY K STREET PINEVILLE, LA 71360 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $491 | $0 | $491 | 1.42% |
| ANDRE JEROME GONZAQUE3 | 17701 SUMMA LAKE DR LIVINGSTON, LA 70754 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $127 | $11 | $138 | 0.40% |
| DANA NICOLE CAMPBELL3 | PO BOX 38 TIOGA, LA 71477 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $126 | $4 | $130 | 0.38% |
| TERRI L FIRMIN3 | 2866 HWY 114 HESSMER, LA 71341 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $68 | $32 | $100 | 0.29% |
| ELAINE MORAN3 | 201 FAIRBROOK ST PINEVILLE, LA 71360 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $95 | $2 | $97 | 0.28% |
| KEVIN L BRUNSON3 | 131 ROBIN HOOD ROAD DRY PRONG, LA 71423 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $77 | $0 | $77 | 0.22% |
| WILLIS TOWERS WATSON US LLC3 Filed as: STEVE E WILLIS | 823 KIRKMAN ST APT 3 LAKE CHARLES, LA 70601 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $61 | $0 | $61 | 0.18% |
| BRIDGET D ETCHESON3 | 3264 PLEASANT LN DERIDDER, LA 70634 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $59 | $0 | $59 | 0.17% |
| SOUTHERN CAPITAL BROKERAGE LLC3 Filed as: SOUTHERN CAPITAL BROKERAGE | PO BOX 262 JACKSON, MS 39205 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $34 | $0 | $34 | 0.10% |
| CHARLINE PARKER3 Filed as: CHARLINE T PARKER | 6390 TWIN BRIDGES RD ALEXANDRIA, LA 71303 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | $1 | $4 | 0.01% |
| GROUP VOLUNTARY BENEFITS LLC3 | 1901 HWY 190 UNIT 523 MANDEVILLE, LA 70448 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | $0 | $1 | 0.00% |
| JOHN HENRY BRADFORD3 | 6103 RIVERBROOK DR BATON ROUGE, LA 70820 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| ROBBINS RESEARCH AND PLANNING INC3 Filed as: ROBBINS RESEARCH AND PLANNING | 731 AVIGNON DR RIDGELAND, MS 39157 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| TERRI L FIRMIN3 | 2866 HWY 114 HESSMER, LA 71341 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $1K | $4K | 10.69% |
| KEVIN L BRUNSON3 | 131 ROBIN HOOD ROAD DRY PRONG, LA 71423 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $0 | $2K | 6.53% |
| CHARLINE PARKER3 Filed as: CHARLINE T PARKER | 6390 TWIN BRIDGES RD ALEXANDRIA, LA 71303 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $838 | $235 | $1K | 3.10% |
| ELAINE MORAN3 | 201 FAIRBROOK ST PINEVILLE, LA 71360 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $922 | $19 | $941 | 2.72% |
| BRIDGET D ETCHESON3 | 3264 PLEASANT LN DERIDDER, LA 70634 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $392 | $215 | $607 | 1.75% |
| DANA NICOLE CAMPBELL3 | PO BOX 38 TIOGA, LA 71477 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $546 | $17 | $563 | 1.63% |
| ANDRE JEROME GONZAQUE3 | 17701 SUMMA LAKE DR LIVINGSTON, LA 70754 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $321 | $22 | $343 | 0.99% |
| SANDRA G LEWIS3 | 308 RAINBOW DR PINEVILLE, LA 71360 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $238 | $0 | $238 | 0.69% |
| WILLIS TOWERS WATSON US LLC3 Filed as: STEVE E WILLIS | 823 KIRKMAN ST APT 3 LAKE CHARLES, LA 70601 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $190 | $0 | $190 | 0.55% |
| GREG H TOWN3 | 5845 HYACINTH AVE BATON ROUGE, LA 70808 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $33 | $0 | $33 | 0.10% |
| JOHN HENRY BRADFORD3 | 6103 RIVERBROOK DR BATON ROUGE, LA 70820 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $13 | $0 | $13 | 0.04% |
| WAYNE E RYAN3 | P.O. BOX 12445 ALEXANDRIA, LA 71315 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10 | $0 | $10 | 0.03% |
| GROUP VOLUNTARY BENEFITS LLC3 | 1901 HWY 190 UNIT 523 MANDEVILLE, LA 70448 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | $1 | $5 | 0.01% |
| JAMES BURTON BROUILLETTE3 | 258 HIGHWAY 115 MANSURA, LA 71350 | AFLAC | $30 | $0 | $30 | 5.87% |
| EVERETT HINES3 | 317 WEST LAUREN DR ALEXANDRIA, LA 71303 | AFLAC | $16 | $0 | $16 | 3.13% |
| RICHARD RUSSELL HOGAN3 | 406 TREMONT DR RUSTON, LA 71270 | AFLAC | $6 | $0 | $6 | 1.17% |
| BLAZE J FREMIN3 | PO BOX 53871 LAFAYETTE, LA 70505 | AFLAC | $1 | $0 | $1 | 0.20% |
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 | 201 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 23 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 224 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUESHIELD OF LOUISIANA | 144 | $811K |
| Dental | AFLAC | 1 | $511 |
| Short-term disability(2 contracts) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 137 | $69K |
| Prescription drug | BLUE CROSS BLUESHIELD OF LOUISIANA | 144 | $811K |
| Other(3 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 137 | $70K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 144 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.