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Form 5500 · Employee benefit plan · LAUREL, MS

ASAP EMS CORP EMPLOYEE BENEFIT PLAN

ASAP EMS CORP EMPLOYEE BENEFIT PLAN of LAUREL, MS files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is SOUTHGROUP BENEFITS CONSULTANTS LLC. Coverage is written through BLUE CROSS BLUE SHIELD and 1 other carrier. The plan's most recent policy period ended in October.

Benefits broker of record
Insurance carrier
Policy year ends
Octoberas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 45-1487845 · plan 521 · plan year 2025, filed Jun 25, 2026

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How this plan is funded

Fully insured as reported

The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.

All participants at the start of the year
163
Active at start of year
163
Active at end of year
120
Disclosed commissions
$96,779
Typical renewal
November 1

Benefits declared on this filing

Healthinsured — BLUE CROSS BLUE SHIELD120 of 163 participants (74%) on the largest contract
Dentalinsured — SUN LIFE ASSURANCE COMPANY OF CANADA120 of 163 participants (74%)
Visioninsured — SUN LIFE ASSURANCE COMPANY OF CANADA120 of 163 participants (74%)
Lifeinsured — SUN LIFE ASSURANCE COMPANY OF CANADA120 of 163 participants (74%)
Disabilityinsured — SUN LIFE ASSURANCE COMPANY OF CANADA120 of 163 participants (74%)

Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.

Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.

Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.

Plan brief

Schedule A lists 2 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS BLUE SHIELD, covers 120 people.

Reported premium across the insured contracts is $787,723, with $96,779 in disclosed broker commissions — about 12% of premium.

The most recent policy period ended in October, and the plan year ends October 31. Group contracts typically renew on that annual cycle.

SOUTHGROUP BENEFITS CONSULTANTS LLC is the broker of record on 1 of the 2 contracts; the rest name a different broker or none.

Two carriers split the book: BLUE CROSS BLUE SHIELD and SUN LIFE ASSURANCE COMPANY OF CANADA.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
SUN LIFE ASSURANCE COMPANY OF CANADAHealth, Dental, Vision, Life, Disability120Nov 1, 2025$174,544$62,829
BLUE CROSS BLUE SHIELDHealth120Nov 1, 2025$613,179$33,950

Premium and claims on this contract

BLUE CROSS BLUE SHIELD, contract 070868. For the contract year on this filing, the carrier reported $613,179 in premium earned and $495,408 in claims incurred. Dividing one by the other gives 81%.

  • BLUE CROSS BLUE SHIELD, contract 070868 reported $95,268 in retention.

Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.

Only experience-rated contracts report these figures, so most filings leave them blank.

Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
ASAP EMS CORP EMPLOYEE BENEFIT PLAN
EIN 45-1487845

The plan administrator is from line 3a of the main form. We publish company names only.

How this plan compares

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