| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE HATCHER AGENCY | P.O. BOX 3505 LITTLE ROCK, AR 72203 | QCA HEALTH PLAN | $12K | — | $12K | 1.65% |
| STEPHENS INSURANCE LLC Filed as: STEPHENS INSURANCE | 111 CENTER STREET SUITE 1410 LITTLE ROCK, AR 72201 | QCA HEALTH PLAN | $6K | — | $6K | 0.85% |
| THE HATCHER AGENCY | P.O. BOX 3505 LITTLE ROCK, AR 72203 | DELTA DENTAL PLAN OF ARKANSAS | $5K | — | $5K | 5.62% |
| STEPHENS INSURANCE LLC Filed as: STEPHENS INSURANCE | 111 CENTER STREET SUITE 1410 LITTLE ROCK, AR 72201 | DELTA DENTAL PLAN OF ARKANSAS | $4K | — | $4K | 4.26% |
| THE HATCHER AGENCY3 | 310 LOUISIANA STREET LITTLE ROCK, AR 72201 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 7.67% |
| STEPHENS INSURANCE LLC3 Filed as: STEPHENS INSURANCE | 111 CENTER STREET SUITE 1410 LITTLE ROCK, AR 72201 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 7.33% |
| THE HATCHER AGENCY3 | P.O. BOX 3505 LITTLE ROCK, AR 72203 | DELTA DENTAL PLAN OF ARKANSAS | $2K | — | $2K | 9.69% |
| STEPHENS INSURANCE LLC3 Filed as: STEPHENS INSURANCE | 111 CENTER STREET SUITE 1410 LITTLE ROCK, AR 72201 | DELTA DENTAL PLAN OF ARKANSAS | $1K | — | $1K | 5.15% |
| THE HATCHER AGENCY3 | 310 LOUISIANA STREET LITTLE ROCK, AR 72201 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 7.55% |
| STEPHENS INSURANCE LLC3 Filed as: STEPHENS INSURANCE | 111 CENTER STREET SUITE 1410 LITTLE ROCK, AR 72201 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 7.45% |
| STEPHENS INSURANCE LLC3 Filed as: STEPHENS INSURANCE | 111 CENTER STREET SUITE 1410 LITTLE ROCK, AR 72201 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 7.59% |
| THE HATCHER AGENCY3 | 310 LOUISIANA STREET LITTLE ROCK, AR 72201 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 7.41% |
| STEPHENS INSURANCE LLC3 Filed as: STEPHENS INSURANCE | 111 CENTER STREET SUITE 1410 LITTLE ROCK, AR 72201 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $365 | — | $365 | 7.55% |
| THE HATCHER AGENCY3 | 310 LOUISIANA STREET LITTLE ROCK, AR 72201 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $360 | — | $360 | 7.45% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| QUAL CHOICE HEALTH INSURANCE EIN 71-0794605 NONE | Contract Administrator; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | 12615 CHENAL PARKWAY, SUITE 300 LITTLE ROCK, AR 72211 | $18K |
| DELTA DENTAL OF ARKANSAS EIN 71-0561140 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Claims processing Service code 12 | 1513 COUNTRY CLUB ROAD SHERWOOD, AR 72120 | $12K |
| MUTUAL OF OMAHA INSURANCE COMPANY EIN 47-0322111 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Claims processing Service code 12 | 3300 MUTUAL OF OMAHA PLAZA OMAHA, NE 68175 | $10K |
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 | 135 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 135 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | QCA HEALTH PLAN | 179 | $734K |
| Dental | DELTA DENTAL PLAN OF ARKANSAS | 257 | $88K |
| Vision | DELTA DENTAL PLAN OF ARKANSAS | 215 | $23K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 179 | $24K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 72 | $24K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 48 | $17K |
| Prescription drug | QCA HEALTH PLAN | 179 | $734K |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 179 | $24K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 257 | — |
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.