| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ENROLLEASE3 Filed as: HAGAN NEWKIRK FNCL SVC INC | 6325 RANCH DR LITTLE ROCK, AR 72223 | HARTFORD LIFE AND ACCIDENT | $29K | $19K | $48K | 16.79% |
| FARRIS AGENCY3 | PO BOX 460 CONWAY, AR 720330460 | CINCINNATI LIFE | $655 | — | $655 | 41.22% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CORESOURCE, INC. EIN 35-1846036 NONE | Claims processing; Other services; Plan Administrator Service code 12 | — | $284K |
| AETNA-PPO EIN 06-6033492 NONE | Claims processing; Other services Service code 12 | — | $60K |
| HAGAN NEWKIRK FINANCIAL SERVICES EIN 71-0562078 NONE | Consulting (general); Insurance agents and brokers Service code 16 | — | $15K |
| MULTIPLAN, INC EIN 13-3068979 NONE | Claims processing; Other services; Plan Administrator Service code 12 | — | $8K |
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 | 1,646 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,646 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL PLAN OF ARKANSAS | 1,646 | $407K |
| Life insurance(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 871 | $288K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 871 | $286K |
| Stop-loss / reinsurancereinsurance | AETNA LIFE INSURANCE COMPANY | 635 | $387K |
| Other | HARTFORD LIFE AND ACCIDENT | 871 | $286K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,646 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.