| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STEVENS-DELL3 | 5312 W MARKHAM LITTLE ROCK, AR 72205 | QCA HEALTH PLAN | $41K | — | $41K | 2.39% |
| STEVENS-DELL3 Filed as: STEVENS-DELL & ASSOCIATES INC. | 5312 W MARKHAM LITTLE ROCK, AR 72205 | SUN LIFE ASSURANCE COMPANY OF CANADA | $5K | — | $5K | 4.92% |
| THE HATCHER AGENCY3 | P.O. BOX 3505 LITTLE ROCK, AR 72203 | RELIANCE STANDARD LIFE INSURNACE COMPNAY | $2K | — | $2K | 5.00% |
| THE HATCHER AGENCY3 | P.O. BOX 3505 LITTLE ROCK, AR 72203 | RELIANCE STANDARD | $2K | — | $2K | 5.00% |
| ACRISURE LLC3 Filed as: TACRISURE LLC | 310 LOUISIANA STREET LITTLE ROCK, AR 72201 | GUARDIAN | $6K | $2K | $8K | 26.68% |
| ASHFORD MID SOUTH LLC3 | 6000 POPLAR AVE 113 MEMPHIS, TN 38119 | GUARDIAN | $61 | — | $61 | 0.20% |
| STEVENS-DELL3 Filed as: STEVENS-DELL & ASSOC INC. | 5312 W MARKHAM ST LITTLE ROCK, AR 72205 | PRINCIPAL LIFE INSURANCE COMPANY | $3K | — | $3K | 10.10% |
| THE HATCHER AGENCY3 | P.O. BOX 3505 LITTLE ROCK, AR 72203 | RELIANCE STANDARD | $0 | — | $0 | 0.00% |
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 | 238 | 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) | 238 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | QCA HEALTH PLAN | 400 | $1.8M |
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 249 | $109K |
| Vision(2 contracts, 2 carriers) | QCA HEALTH PLAN | 400 | $1.8M |
| Life insurance | RELIANCE STANDARD | 238 | $15K |
| Short-term disability | RELIANCE STANDARD | 151 | $37K |
| Long-term disability | RELIANCE STANDARD LIFE INSURNACE COMPNAY | 124 | $44K |
| Prescription drug | QCA HEALTH PLAN | 400 | $1.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 400 | — |
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.