| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS5 Filed as: HEALTHSMART BENEIFT SOLUTIONS INC | PO BOX 167429 IRVING, TX 75016 | HCC LIFE INSURANCE COMPANY | $7K | — | $7K | 2.00% |
| BENJAMIN H. ARNOLD JR3 | 718 MOUNT MORIAH ROAD MEMPHIS, TN 38117 | HCC LIFE INSURANCE COMPANY | $4K | — | $4K | 1.13% |
| GROUP BENEFITS LTD3 Filed as: GROUP BENEFITS LLC | 855 RIDGE LAKE BLVD SUITE 410 MEMPHIS, TN 38120 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $28K | — | $28K | 12.50% |
| GROUP BENEFITS LTD3 Filed as: GROUP BENEFITS LLC | 855 RIDGE LAKE BLVD SUITE 410 MEMPHIS, TN 381209448 | VISION SERVICE PLAN | $1K | — | $1K | 1.04% |
| GROUP BENEFITS LTD3 Filed as: GROUP BENEFITS LLC | 855 RIDGE LAKE BLVD SUITE 410 MEMPHIS, TN 38120 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $13K | — | $13K | 12.50% |
| GROUP BENEFITS LTD3 Filed as: GROUP BENEFITS LLC | 855 RIDGE LAKE BLVD SUITE 410 MEMPHIS, TN 38120 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $7K | — | $7K | 12.50% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTHSMART BENEFIT SOLUTIONS EIN 36-4099199 NONE | Claims processing Service code 12 | — | $211K |
| KEYPRO EIN 25-1796254 NONE | Employee (plan) Service code 30 | — | $54K |
| BLUE ADVANTAGE OF AR EIN 71-0655804 NONE | Claims processing Service code 12 | — | $43K |
| BENJAMIN H. ARNOLD JR EIN 41-3863829 NONE | Custodial (securities) Service code 19 | — | $15K |
| MULTIPLAN EIN 13-3068979 NONE | Employee (plan) Service code 30 | — | $3K |
| HEALTHSMART PPO EIN 75-2508316 NONE | Employee (plan) Service code 30 | — | $218 |
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 | 808 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 10 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 818 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 830 | $105K |
| Life insurance(3 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,163 | $384K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 808 | $370K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,163 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.