| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BXS INSURANCE INC3 Filed as: BANCORPSOUTH INSURANCE SERVICES INC | PO BOX 3809 BATON ROUGE, LA 70821 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $7K | — | $7K | 10.00% |
| BXS INSURANCE INC3 Filed as: BANCORPSOUTH INSURANCE SERVICES INC | PO BOX 3809 BATON ROUGE, LA 70821 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $7K | — | $7K | 35.97% |
| AXA ASSISTANCE, USA5 Filed as: AXA EQUITABLE LIFE INSURANCE CO | MAXON ADMINISTRATORS, INC. 76 NORTH BROADWAY IRVINGTON, NY 10533 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $0 | $3K | $3K | 18.07% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BXS INSURANCE INC | Insurance agents and brokers Service code 22 | — | $10K |
| COBRA PROFESSIONALS INC EIN 01-0570432 NONE | Contract Administrator Service code 13 | 6421 PERKINS RD BLDG A STE 2A BATON ROUGE, LA 70808 | $5K |
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 | 328 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 328 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 242 | $89K |
| Short-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 191 | $19K |
| Other(2 contracts) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 242 | $89K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 242 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.