| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER-CLARK & ASSOCIATES | PO BOX 3529 FT SMITH, AR 72913 | ARKANSAS BLUE CROSS AND BLUE SHIELD | $37K | — | $37K | 2.90% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER-CLARK & ASSOCIATES | PO BOX 3529 FORT SMITH, AR 72913 | ARKANSAS BLUE CROSS AND BLUE SHIELD | $5K | — | $5K | 4.98% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER-CLARK & ASSOCIATES | P O BOX 3529 FORT SMITH, AR 72913 | USABLE LIFE | $7K | — | $7K | 15.00% |
| NEEDHAM, DAVID3 | 1840 PARK RIDGE DRIVE VAN BUREN, AR 72956 | USABLE LIFE | $421 | — | $421 | 0.96% |
| DUNCAN, JERRY3 | C/O ARKANSAS BLUE CROSS BLUE SHIELD 516 EAST MILLSAP ROAD STE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $84 | — | $84 | 0.19% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER-CLARK & ASSOCIATES | P O BOX 3529 FORT SMITH, AR 72913 | USABLE LIFE | $5K | — | $5K | 15.00% |
| NEEDHAM, DAVID3 | 1840 PARK RIDGE DRIVE VAN BUREN, AR 72956 | USABLE LIFE | $383 | — | $383 | 1.05% |
| DUNCAN, JERRY3 | C/O ARKANSAS BLUE CROSS BLUE SHIELD 516 EAST MILLSAP ROAD STE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $69 | — | $69 | 0.19% |
| VANDYKE, MARIA3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $8 | — | $8 | 0.02% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER-CLARK & ASSOCIATES | P O BOX 3529 FORT SMITH, AK 72913 | USABLE LIFE | $4K | — | $4K | 15.00% |
| NEEDHAM, DAVID3 | 1840 PARK RIDGE DRIVE VAN BUREN, AR 72956 | USABLE LIFE | $270 | — | $270 | 0.93% |
| DUNCAN, JERRY3 | C/O ARKANSAS BLUE CROSS BLUE SHIELD 516 EAST MILLSAP ROAD STE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $54 | — | $54 | 0.19% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER-CLARK & ASSOCIATES | P O BOX 3529 FORT SMITH, AK 72913 | USABLE LIFE | $4K | — | $4K | 15.00% |
| NEEDHAM, DAVID3 | 1840 PARK RIDGE DRIVE VAN BUREN, AR 72956 | USABLE LIFE | $246 | — | $246 | 1.01% |
| DUNCAN, JERRY3 | C/O ARKANSAS BLUE CROSS BLUE SHIELD 516 EAST MILLSAP ROAD STE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $44 | — | $44 | 0.18% |
| VANDYKE, MARIA3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $5 | — | $5 | 0.02% |
| AUDREY CARTER3 Filed as: AUDREY L CARTER | 909 NORTHRIDGE DR VAN BUREN, AR 72956 | AFLAC | $942 | $95 | $1K | 4.33% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN HILLER CLARK & ASSOCIATES | PO BOX 3529 FORT SMITH, AR 72913 | AFLAC | $800 | — | $800 | 3.34% |
| LEORA DENISE MOORE3 | 700 KEZER DR CEDARVILLE, AR 72932 | AFLAC | $414 | $21 | $435 | 1.82% |
| CHRISTOPHER D COCKBURN3 | 1412 14TH CIR BARLING, AR 72923 | AFLAC | $315 | $21 | $336 | 1.40% |
| CLARENCE F DURHAM JR3 | 2509 LAKESIDE DR GREENWOOD, AR 72936 | AFLAC | $127 | — | $127 | 0.53% |
| REBECCA BANDY3 Filed as: REBECCA I BANDY | 18039 DON DR SPIRO, OK 74959 | AFLAC | $122 | — | $122 | 0.51% |
| DOUGLAS ELMORE3 Filed as: DOUGLAS D ELMORE | 1930 HIGHWAY 71 E MANSFIELD, AR 72944 | AFLAC | $107 | — | $107 | 0.45% |
| AMY GREEN3 Filed as: AMY F GREEN | 606 E 45TH ST SAVANNAH, GA 31405 | AFLAC | $79 | — | $79 | 0.33% |
| CHRISTOPHER L RINK3 | 3411 S 28TH ST FORT SMITH, AR 72901 | AFLAC | $62 | — | $62 | 0.26% |
| BRENDA KAY BRESHEARS3 | 8464 WILLOW CREEK DR VAN BUREN, AR 72956 | AFLAC | $59 | — | $59 | 0.25% |
| KENNETH ENGSTROM3 Filed as: KENNETH W ENGSTROM | 3404 MEANDERING CT FORT SMITH, AR 12903 | AFLAC | $57 | — | $57 | 0.24% |
| TESSIE P CANTRELLE3 | 3112 LILLIAN MARIE DR GRAY, LA 70359 | AFLAC | $12 | — | $12 | 0.05% |
| RANDALL JOHNSON3 | PO BOX 180130 FORT SMITH, AR 72918 | AFLAC | $12 | — | $12 | 0.05% |
| DAVID E CIAMPOLI3 | 1204 BIG OAK DR ALMA, AR 72921 | AFLAC | $10 | — | $10 | 0.04% |
| BYRON KEITH BURRELL3 Filed as: BYRON KIETH BURRELL | 364 ARKAVALLEY RD GREENBRIER, AR 72058 | AFLAC | $10 | — | $10 | 0.04% |
