| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CHRISTOPHER D COCKBURN3 | 1412 14TH CIR BARLING, AR 72923 | AFLAC | $2K | $17 | $2K | 4.13% |
| JOHN TOMAS MOLINA3 | 19214 HIGHWAY 45 HACKETT, AR 72937 | AFLAC | $1K | — | $1K | 2.78% |
| YANY VARGAS3 | 3213 IRVING ST FORT SMITH, AR 72904 | AFLAC | $943 | — | $943 | 1.89% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER-CLARK & ASSOCIATES | P.O. BOX 3529 FORT SMITH, AR 72913 | AFLAC | $863 | — | $863 | 1.73% |
| DOUGLAS ELMORE3 Filed as: DOUGLAS D ELMORE | 1930 HIGHWAY 71 E MANSFIELD, AR 72944 | AFLAC | $750 | — | $750 | 1.50% |
| TORI PARKER3 | 1412 14TH CIR BARLING, AR 72923 | AFLAC | $683 | $62 | $745 | 1.49% |
| SEFORA BILLUPS3 | 1553 STATE HIGHWAY Y FORSYTH, MO 65653 | AFLAC | $564 | — | $564 | 1.13% |
| PROCTOR HAGERMAN3 | 2008 WIRSING AVE FORT SMITH, AR 72904 | AFLAC | $473 | $31 | $504 | 1.01% |
| TONYA SUE ELMORE3 | 1930 HIGHWAY 71 E MANSFIELD, AR 72944 | AFLAC | $304 | — | $304 | 0.61% |
| BHC NEXT LLC DBA BHC INSURANCE3 | P.O. BOX 3529 FORT SMITH, AR 72913 | AFLAC | $281 | — | $281 | 0.56% |
| ANNEKE BOLLMAN ZIEGLER3 Filed as: ANNEKE BINKLEY BUNTING | 810 WOODLAND WAY GREENWOOD, AR 72936 | AFLAC | $159 | — | $159 | 0.32% |
| DAVID E CIAMPOLI3 | 1204 BIG OAK DR ALMA, AR 72921 | AFLAC | $158 | — | $158 | 0.32% |
| JOE DOUGLAS HALL3 Filed as: JOE D HALL | 1502 E MAIN ST LAVACA, AR 72941 | AFLAC | $122 | — | $122 | 0.24% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: RONALD JOE BENTLEY | 6301 FIELDCREST DR FORT SMITH, AR 72916 | AFLAC | $117 | — | $117 | 0.23% |
| KATRINA CHESHIER3 Filed as: KATRINA MARIE RICHARDSON | 8419 STONESHIRE DR FORT SMITH, AR 72916 | AFLAC | $106 | — | $106 | 0.21% |
| SALLY A MEAD3 | 1535 FIANNA PLACE TER FORT SMITH, AR 72908 | AFLAC | $106 | — | $106 | 0.21% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: RONALD F BROWN | 5150 BAY TOWN CONWAY, AR 72034 | AFLAC | $94 | — | $94 | 0.19% |
| CHRISTOPHER L RINK3 | 3411 S 28TH ST FORT SMITH, AR 72901 | AFLAC | $78 | — | $78 | 0.16% |
| BILLY DALE ELKINS3 | 1024 BOURLAND RD KELLER, TX 76248 | AFLAC | $70 | — | $70 | 0.14% |
| TONYA MOLES3 Filed as: TONYA E MOLES | P.O. BOX 451 DELAWARE, AR 72835 | AFLAC | $59 | — | $59 | 0.12% |
| AMY GREEN3 Filed as: AMY F GREEN | 114 NASSAU DR SAVANNAH, GA 31410 | AFLAC | $50 | — | $50 | 0.10% |
| REBECCA BANDY3 Filed as: REBECCA I BANDY | 18039 DON DR SPIRO, OK 74959 | AFLAC | $44 | — | $44 | 0.09% |
| LANA A ELKINS3 Filed as: LANA E ELKINS | 1024 BOURLAND RD KELLER, TX 76248 | AFLAC | $25 | — | $25 | 0.05% |
| DAVID P AESOPH3 | 2700 W NICOLE DR SIOUX FALLS, SD 57105 | AFLAC | $16 | — | $16 | 0.03% |
| DOUGLAS P FRANCKOWSKI3 | 85 BRIGHTON PARK DR SAINT CHARLES, MO 63303 | AFLAC | $16 | — | $16 | 0.03% |
| TESSIE P CANTRELLE3 | 3112 LILLIAN MARIE DR GRAY, LA 70359 | AFLAC | $7 | — | $7 | 0.01% |
| EARL GENE CAULEY JR3 | 1712 HIDDEN VALLEY ST VAN BUREN, AR 72956 | AFLAC | $7 | — | $7 | 0.01% |
| WILLIAM D WENBERG3 | 13024 STACY LANE LITTLE ROCK, AR 72211 | AFLAC | $6 | — | $6 | 0.01% |
