| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STEPHENS INSURANCE LLC3 | 111 CENTER STREET, SUITE 1410 LITTLE ROCK, AR 72201 | SUN LIFE & HEALTH INSURANCE CO | $10K | — | $10K | 11.21% |
| M FINANCIAL HOLDINGS INC3 Filed as: M FINANCIAL HOLDINGS | 1125 NW COURCH ST, SUITE 900 PORTLAND, OR 79709 | SUN LIFE & HEALTH INSURANCE CO | $955 | — | $955 | 1.10% |
| STEPHENS INSURANCE LLC3 | 111 CENTER STREET, SUITE 1410 LITTLE ROCK, AR 72201 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $6K | $525 | $6K | 16.34% |
| ASSURANCE AGENCY LTD3 Filed as: MUTUAL ASSURANCE AGENCY INC. | 3121 QUAIL SPRINGS PKWY OKLAHOMA CITY, OK 731342622 | RELIASTAR LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| STEPHENS INSURANCE LLC3 Filed as: STEPHENS INSURANCE SERVICES, INC. | 111 CENTER STREET, SUITE 1410 LITTLE ROCK, AR 72201 | HARTFORD LIFE & ACCIDENT | $947 | $525 | $1K | 23.31% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTHSMART PERFERRED CARE II, LP CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 222 W. LAS COLINAS BLVD., SUITE 600 IRVING, TX 75039 | $151K |
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 | 354 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 355 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | RELIASTAR LIFE INSURANCE COMPANY | 367 | $17K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 63 | $39K |
| Other(3 contracts, 3 carriers) | SUN LIFE & HEALTH INSURANCE CO | 367 | $110K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 367 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.