| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER-CLARK & ASSOCIATES | 5500 EUPER LANE FORT SMITH, AR 72903 | TOKIO MARINE | $19K | — | $19K | 10.01% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER-CLARK & ASSOCIATES | 5500 EUPER LANE FORT SMITH, AR 72903 | UNITED OF OHAHA | $18K | — | $18K | 20.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER-CLARK & ASSOCIATES | 5500 EUPER LANE FORT SMITH, AR 72903 | UNITED OF OHAHA | — | $4K | $4K | 4.95% |
| NATIONAL BENEFIT CENTER3 | 6830 COCHRAN RD SOLON, OH 44139 | UNITED OF OHAHA | — | $2K | $2K | 2.48% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER-CLARK & ASSOCIATES | 5500 EUPER LANE FORT SMITH, AR 72903 | UNITED OF OMAHA | $15K | — | $15K | 20.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER-CLARK & ASSOCIATES | 5500 EUPER LANE FORT SMITH, AR 72903 | UNITED OF OMAHA | — | $4K | $4K | 5.01% |
| NATIONAL BENEFIT CENTER3 | 6830 COCHRAN RD SOLON, OH 44139 | UNITED OF OMAHA | — | $2K | $2K | 2.51% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER-CLARK & ASSOCIATES | 5500 EUPER LANE FORT SMITH, AR 72903 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $14K | — | $14K | 20.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER-CLARK & ASSOCIATES | 5500 EUPER LANE FORT SMITH, AR 72903 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $3K | $3K | 4.89% |
| NATIONAL BENEFIT CENTER3 | 6830 COCHRAN RD SOLON, OH 44139 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 2.44% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER-CLARK & ASSOCIATES | 5500 EUPER LANE FORT SMITH, AR 72903 | UNITED OF OMAHA | $14K | — | $14K | 20.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER-CLARK & ASSOCIATES | 5500 EUPER LANE FORT SMITH, AR 72903 | UNITED OF OMAHA | — | $4K | $4K | 5.44% |
| NATIONAL BENEFIT CENTER3 | 6830 COCHRAN RD SOLON, OH 44139 | UNITED OF OMAHA | — | $2K | $2K | 2.72% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER-CLARK & ASSOCIATES | 5500 EUPER LANE FORT SMITH, AR 72903 | THE HARTFORD | $1K | — | $1K | 18.35% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UMR INC CLAIMS PREPARATION | Claims processing Service code 12 | — | $149K |
| BROWN-HILLER-CLARK & ASSOCIATES BROKER FEES | Insurance agents and brokers Service code 22 | 5500 EUPER LANE FORT SMITH, AR 72903 | $6K |
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 | 0 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | TOKIO MARINE | 360 | $189K |
| Dental | ARKANSAS BLUE CROSS AND BLUE SHIELD | 759 | $277K |
| Vision | ARKANSAS BLUE CROSS AND BLUE SHIELD | 677 | $52K |
| Life insurance(3 contracts, 3 carriers) | UNITED OF OHAHA | 512 | $167K |
| Short-term disability | UNITED OF OMAHA | 161 | $68K |
| Long-term disability | UNITED OF OMAHA | 380 | $75K |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | TOKIO MARINE | 360 | $195K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 759 | — |
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.