| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PAYCHEX INSURANCE AGENCY, INC.3 | 150 SAWGRASS DRIVE ROCHESTER, NY 14620 | UNITEDHEALTHCARE INSURANCE COMPANY | $4K | $0 | $4K | 0.34% |
| PAYCHEX INSURANCE AGENCY, INC.3 | 225 KENNETH DRIVE ROCHESTER, NY 10346 | UNITEDHEALTHCARE INSURANCE COMPANY | $3K | $0 | $3K | 0.30% |
| TRACY HENSON TUTOR3 | 2879 FOSTER DALE COVE GERMANTOWN, TN 38138 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $6K | $0 | $6K | 8.88% |
| AMY ULERY MCFADDEN3 | 5852 WEST KENNEDY DRIVE FAYETTEVILLE, AR 72704 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $193 | $2K | 3.13% |
| KYLE HARDING3 | 520 WEST 12TH STREET TEXARKANA, AR 75501 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $880 | $450 | $1K | 2.04% |
| MJ INSURANCE3 Filed as: SHAREE HOOPER AND VARIOUS AGENTS | 2542 NORTH SURTEES PLACE FAYETTEVILLE, AR 72704 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $961 | $162 | $1K | 1.72% |
| DEBORA DAVIS3 | 252 GRANT 561 SHERIDAN, AR 72150 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $25 | $1K | 1.72% |
| TANA L MAY3 Filed as: TANA L. MAY | PO BOX 455 HARRISON, AR 72602 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $548 | $9 | $557 | 0.85% |
| MICHAEL A DUARTE3 Filed as: MICHAEL A. DUARTE | 515 DULL STREET DICKSON, TN 37055 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $325 | $59 | $384 | 0.59% |
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 | 263 | 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) | 263 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 263 | $1.1M |
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 263 | $1.1M |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 263 | $1.1M |
| Life insurance(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 263 | $1.2M |
| Short-term disability | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 80 | $65K |
| Long-term disability | UNITEDHEALTHCARE INSURANCE COMPANY | 263 | $1.1M |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 263 | $1.1M |
| Other(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 263 | $1.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 263 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.