| CHARLES L CHANCELLOR3 | 903 WEATHERFORD DR BENTON, AR 72015 | AFLAC | $6 | — | $6 | 0.01% |
| BYRON KEITH BURRELL3 | 364 ARKAVALLEY RD GREENBRIER, AR 72058 | AFLAC | $5 | — | $5 | 0.01% |
| CHERISE M WADE3 | 616 HARDEMAN ST SEALY, TX 77474 | AFLAC | $3 | — | $3 | 0.01% |
| KENNETH COLLINS JR3 Filed as: KENNETH M COLLINS JR | P.O. BOX 17381 JONESBORO, AR 72403 | AFLAC | $1 | — | $1 | 0.00% |
| ANDREA STEPHENS3 | 1323 GRAHAM TRACE LN LEAGUE CITY, TX 77573 | AFLAC | $1 | — | $1 | 0.00% |
| KELLY KING BLEDSOE3 | 37 BRETAGNE CIR LITTLE ROCK, AR 72223 | AFLAC | $1 | — | $1 | 0.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER INC | 5500 EUPER LANE FORT SMITH, AR 72903 | MUTUAL OF OMAHA | $871 | $294 | $1K | 9.98% |
| BHC NEXT, LLC3 | 5500 EUPER LANE FORT SMITH, AR 72903 | MUTUAL OF OMAHA | $880 | — | $880 | 7.54% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK STE A BEACHWOOD, OH 44122 | MUTUAL OF OMAHA | — | $252 | $252 | 2.16% |
| JASON EVERETT | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $171 | — | $171 | 1.48% |
| VETA MELVIN | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $132 | — | $132 | 1.14% |
| SHAWNA STARR NYHAUG Filed as: SHAWNA DENARVAEZ | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $96 | — | $96 | 0.83% |
| STEPHEN CORRIVEAU Filed as: STEPHEN SLAGLE | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $63 | — | $63 | 0.55% |
| HUELET SMITH | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $62 | — | $62 | 0.54% |
| KEVIN PETERSON | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $46 | — | $46 | 0.40% |
| JEFFRY A WILSON SR Filed as: JEFFRY WALLMARK | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $44 | — | $44 | 0.38% |
| STEVEN GAITHER | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $20 | — | $20 | 0.17% |
| CATRINA D DELLINGER Filed as: CATRINA FUENTES | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $17 | — | $17 | 0.15% |
| FLOYD GREGORY NAPPS Filed as: FLOYD BRADFORD | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $10 | — | $10 | 0.09% |
| DALLAS INSURANCE EXCHANGE II INC Filed as: DALLAS MELVIN | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $10 | — | $10 | 0.09% |
| ARBELAEZ MARQUEZ | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $9 | — | $9 | 0.08% |
| STEVEN RAY GRIFFIN Filed as: STEVEN CHANCEY | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $8 | — | $8 | 0.07% |
| MALISSA COLLINS | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $8 | — | $8 | 0.07% |
| KEITH LEPACK Filed as: KEITH BENNETT | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $7 | — | $7 | 0.06% |
| CHERYL O'BRIEN Filed as: CHERYL WILLIAMS | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $6 | — | $6 | 0.05% |
| MARIA VANDYKE Filed as: MARIA DITTO | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $5 | — | $5 | 0.04% |
| GINA M WESOLEK Filed as: GINA WHITE | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $5 | — | $5 | 0.04% |
