| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JAMES PEW3 | 2960 FRANKLIN CIRCLE CONWAY, AR 72034 | ARKANSAS BLUE CROSS AND BLUE SHIELD | — | — | $0 | 0.00% |
| HAWKINS INSURANCE AGENCY3 | 207 E. CHURCH ST. MORRILTON, AR 72110 | ARKANSAS BLUE CROSS AND BLUE SHIELD | — | — | $0 | 0.00% |
| HAWKINS INSURANCE AGENCY3 | 207 E. CHURCH ST. MORRILTON, AR 722103419 | HUMANA INSURANCE COMPANY | $2K | — | $2K | 8.99% |
| HAWKINS INSURANCE AGENCY3 | 207 E. CHURCH ST. MORRILTON, AR 72210 | US ABLE LIFE | $3K | — | $3K | 25.00% |
| JAMES PEW3 | 320 W CAPITOL, STE 900 LITTLE ROCK, AR 72201 | US ABLE LIFE | $649 | — | $649 | 5.00% |
| GEORGE BURKS3 | 9 ALTON LANE LITTLE ROCK, AR 72211 | US ABLE LIFE | $58 | — | $58 | 0.45% |
| HAWKINS INSURANCE AGENCY3 | 207 E. CHURCH ST. MORRILTON, AR 72110 | US ABLE LIFE | $3K | — | $3K | 43.26% |
| JAMES PEW3 | 320 W CAPITOL, STE 900 LITTLE ROCK, AR 72201 | US ABLE LIFE | $236 | — | $236 | 3.36% |
| GEORGE BURKS3 | 9 ALTON LANE LITTLE ROCK, AR 72211 | US ABLE LIFE | $22 | — | $22 | 0.31% |
| HAWKINS INSURANCE AGENCY3 | 207 E. CHURCH ST. MORRILTON, AR 72110 | US ABLE LIFE | $3K | — | $3K | 44.33% |
| JAMES PEW3 | 320 W CAPITOL, STE 900 LITTLE ROCK, AR 72201 | US ABLE LIFE | $210 | — | $210 | 3.45% |
| GEORGE BURKS3 | 9 ALTON LANE LITTLE ROCK, AR 72211 | US ABLE LIFE | $20 | — | $20 | 0.33% |
| HAWKINS INSURANCE AGENCY3 | 207 E. CHURCH ST. MORRILTON, AR 72110 | US ABLE LIFE | $2K | — | $2K | 56.92% |
| JAMES PEW3 | 320 W CAPITOL, STE 900 LITTLE ROCK, AR 72201 | US ABLE LIFE | $116 | — | $116 | 4.16% |
| GEORGE BURKS3 | 9 ALTON LANE LITTLE ROCK, AR 72211 | US ABLE LIFE | $11 | — | $11 | 0.39% |
| HAWKINS INSURANCE AGENCY3 | 207 E. CHURCH ST. MORRILTON, AR 72110 | US ABLE LIFE | $83 | — | $83 | 4.00% |
| JAMES PEW3 | 320 W CAPITOL, STE 900 LITTLE ROCK, AR 72201 | US ABLE LIFE | $62 | — | $62 | 2.99% |
| GEORGE BURKS3 | 9 ALTON LANE LITTLE ROCK, AR 72211 | US ABLE LIFE | $6 | — | $6 | 0.29% |
| HAWKINS INSURANCE AGENCY3 | 207 E. CHURCH ST. MORRILTON, AR 72110 | US ABLE LIFE | $130 | — | $130 | 25.05% |
| JAMES PEW3 | 320 W CAPITOL, STE 900 LITTLE ROCK, AR 72201 | US ABLE LIFE | $26 | — | $26 | 5.01% |
| GEORGE BURKS3 | 9 ALTON LANE LITTLE ROCK, AR 72211 | US ABLE LIFE | $2 | — | $2 | 0.39% |
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 | 136 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 136 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH ADVANTAGE | 100 | $434K |
| Dental | ARKANSAS BLUE CROSS AND BLUE SHIELD | 173 | $56K |
| Vision | HUMANA INSURANCE COMPANY | 105 | $17K |
| Life insurance(2 contracts) | US ABLE LIFE | 137 | $15K |
| Prescription drug | HEALTH ADVANTAGE | 100 | $434K |
| Other(5 contracts) | US ABLE LIFE | 78 | $18K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 173 | — |
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.