Form 5500 · Employee benefit plan · DERIDDER, LA
AMERISAFE, INC.
AMERISAFE, INC. of DERIDDER, LA spreads its employee benefits across 5 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is HUB INTERNATIONAL MIDWEST LIMITED. Coverage is written through UNITEDHEALTHCARE INSURANCE COMPANY and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 75-2069407 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 6 insured contracts covering health, dental, vision, life and disability; the largest, with UNITEDHEALTHCARE INSURANCE COMPANY, covers 552 people.
Reported premium across the insured contracts is $6,180,555, with $215,771 in disclosed broker commissions — about 3.5% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
HUB INTERNATIONAL MIDWEST LIMITED is the broker of record on 4 of the 6 contracts; the rest name a different broker or none.
5 carriers appear on the filing — UNITEDHEALTHCARE INSURANCE COMPANY, RELIANCE STANDARD LIFE INSURANCE COMPANY, METROPOLITAN LIFE INSURANCE COMPANY and CONTINENTAL AMERICAN INSURANCE COMPANY among them — with UNITEDHEALTHCARE INSURANCE COMPANY writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNITEDHEALTHCARE INSURANCE COMPANY | Health | 552 | December | $5,438,788 | $152,796 |
| METROPOLITAN LIFE INSURANCE COMPANY | Dental | 796 | December | $198,343 | $27,577 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Life, Disability | 369 | December | $413,543 | $14,147 |
| CONTINENTAL AMERICAN INSURANCE COMPANY | — | 96 | December | $61,866 | $11,527 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 75 | December | $29,218 | $5,844 |
| AMERITAS LIFE INSURANCE CORPORATION | Vision | 578 | December | $38,797 | $3,880 |
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