| EARL GENE CAULEY JR3 | 1712 HIDDEN VALLEY ST VAN BUREN, AR 72956 | AFLAC | $9 | — | $9 | 0.04% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: RONALD JOE BENTLEY | 6301 FIELDCREST DR FORT SMITH, AR 72916 | AFLAC | $2 | — | $2 | 0.01% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER-CLARK & ASSOCIATES | PO BOX 3529 FORT SMITH, AR 72913 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER-CLARK & ASSOC | P O BOX 3529 FORT SMITH, AR 72913 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $98 | — | $98 | 6.03% |
| ROE BARRY J3 | 350 INDIAN HILLS DR CONWAY, AR 720347570 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $73 | — | $73 | 4.49% |
| HICKMAN PATRICK C3 | PO BOX 22492 LITTLE ROCK, AR 72221 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $53 | — | $53 | 3.26% |
| AF SMITH & ASSOCIATES3 Filed as: SMITH ALBERT | 72 VILLAS CIRCLE LITTE ROCK, AR 72223 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $32 | — | $32 | 1.97% |
| HICKMAN PATRICK C3 | PO BOX 22492 LITTLE ROCK, AR 72221 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $20 | — | $20 | 1.23% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER-CLARK & ASSOC | P O BOX 3529 FORT SMITH, AR 72913 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $57 | — | $57 | 3.71% |
| AF SMITH & ASSOCIATES3 Filed as: SMITH ALBERT | 72 VILLAS CIRCLE LITTE ROCK, AR 72223 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $25 | — | $25 | 1.63% |
| HICKMAN PATRICK C3 | PO BOX 22492 LITTLE ROCK, AK 72221 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $21 | — | $21 | 1.37% |
| ROE BARRY J3 Filed as: BJ ROE & ASSOC LLC | 350 INDIAN HILLS DRIVE CONWAY, AR 72034 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $21 | — | $21 | 1.37% |
| ROE BARRY J3 | 350 INDIAN HILLS DR CONWAY, AR 720347570 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $10 | — | $10 | 0.65% |
| HICKMAN PATRICK C3 | PO BOX 22492 LITTLE ROCK, AK 72221 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $6 | — | $6 | 0.39% |
| HICKMAN PATRICK C3 | PO BOX 22492 LITTLE ROCK, AR 72221 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $4 | — | $4 | 0.26% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER-CLARK & ASSOC | P O BOX 3529 FORT SMITH, AR 72913 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $12 | — | $12 | 0.90% |
| AF SMITH & ASSOCIATES3 Filed as: SMITH ALBERT | 72 VILLAS CIRCLE LITTE ROCK, AR 72223 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $10 | — | $10 | 0.75% |
| HICKMAN PATRICK C3 | PO BOX 22492 LITTLE ROCK, AR 72221 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $9 | — | $9 | 0.67% |
| ROE BARRY J3 | 350 INDIAN HILLS DR CONWAY, AR 720347570 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $9 | — | $9 | 0.67% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER-CLARK & ASSOC | P O BOX 3529 FORT SMITH, AR 72913 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $36 | — | $36 | 5.56% |
| HICKMAN PATRICK C3 | PO BOX 22492 LITTLE ROCK, AR 72221 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $27 | — | $27 | 4.17% |
| ROE BARRY J3 | 350 INDIAN HILLS DR CONWAY, AR 720347570 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $27 | — | $27 | 4.17% |
| AF SMITH & ASSOCIATES3 Filed as: SMITH ALBERT | 72 VILLAS CIRCLE LITTE ROCK, AR 72223 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $19 | — | $19 | 2.93% |
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 | 253 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 253 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 3 carriers) | ARKANSAS BLUE CROSS AND BLUE SHIELD | 254 | $1.3M |
| Dental | ARKANSAS BLUE CROSS AND BLUE SHIELD | 349 | $99K |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 219 | $19K |
| Life insurance(3 contracts, 2 carriers) | USABLE LIFE | 187 | $55K |
| Short-term disability | AFLAC | 26 | $24K |
| Long-term disability(2 contracts) | USABLE LIFE | 187 | $81K |
| Prescription drug | ARKANSAS BLUE CROSS AND BLUE SHIELD | 254 | $1.3M |
| Other(7 contracts, 3 carriers) | USABLE LIFE | 187 | $82K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 349 | — |
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."
No prospect flags tripped on this filing.