| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| UNKNOWN3 | — | QUALCHOICE LIFE AND HEALTH INSURANCE COMPANY | $14K | — | $14K | 2.30% |
| UNKNOWN3 | — | ARKANSAS BLUE CROSS AND BLUE SHIELD | $5K | — | $5K | 10.00% |
| PAMELA K HARMON3 | 4110 SPRINGHILL RD BENTON, AR 72019 | AFLAC | $2K | — | $2K | 6.50% |
| ALLISON R DEMPSEY3 | 2393 HIGHWAY 51 N ARKADELPHIA, AR 71923 | AFLAC | $761 | — | $761 | 2.25% |
| MARY HEADLEE KNIGHT3 | P.O BOX 1282 BENTON, AR 72018 | AFLAC | $360 | — | $360 | 1.06% |
| ANGELA L STALEY3 | 902 MARTIN LUTHER KING BLVD STE 102 MALVERN, AR 72104 | AFLAC | $238 | — | $238 | 0.70% |
| JANE L WAHLGREN3 | 812 CORRAL CIR BRYANT, AR 72022 | AFLAC | $210 | — | $210 | 0.62% |
| BETH L WILKINS3 | 4107 N HIGHWAY 7 HOT SPRINGS VILLAGE, AR 71909 | AFLAC | $151 | — | $151 | 0.45% |
| MICHAEL FOWLER3 | 335 E MAIN ST STE B1 TUPELO, MS 38804 | AFLAC | $89 | — | $89 | 0.26% |
| SHERYL R SCHULTZ3 | 983 OAK HEIGHTS DR SHERWOOD, AR 72120 | AFLAC | $62 | — | $62 | 0.18% |
| DEWAYNE GOLDWYN SIMPSON3 | 4204 COOPER ROCK RD EDMOND, OK 73025 | AFLAC | $53 | — | $53 | 0.16% |
| RAYMON P KEECH III3 | 8207 CAMPAIGN CIR RICHMOND, TX 77406 | AFLAC | $52 | — | $52 | 0.15% |
| R SCOTT SCHULTZ3 | 48 ROCKEY GAP RD MAYFLOWER, AR 72106 | AFLAC | $49 | — | $49 | 0.14% |
| LAURA J JAROS3 | 16851 COWAN RD ALVIN, TX 77511 | AFLAC | $40 | — | $40 | 0.12% |
| JOHN MICHAEL CHRISTOPHER3 | 1637 S SILVERTHORNE DR LITTLE ROCK, AR 72210 | AFLAC | $38 | — | $38 | 0.11% |
| WILLIAM S JONES3 | P.O BOX 999 MONTICELLO, AR 71657 | AFLAC | $33 | — | $33 | 0.10% |
| MATTHEW D CARPENTER3 | 8 SHACKLEFORD PLZ STE 300 LITTLE ROCK, AR 72211 | AFLAC | $32 | — | $32 | 0.09% |
| RITA JONES INC3 Filed as: RITA B JONES | PO BOX 20474 HOT SPRINGS, AR 71903 | AFLAC | $29 | — | $29 | 0.09% |
| WILLIAM D WENBERG3 | 13024 STACY LN LITTLE ROCK, AR 72201 | AFLAC | $20 | — | $20 | 0.06% |
| EDWARD L MARTINA III3 | 100 GENNA LN YOUNGSVILLE, LA 70592 | AFLAC | $18 | — | $18 | 0.05% |
| SCOTT W BLACKSHEAR3 Filed as: SCOTT M GUTHRIE | 436 LONE STAR LN HIDEAWAY, TX 75771 | AFLAC | $16 | — | $16 | 0.05% |
| BROOKS LANDON GREENWOOD3 | 7507 WESTWIND DR NORTH LITTLE ROCK, AR 72113 | AFLAC | $11 | — | $11 | 0.03% |
| JOHN TIMOTHY MCRAE12063 | 1206 WOODLAND PARK RD BRYANT, AR 72022 | AFLAC | $9 | — | $9 | 0.03% |
| MILDRED LOUISE HALBROOK3 | 42 N DOGWOOD DR MAYFLOWER, AR 72106 | AFLAC | $9 | — | $9 | 0.03% |
| TELARA A ADAMS3 | 204 EXECUTIVE CT STE 302 LITTLE ROCK, AR 72205 | AFLAC | $8 | — | $8 | 0.02% |
| ELIZABETH M CHAPMOND3 | 107 LOOKOUT PT HOT SPRINGS, AR 71913 | AFLAC | $7 | — | $7 | 0.02% |
| ROGERS BENEFIT GROUP INC3 Filed as: RONALD DEAN ROGERS | 1406 SW LIBERTY AVE BENTONVILLE, AR 72713 | AFLAC | $5 | — | $5 | 0.01% |
| CAROLYN S LEE3 | 1412 MAIN ST STE 504 TEXARKANA, AR 75501 | AFLAC | $3 | — | $3 | 0.01% |
| VICKIE L HENDERSON3 | 607 BAY VEIW CT SHERWOOD, AR 72120 | AFLAC | $2 | — | $2 | 0.01% |
| SHAWN K STEPHENS3 | 1323 GRAHAM TRACE LN LEAGUE, TX 77573 | AFLAC | $2 | — | $2 | 0.01% |
| KELLY KING BLEDSOE3 | 37 BRETAGINE CIR LITTLE ROCK, AR 72223 | AFLAC | $1 | — | $1 | 0.00% |
| TAMMY GULLEY3 | 2 TEMPLIN TRL LITTLE ROCK, AR 72205 | AFLAC | $1 | — | $1 | 0.00% |
| UNKNOWN3 | — | ARKANSAS BLUE CROSS AND BLUE SHIELD | $1K | — | $1K | 10.00% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 310 LOUISIANA ST LITTLE ROCK, AR 72201 | MANHATTANLIFE ASSURANCE CO OF AMERICA | $2K | — | $2K | 15.80% |
| BAFFIN BAY MARKETING GROUP, LLC3 | P.O. BOX 161690 AUSTIN, TX 78716 | MANHATTANLIFE ASSURANCE CO OF AMERICA | $538 | — | $538 | 4.49% |
| NATIONAL INSURANCE BENEFIT COORD3 | 615 W 29TH ST NORTH LITTLE ROCK, AR 72113 | MANHATTANLIFE ASSURANCE CO OF AMERICA | $503 | — | $503 | 4.20% |
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 | 58 | 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) | 58 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | MANHATTANLIFE ASSURANCE CO OF AMERICA | 27 | $12K |
| Dental | ARKANSAS BLUE CROSS AND BLUE SHIELD | 133 | $50K |
| Vision | ARKANSAS BLUE CROSS AND BLUE SHIELD | 128 | $15K |
| Life insurance(2 contracts, 2 carriers) | QUALCHOICE LIFE AND HEALTH INSURANCE COMPANY | 93 | $663K |
| Other | MANHATTANLIFE ASSURANCE CO OF AMERICA | 27 | $12K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 133 | — |
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.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.