| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES | COMMISSION PROCESSING UNIT GREENSBORO, NC 27409 | DELTA DENTAL PLAN OF ARKANSAS | — | — | $0 | 0.00% |
| MCGRIFF INSURANCE SERVICES INC Filed as: MCGRIFF INSURANCE SERVICES | PO BOX 896620 CHARLOTTE, NC 28289 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $7K | — | $7K | 10.83% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE ADVANTAGE ADIMINISTRATORS EIN 71-0246079 BENEFITS ADMINISTRATOR | Claims processing Service code 12 | 601 SOUTH GAINES STREET LITTLE ROCK, AR 72201 | $221K |
| MCGRIFF INSURANCE SERVICES EIN 56-1623293 INSURANCE BROKER | Claims processing Service code 12 | DEPT 266 PO BOX 11407 BIRMINGHAM, AL 352460268 | $31K |
| DISCOVERY BENEFITS EIN 83-4136902 BENEFITS ADMINISTRATOR | Claims processing Service code 12 | 4321 20TH AVENUE S FARGO, ND 58103 | $5K |
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 | 469 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 469 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SIRUIUS AMERICA INSURANCE COMPANY | 440 | $336K |
| Dental | DELTA DENTAL PLAN OF ARKANSAS | 913 | $261K |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 396 | $65K |
| Prescription drug | SIRUIUS AMERICA INSURANCE COMPANY | 440 | $336K |
| Stop-loss / reinsurancereinsurance | SIRUIUS AMERICA INSURANCE COMPANY | 440 | $336K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 913 | — |
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.