| LACEY M AURIEMMA Filed as: LACEY QUINN | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $5 | — | $5 | 0.04% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER-CLARK & ASSOCIATES | P.O. BOX 3529 FORT SMITH, AR 72913 | USABLE LIFE | $263 | — | $263 | 3.02% |
| DAVID NEEDHAM3 | 1840 PARK RIDGE DRIVE VAN BUREN, AR 72956 | USABLE LIFE | $147 | — | $147 | 1.69% |
| MARIA VANDYKE | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $16 | — | $16 | 0.18% |
| JERRY DUNCAN3 | 516 EAST MILLSAP ROAD SUITE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $13 | — | $13 | 0.15% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER INC | 5500 EUPER LANE FORT SMITH, AR 72903 | MUTUAL OF OMAHA | $686 | $276 | $962 | 15.26% |
| BHC NEXT, LLC3 | 5500 EUPER LANE FORT SMITH, AR 72903 | MUTUAL OF OMAHA | $575 | — | $575 | 9.12% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK STE A BEACHWOOD, OH 44122 | MUTUAL OF OMAHA | — | $237 | $237 | 3.76% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER-CLARK & ASSOCIATES | P.O. BOX 3529 FORT SMITH, AR 72913 | USABLE LIFE | $843 | $146 | $989 | 17.61% |
| DAVID NEEDHAM3 | 1840 PARK RIDGE DRIVE VAN BUREN, AR 72956 | USABLE LIFE | $281 | — | $281 | 5.00% |
| MARIA VANDYKE3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $31 | — | $31 | 0.55% |
| JERRY DUNCAN3 | 516 EAST MILLSAP ROAD SUITE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $25 | — | $25 | 0.45% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER INC | 5500 EUPER LANE FORT SMITH, AR 72903 | MUTUAL OF OMAHA | $482 | $355 | $837 | 15.95% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK STE A BEACHWOOD, OH 44122 | MUTUAL OF OMAHA | — | $305 | $305 | 5.81% |
| BHC NEXT, LLC3 | 5500 EUPER LANE FORT SMITH, AR 72903 | MUTUAL OF OMAHA | $305 | — | $305 | 5.81% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN-HILLER-CLARK & ASSOCIATES | P.O. BOX 3529 FORT SMITH, AR 72913 | USABLE LIFE | $139 | $48 | $187 | 20.26% |
| DAVID NEEDHAM3 | 1840 PARK RIDGE DRIVE VAN BUREN, AR 72956 | USABLE LIFE | $46 | — | $46 | 4.98% |
| MARIA VANDYKE | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $5 | — | $5 | 0.54% |
| JERRY DUNCAN3 | 516 EAST MILLSAP ROAD SUITE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $4 | — | $4 | 0.43% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTH ADVANTAGE EIN 71-0747497 | Other services Service code 49 | — | $21K |
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 | 148 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 148 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HEALTH ADVANTAGE | 112 | $567K |
| Dental | ARKANSAS BLUE CROSS AND BLUE SHIELD | 143 | $52K |
| Vision | ARKANSAS BLUE CROSS AND BLUE SHIELD | 125 | $7K |
| Life insurance | USABLE LIFE | 148 | $9K |
| Long-term disability | MUTUAL OF OMAHA | 20 | $12K |
| Prescription drug | HEALTH ADVANTAGE | 112 | $517K |
| Other(6 contracts, 3 carriers) | LIBERTY NATIONAL LIFE INSURANCE COMPANY | 148 | $38K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 148 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.