| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE HATCHER AGENCY3 | PO BOX 3505 LITTLE ROCK, AR 72203 | STANDARD INSURANCE COMPANY | $11K | — | $11K | 15.00% |
| THE HATCHER AGENCY3 | PO BOX 3505 LITTLE ROCK, AR 72203 | HARTFORD LIFE AND ACCIDENT | $12K | — | $12K | 25.00% |
| ACRISURE LLC3 Filed as: ACRISURE | 6307 84TH ST SE CALEDONIA, MI 49316 | HARTFORD LIFE AND ACCIDENT | — | $620 | $620 | 1.29% |
| ACRISURE LLC3 | 310 LOUISIANA ST. LITTLE ROCK, AR 72201 | GUARDIAN | $8K | $2K | $10K | 25.45% |
| ASHFORD MID SOUTH LLC3 | 6000 POPLAR AVE 113 MEMPHIS, TN 38119 | GUARDIAN | $78 | — | $78 | 0.20% |
| THE HATCHER AGENCY3 | PO BOX 3505 LITTLE ROCK, AR 72203 | DELTA DENTAL PLAN OF ARKANSAS | $8K | — | $8K | 20.00% |
| THE HATCHER AGENCY3 | 310 LOUSIANA LITTLE ROCK, AR 72201 | UNUM LIFE INSURANCE COMPANY | $4K | — | $4K | 15.12% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UMR EIN 39-1995276 | Claims processing Service code 12 | — | $178K |
| SOUTHERN SCRIPTS | Claims processing Service code 12 | PO BOX 2482 NATCHITOCHES, LA 71457 | $45K |
| RX RESULTS | Claims processing Service code 12 | 320 EXECUTIVE COURT, STE 201 LITTLE ROCK, AR 72205 | $32K |
| CONVEY COMPLIANCE SYSTEM EIN 47-1073810 | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $22K |
| DELTA DENTAL PLAN OF ARKANSAS EIN 71-0561140 | Claims processing Service code 12 | — | $15K |
| HOGANTAYLOR LLP EIN 73-1413977 | Accounting (including auditing) Service code 10 | — | $13K |
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 | 264 | Currently employed and enrolled or eligible. |
| Retired/separated still eligible | 8 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 272 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | DELTA DENTAL PLAN OF ARKANSAS | 432 | $38K |
| Life insurance | STANDARD INSURANCE COMPANY | 319 | $73K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 316 | $48K |
| Other(2 contracts, 2 carriers) | GUARDIAN | 59 | $65K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 432 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.