Form 5500 · Employee benefit plan · MANTACHIE, MS
SYSTEMS AUTOMOTIVE INTERIORS, LLC
SYSTEMS AUTOMOTIVE INTERIORS, LLC of MANTACHIE, MS spreads its employee benefits across 4 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is ANGELA WHITE. Coverage is written through BLUE CROSS BLUE SHIELD OF MISSISSIPPI and 3 other carriers. The plan's most recent policy period ended in September.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 45-2901746 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 5 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS BLUE SHIELD OF MISSISSIPPI, covers 430 people.
Reported premium across the insured contracts is $2,393,629, with $171,778 in disclosed broker commissions — about 7.2% of premium.
The most recent policy period ended in September, and the plan year ends September 30. Group contracts typically renew on that annual cycle.
ANGELA WHITE is the broker of record on 1 of the 5 contracts; the rest name a different broker or none.
4 carriers appear on the filing — BLUE CROSS BLUE SHIELD OF MISSISSIPPI, PRINCIPAL LIFE INSURANCE COMPANY, COLONIAL LIFE & ACCIDENT INSURANCE COMPANY and PACIFIC LIFE & ANNUITY COMPANY — with BLUE CROSS BLUE SHIELD OF MISSISSIPPI writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MISSISSIPPI | Health | 430 | September | $1,825,151 | $74,625 |
| PRINCIPAL LIFE INSURANCE COMPANY | Dental, Vision, Life, Disability | 458 | September | $397,672 | $45,668 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | — | 84 | September | $70,241 | $26,658 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | — | 92 | September | $81,587 | $20,462 |
| PACIFIC LIFE & ANNUITY COMPANY | Disability | 270 | September | $18,978 | $4,365 |
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