Form 5500 · Employee benefit plan · BURNSVILLE, MS
MISSISSIPPI SILICON LLC
The filing calls this plan MISSISSIPPI SILICON LLC EMPLOYEE HEALTH BENEFIT PLAN.
Public Form 5500 records show how MISSISSIPPI SILICON LLC of BURNSVILLE, MS, a manufacturing employer, structures its employee benefits. Its broker of record is ROSS AND YERGER INSURANCE INC. Coverage is written through BLUE CROSS & BLUE SHIELD OF MISSISSIPPI and 1 other carrier. The plan's most recent policy period ended in August.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 27-4968457 · plan 501 · plan year 2025, filed Feb 28, 2026
Get an email when this employer files a new Form 5500, and again about four months before its plan renews.
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.
Benefits declared on this filing
Also declared: other welfare.
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.
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 OF MISSISSIPPI, covers 242 people.
Reported premium across the insured contracts is $1,175,062, with $40,600 in disclosed broker commissions — about 3.5% of premium.
The most recent policy period ended in August, and the plan year ends August 31. Group contracts typically renew on that annual cycle.
ROSS AND YERGER INSURANCE INC 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 OF MISSISSIPPI and THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS & BLUE SHIELD OF MISSISSIPPI | Health | 242 | Sep 1, 2025 | $995,966 | $24,871 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Vision, Life, Disability | 137 | Sep 1, 2025 | $179,096 | $15,729 |
Premium and claims on this contract
BLUE CROSS & BLUE SHIELD OF MISSISSIPPI, contract 015253 ET AL. For the contract year on this filing, the carrier reported $995,966 in premium earned and $944,851 in claims incurred. Dividing one by the other gives 95%.
- BLUE CROSS & BLUE SHIELD OF MISSISSIPPI, contract 015253 ET AL reported $124,467 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.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Reported to OSHA
Reported to OSHA for 2025: 155 employees, 9 recordable cases, 29 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
Subscribers see how this compares with similar plans in Mississippi. A subscription also adds this plan's filing history and the renewal calendar for its state. See plans and prices
Without an account you can open 10 employer, broker and carrier pages a day, including through an AI assistant, and 50 a day with a free account. Paid plans are what keep these records free to read.
More employer plans in Mississippi — largest plans, brokers, carriers and renewal months.