Form 5500 · Employee benefit plan · HATTIESBURG, MS
HATTIESBURG CLINIC PA
HATTIESBURG CLINIC PA of HATTIESBURG, MS is a 2,477-participant health care and social assistance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is HUB INTERNATIONAL MIDWEST LIMITED. Coverage is written through STANDARD 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 64-0507572 · plan 512 · as of Aug 2026
Plan brief
Schedule A lists 5 insured contracts covering dental, vision, life and disability; the largest, with STANDARD INSURANCE COMPANY, covers 2,520 people.
Reported premium across the insured contracts is $5,107,949, with $340,995 in disclosed broker commissions — about 6.7% 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 all 5 contracts.
5 carriers appear on the filing — STANDARD INSURANCE COMPANY, AMERITAS LIFE INSURANCE CORP, RELIASTAR LIFE INSURANCE COMPANY and UNUM LIFE INSURANCE COMPANY OF AMERICA among them — with STANDARD INSURANCE COMPANY writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| RELIASTAR LIFE INSURANCE COMPANY | — | 2,350 | December | $844,544 | $129,274 |
| STANDARD INSURANCE COMPANY | Life, Disability | 2,520 | December | $2,068,413 | $76,381 |
| AMERITAS LIFE INSURANCE CORP | Dental, Vision | 4,479 | December | $1,676,101 | $76,184 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | — | 354 | December | $352,304 | $52,846 |
| HARTFORD LIFE AND ACCIDENT | Life, Disability | 3,863 | December | $166,587 | $6,310 |
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