| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RISK SERVICES OF LOUISIANA INC3 | 333 TEXAS ST STE 1000 SHREVEPORT, LA 711013549 | HARTFORD LIFE AND ACCIDENT | $14K | — | $14K | 7.20% |
| LEAVITT GROUP3 Filed as: LEAVITT GROUP AGCY ASSOC LLC | 44 W HARDING AVE CEDAR CITY, UT 84720 | HARTFORD LIFE AND ACCIDENT | $5K | — | $5K | 2.41% |
| RISK SERVICES OF LOUISIANA INC3 | 400 TEXAS ST STE 100 SHREVEPORT, LA 711013549 | DELTA DENTAL PLAN OF ARKANSAS | $158 | — | $158 | 0.14% |
| LINDA S ALLISON3 | 502 OLD CANYON RD JONESBORO, AR 72404 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $6K | — | $6K | 13.67% |
| RANDY E SMITH3 | 2506 RED WOLF BLVD JONESBORO, AR 72401 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $523 | — | $523 | 1.28% |
| MATTHEWS 516 LLC/ENHANCE MY BEN LL3 | 716 LILY FLAGG RD SE HUNTSVILLE, AL 35802 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $484 | — | $484 | 1.19% |
| LINDA S ALLISON3 | 502 OLD CANYON RD JONESBORO, AR 72404 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $5K | — | $5K | 14.60% |
| RANDY E SMITH3 | 2506 RED WOLF BLVD JONESBORO, AR 72401 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $419 | — | $419 | 1.29% |
| MATTHEWS 516 LLC/ENHANCE MY BEN LL3 | 716 LILY FLAGG RD SE HUNTSVILLE, AL 35802 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $409 | — | $409 | 1.26% |
| RISK SERVICES OF LOUISIANA INC3 | 400 TEXAS ST STE 100 SHREVEPORT, LA 711013549 | DELTA DENTAL PLAN OF ARKANSAS | $1K | — | $1K | 5.00% |
| RISK SERVICES OF LOUISIANA INC3 | 400 TEXAS ST STE 100 SHREVEPORT, LA 711013549 | DELTA DENTAL PLAN OF ARKANSAS | $437 | — | $437 | 5.08% |
| MATTHEWS 516 LLC/ENHANCE MY BEN LL3 | 716 LILY FLAGG RD SE HUNTSVILLE, AL 35802 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $7 | — | $7 | 1.30% |
| RANDY E SMITH3 | 2506 RED WOLF BLVD JONESBORO, AR 72401 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $4 | — | $4 | 0.74% |
| TROY M POOLE3 | 1933 TREEVIEW DRIVE ANTIOCH, TN 37013 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1 | — | $1 | 0.19% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BOON-CHAPMAN SERVICE PROVIDER | Insurance services Service code 23 | 9401 AMBERGLEN BLVD BLD I STE 100 AUSTIN, TX 78729 | $628K |
| RISK SERVICES OF LOUISIANA INC INSURANCE BROKER | Insurance agents and brokers Service code 22 | 400 TEXAS STREET STE 100 SHREVEPORT, LA 711013549 | $16K |
| PROCARE RX EIN 58-2422694 SERVICE PROVIDER | Claims processing Service code 12 | — | $15K |
| LINDA S ALLISON INSURANCE BROKER | Insurance agents and brokers Service code 22 | 502 OLD CANYON RD JONESBORO, AR 72404 | $10K |
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 | 237 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 237 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL PLAN OF ARKANSAS | 445 | $113K |
| Vision(2 contracts) | DELTA DENTAL PLAN OF ARKANSAS | 246 | $29K |
| Life insurance(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 225 | $194K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 225 | $194K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 225 | $194K |
| Stop-loss / reinsurancereinsurance | NATIONWIDE LIFE INSURANCE COMPANY | 188 | $437K |
| Other(3 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 225 | $267K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 445 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.