| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 5401 ROGERS AVE STE 202 FORT SMITH, AR 729033767 | UNITED HEALTHCARE INSURANCE COMPANY | $0 | $22K | $22K | 3.10% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | PO BOX 3009 ARLINGTON HEIGHTS, IL 600063009 | DELTA DENTAL PLAN OF ARKANSAS | $3K | — | $3K | 5.69% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 5401 ROGERS AVE STE 202 FORT SMITH, AR 729033767 | PRINCIPAL LIFE INSURANCE COMPANY | $6K | — | $6K | 13.40% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 5401 ROGERS AVE STE 202 FORT SMITH, AR 729033767 | ARKANSAS BLUE CROSS AND BLUE SHIELD | $2K | — | $2K | 5.05% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLD RD ROLLING MEADOWS, IL 600063009 | USABLE LIFE | $4K | — | $4K | 20.00% |
| KRISTIN HAYES3 | 4019 E CHURCHILL DRIVE FAYETTEVILLE, AR 72701 | USABLE LIFE | $2K | — | $2K | 12.11% |
| JERRY DUNCAN3 | 516 EAST MILLSAP RD STE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $425 | — | $425 | 2.42% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 5401 ROGERS AVE STE 202 FORT SMITH, AR 729033767 | ARKANSAS BLUE CROSS AND BLUE SHIELD | $936 | — | $936 | 10.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLD RD ROLLING MEADOWS, IL 600063009 | USABLE LIFE | $2K | — | $2K | 20.00% |
| KRISTIN HAYES3 | 4019 E CHURCHILL DRIVE FAYETTEVILLE, AR 72701 | USABLE LIFE | $1K | — | $1K | 12.13% |
| JERRY DUNCAN3 | 516 EAST MILLSAP RD STE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $216 | — | $216 | 2.43% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLD RD ROLLING MEADOWS, IL 600063009 | USABLE LIFE | $1K | — | $1K | 20.00% |
| KRISTIN HAYES3 | 4019 E CHURCHILL DRIVE FAYETTEVILLE, AR 72701 | USABLE LIFE | $891 | — | $891 | 12.10% |
| JERRY DUNCAN3 | 516 EAST MILLSAP RD STE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $178 | — | $178 | 2.42% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 6325 RANCH DRIVE LITTLE ROCK, AR 72211 | TRUSTMARK INSURANCE COMPANY | $3K | — | $3K | 60.01% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 6325 RANCH DRIVE LITTLE ROCK, AR 72211 | TRUSTMARK INSURANCE COMPANY | $2K | — | $2K | 55.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 6325 RANCH DRIVE LITTLE ROCK, AR 72211 | TRUSTMARK INSURANCE COMPANY | $2K | — | $2K | 60.01% |
| KRISTIN HAYES3 | 4019 E CHURCHILL DRIVE FAYETTEVILLE, AR 72701 | USABLE LIFE | $354 | — | $354 | 11.74% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLD RD ROLLING MEADOWS, IL 60008 | USABLE LIFE | $301 | — | $301 | 9.98% |
| JERRY DUNCAN3 | 516 EAST MILLSAP RD STE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $42 | — | $42 | 1.39% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLD RD ROLLING MEADOWS, IL 600063009 | USABLE LIFE | $370 | — | $370 | 20.00% |
| KRISTIN HAYES3 | 4019 E CHURCHILL DRIVE FAYETTEVILLE, AR 72701 | USABLE LIFE | $226 | — | $226 | 12.22% |
| JERRY DUNCAN3 | 516 EAST MILLSAP RD STE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $45 | — | $45 | 2.43% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ARKANSAS BLUE CROSS & BLUE SHIELDS EIN 71-0226428 CLAIMS PROCESSER | Claims processing Service code 12 | — | $64K |
| GALLAGHER BENEFIT SERVICES INC INSURANCE AGENT | Insurance agents and brokers Service code 22 | 6325 RANCH DRIVE LITTLE ROCK, AR 72211 | $46K |
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 | 142 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 142 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNITED HEALTHCARE INSURANCE COMPANY | 142 | $1.3M |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL PLAN OF ARKANSAS | 156 | $95K |
| Vision(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 277 | $52K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 277 | $43K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 277 | $43K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 277 | $43K |
| Prescription drug | ARKANSAS BLUE CROSS AND BLUE SHIELD | 142 | $542K |
| Other(8 contracts, 2 carriers) | USABLE LIFE | 196 | $51K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 277 | — |
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.