| 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 | $45K | — | $45K | 3.00% |
| 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 | $6K | — | $6K | 5.01% |
| 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 COMPANY | $9K | $2K | $11K | 18.39% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK STE A BEACHWOOD, OH 44122 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $2K | $2K | 2.90% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER-CLARK & ASSOCIATES | 5500 EUPER LN FORT SMITH, AK 72903 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $1K | $6K | 18.40% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK STE A BEACHWOOD, OH 44122 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $1K | $1K | 2.91% |
| 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 COMPANY | $3K | $778 | $4K | 18.38% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK STE A BEACHWOOD, OH 44122 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $667 | $667 | 2.90% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER-CLARK & ASSOCIATES | PO BOX 3529 FORT SMITH, AR 72913 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | — | $2K | 9.24% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER-CLARK & ASSOCIATES | 5500 EUPER LN FORT SMITH, AK 72903 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $518 | $3K | 18.10% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK STE A BEACHWOOD, OH 44122 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $444 | $444 | 2.66% |
| 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 COMPANY | $2K | $451 | $2K | 18.36% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK STE A BEACHWOOD, OH 44122 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $387 | $387 | 2.88% |
| 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 COMPANY | $2K | $420 | $2K | 18.79% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK STE A BEACHWOOD, OH 44122 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $360 | $360 | 3.25% |
| AF SMITH & ASSOCIATES3 Filed as: SMITH ALBERT | 72 VILLAS CIRCLE LITTE ROCK, AR 72223 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $13 | — | $13 | 0.89% |
| 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 | $10 | — | $10 | 0.68% |
| HICKMAN PATRICK C3 | PO BOX 22492 LITTLE ROCK, AR 72221 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $10 | — | $10 | 0.68% |
| ROE BARRY J3 | 350 INDIAN HILLS DR CONWAY, AR 720347570 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $10 | — | $10 | 0.68% |
| 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 | $59 | — | $59 | 4.56% |
| ROE BARRY J3 | 350 INDIAN HILLS DR CONWAY, AR 720347570 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $58 | — | $58 | 4.48% |
| HICKMAN PATRICK C3 | PO BOX 22492 LITTLE ROCK, AR 72221 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $58 | — | $58 | 4.48% |
| AF SMITH & ASSOCIATES3 Filed as: SMITH ALBERT | 72 VILLAS CIRCLE LITTE ROCK, AR 72223 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $45 | — | $45 | 3.47% |
| 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 | $39 | — | $39 | 3.15% |
| AF SMITH & ASSOCIATES3 Filed as: SMITH ALBERT | 72 VILLAS CIRCLE LITTE ROCK, AR 72223 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $27 | — | $27 | 2.18% |
| HICKMAN PATRICK C3 | PO BOX 22492 LITTLE ROCK, AK 72221 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $23 | — | $23 | 1.86% |
| ROE BARRY J3 Filed as: BJ ROE & ASSOC LLC | 350 INDIAN HILLS DRIVE CONWAY, AR 72034 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $16 | — | $16 | 1.29% |
| ROE BARRY J3 | 350 INDIAN HILLS DR CONWAY, AR 720347570 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $6 | — | $6 | 0.48% |
| AF SMITH & ASSOCIATES3 Filed as: SMITH ALBERT | 72 VILLAS CIRCLE LITTE ROCK, AR 72223 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $31 | — | $31 | 4.38% |
| 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 | $30 | — | $30 | 4.24% |
| HICKMAN PATRICK C3 | PO BOX 22492 LITTLE ROCK, AR 72221 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $30 | — | $30 | 4.24% |
| ROE BARRY J3 | 350 INDIAN HILLS DR CONWAY, AR 720347570 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $30 | — | $30 | 4.24% |
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 | 222 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 225 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ARKANSAS BLUE CROSS AND BLUE SHIELD | 280 | $1.5M |
| Dental | ARKANSAS BLUE CROSS AND BLUE SHIELD | 370 | $121K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 343 | $23K |
| Life insurance(3 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 275 | $53K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 41 | $23K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 275 | $59K |
| Prescription drug | ARKANSAS BLUE CROSS AND BLUE SHIELD | 280 | $1.5M |
| Other(7 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 275 | $80K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 370 | — |
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.