| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| M3 INSURANCE SOLUTIONS INC3 Filed as: DIAMOND STATE INSUARNCE | — | QCA HEALTH PLAN | $22K | — | $22K | 2.50% |
| N/A3 | — | ARKANSAS BLUE CROSS AND BLUE SHIELD | $4K | — | $4K | 4.98% |
| DIAMOND STATE INSURANCE3 | PO BOX 396 MURFREESBORO, AR 71958 | USABLE LIFE | $8K | — | $8K | 14.81% |
| KAYLA PROPPS3 | 130 HEMPSTEAD 353 NASHVILLE, AR 71852 | USABLE LIFE | $2K | — | $2K | 3.64% |
| MARIA VANDYKE3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $210 | — | $210 | 0.40% |
| JERRY DUNCAN3 | 516 EAST MILLSAP ROAD STE 103 C/O AR BLUE CROSS BLUE SHIELD FAYETTEVILLE, AR 72703 | USABLE LIFE | $172 | — | $172 | 0.33% |
| ROBERT EDWARD KOCH3 | 6940 HIGHWAY 217 CHARLESTON, AR 72933 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $506 | $3K | $4K | 52.27% |
| AHNE BENEFIT SOLUTIONS LLC3 | PO BOX 3496 GREENWOOD, AR 72936 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $982 | $3K | 41.02% |
| DIAMOND STATE INSURANCE AGENCY3 | 104 W. SHEPHERD ST. NASHVILLE, AR 71852 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 34.90% |
| TIFFANY RAEANN HAMMOND3 | 11216 JOHNNA LN LOT C JACKSONVILLE, AR 72076 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $313 | $37 | $350 | 5.10% |
| MATTHEW DAVID HANNA3 | 207 N OAK STE 3 SALLISAW, OK 74955 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $48 | $212 | $260 | 3.79% |
| DEBORA DAVIS3 | 252 GRANT 561 SHERIDAN, AR 72150 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $217 | $35 | $252 | 3.67% |
| CRYSTAL BEDNEY3 | 520 ORRICK RD ALMA, AR 72921 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $140 | — | $140 | 2.04% |
| PETER DEL INVESTMENTS INC3 | 247 GRAHAM FORNEY, TX 75126 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $93 | $32 | $125 | 1.82% |
| AUTUMN LEIGH WEBB3 | 107430 S 4560 RD VIAN, OK 74962 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $82 | $8 | $90 | 1.31% |
| PATRICIA KAY TYREE3 | 818 MISSILE BASE RD JUDSONIA, AR 72081 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $73 | — | $73 | 1.06% |
| HEATHER SHAY ALEXANDER3 | 340 MILLER COUNTY 122 TEXARKANA, AR 71854 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $12 | $37 | $49 | 0.71% |
| DAVID G HANNA3 | 527 E IDA AVE SALLISAW, OK 74955 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $18 | $23 | $41 | 0.60% |
| BROOKS AGENCY INC3 | 14812 COUNTY ROAD 424 LINDALE, TX 75771 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7 | $20 | $27 | 0.39% |
| BENEFITS COUNTS LLC3 | PO BOX 256 TROUP, TX 75789 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7 | $10 | $17 | 0.25% |
| GRA GULL ADVISORS LLC3 | PO BOX 60 HATTIEVILLE, AR 72063 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | $4 | $10 | 0.15% |
| GINGER MULLINS & COMPANY INC3 | 1 WEATHERSTONE PT LITTLE ROCK, AR 72211 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | $2 | $8 | 0.12% |
No Schedule C service providers reported on this filing.
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. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 142 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | QCA HEALTH PLAN | 188 | $897K |
| Dental | ARKANSAS BLUE CROSS AND BLUE SHIELD | 218 | $76K |
| Vision | ARKANSAS BLUE CROSS AND BLUE SHIELD | 150 | $13K |
| Life insurance | USABLE LIFE | 142 | $52K |
| Short-term disability | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 66 | $7K |
| Long-term disability | USABLE LIFE | 142 | $52K |
| Other | USABLE LIFE | 142 | $52K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 218 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.