| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC. Filed as: BROWN-HILLER-CLARK & ASSOCIATES | PO BOX 3529 FORT SMITH, AR 72913 | DELTA DENTAL | $5K | — | $5K | 4.60% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER-CLARK | 5500 EUPER LN FORT SMITH, AR 72903 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $8K | $3K | $11K | 20.89% |
| NATIONAL BENEFIT CENTER3 | 6830 COCHRAN RD SOLON, OH 44139 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $1K | $1K | 2.94% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER-CLARK | 5500 EUPER LN FORT SMITH, AR 72903 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | $2K | $8K | 20.55% |
| NATIONAL BENEFIT CENTER3 | 6830 COCHRAN RD SOLON, OH 44139 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $1K | $1K | 2.78% |
| BROWN AND BROWN OF FLORIDA, INC. Filed as: BROWN-HILLER-CLARK & ASSOCIATES | PO BOX 3529 FORT SMITH, AR 72913 | DELTA DENTAL | $3K | — | $3K | 10.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER-CLARK ASSOCIATES | 5500 EUPER LN FORT SMITH, AR 72903 | UNITED OF OMAHA LIFE INSURANCE | $3K | $1K | $5K | 20.83% |
| NATIONAL BENEFIT CENTER3 | 6830 COCHRAN RD SOLON, OH 44139 | UNITED OF OMAHA LIFE INSURANCE | — | $674 | $674 | 2.92% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER-CLARK | 5500 EUPER LN FORT SMITH, AR 72903 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $794 | $3K | 20.27% |
| NATIONAL BENEFIT CENTER3 | 6830 COCHRAN RD SOLON, OH 44139 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $397 | $397 | 2.63% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER-CLARK | 5500 EUPER LN FORT SMITH, AR 72903 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $662 | $3K | 26.08% |
| NATIONAL BENEFIT CENTER3 | 6830 COCHRAN RD SOLON, OH 44139 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $331 | $331 | 3.04% |
| TONYA SUE ELMORE | 1930 HIGHWAY 71E MANSFIELD, AR 72944 | AFLAC | $2K | — | $2K | 31.00% |
| BROWN AND BROWN OF FLORIDA, INC. Filed as: BROWN-HILLER CLARK & ASSOCIATES | PO BOX 3529 FORT SMITH, AR 72913 | AFLAC | $348 | — | $348 | 4.66% |
| AUDREY CARTER | 909 NORTHRIDGE DR VAN BUREN, AR 72956 | AFLAC | $297 | — | $297 | 3.98% |
| LEORA DENISE MOORE | 700 KEZER DR CEDARVILLE, AR 72932 | AFLAC | $193 | — | $193 | 2.58% |
| CHRISTOPHER COCKBURN | 1412 14TH CIRC BARLING, AR 72923 | AFLAC | $129 | — | $129 | 1.73% |
| BRENDA KAY BRESHEARS | 8464 WILLOW CREEK DR VAN BUREN, AR 72956 | AFLAC | $57 | — | $57 | 0.76% |
| ANNEKE BOLLMAN ZIEGLER Filed as: ANNEKE BINKLEY BUNTING | 810 WOODLAND WAY GREENWOOD, AR 72936 | AFLAC | $42 | — | $42 | 0.56% |
| DOUGLAS ELMORE | 1930 HIGHWAY 71 E MANSFIELD, AR 72944 | AFLAC | $23 | — | $23 | 0.31% |
| BROWN AND BROWN OF FLORIDA, INC. Filed as: RONALD JOE BENTLEY | 6301 FIELD CREST DR FORT SMITH, AR 72916 | AFLAC | $19 | — | $19 | 0.25% |
| BROWN AND BROWN OF FLORIDA, INC. Filed as: RONALD F BROWN | 5150 BAY TOWN CONWAY, AR 72034 | AFLAC | $12 | — | $12 | 0.16% |
| CHERISE M WADE | 616 HARDEMAN ST SEALY, TX 77474 | AFLAC | $1 | — | $1 | 0.01% |
| KENNETHH M COLLINS JR | PO BOX 17381 JONESBORO, AR 72403 | AFLAC | $1 | — | $1 | 0.01% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER-CLARK | 5500 EUPER LN FORT SMITH, AR 72903 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $1K | $5K | — |
| NATIONAL BENEFIT CENTER3 | 6830 COCHRAN RD SOLON, OH 44139 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $585 | $585 | — |
| VETA MELVIN | — | LIBERTY NATIONAL INSURANCE COMPANY | — | — | $0 | — |
| JASON EVERETT | — | LIBERTY NATIONAL INSURANCE COMPANY | — | — | $0 | — |
| SHAWNA STARR NYHAUG Filed as: SHAWNA DENARVAEZ | — | LIBERTY NATIONAL INSURANCE COMPANY | — | — | $0 | — |
| STEVEN GAITHER | — | LIBERTY NATIONAL INSURANCE COMPANY | — | — | $0 | — |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 213 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 217 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS, BLUE SHIELD, DRUG, MAJOR MEDICAL, SAE | 466 | $1.6M |
| Dental | DELTA DENTAL | 462 | $110K |
| Vision | DELTA DENTAL | 440 | $26K |
| Life insurance(4 contracts, 4 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 261 | $82K |
| Short-term disability(4 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 92 | $67K |
| Prescription drug | BLUE CROSS, BLUE SHIELD, DRUG, MAJOR MEDICAL, SAE | 466 | $1.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 466 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.