| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JENNIFER G WILSON3 | 6471 W CLEARVIEW DR MCCORDSVILLE, IN 46055 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $8K | $0 | $8K | 5.61% |
| CECIL POLK3 | P.O. BOX 433 NORPHLET, AR 71759 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5K | $0 | $5K | 3.67% |
| ROBERT W ALLEN3 | 39 SUNCREST DR CABOT, AR 72023 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $233 | $5K | 3.45% |
| J&K DOUGLAS SALES INC3 Filed as: J & K DOUGLAS SALES INC | 150 CRYSTAL LAKE ROAD AUSTIN, AR 72007 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $185 | $3K | 2.17% |
| GINGER MULLINS & COMPANY INC3 | 1701 CENTERVIEW DRIVE LITTLE ROCK, AR 72211 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $288 | $3K | 1.87% |
| JC HAVENS INC3 | 7 JACKIE LANE CONWAY, AR 72032 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $1 | $1K | 0.96% |
| TINA BORDEN CRAIG3 | 319 EDWARDS STREET WHITE HALL, AR 71602 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $4 | $1K | 0.92% |
| BARNETT BENEFITS GROUP INC3 | 101 BARNETT RD LONOKE, AR 72086 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $686 | $58 | $744 | 0.54% |
| JENNIFER GRIGGS3 Filed as: JENNIFER HUNTER | 23138 HWY 39 BRINKLEY, AR 72021 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $569 | $38 | $607 | 0.44% |
| JTS FIANCIAL SERVICES3 | 415 N. MCKINLEY ST SUITE 305 LITTLE ROCK, AR 72205 | DELTA DENTAL PLAN OF ARKANSAS | $2K | — | $2K | 4.62% |
| CECIL POLK3 | 302 NORTH TATE NORPHLET, AR 71759 | KANSAS CITY LIFE INSURANCE COMPANY | $2K | — | $2K | 6.24% |
| CECIL POLK3 | 302 NORTH TATE NORPHLET, AR 71759 | VISION SERVICE PLAN | $1K | — | $1K | 4.71% |
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 | 262 | 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) | 262 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUEADVANTAGE ADMINISTRATORS OF ARKANSAS | 262 | $182K |
| Dental | DELTA DENTAL PLAN OF ARKANSAS | 211 | $52K |
| Vision | VISION SERVICE PLAN | 205 | $30K |
| Life insurance(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 241 | $168K |
| Short-term disability | KANSAS CITY LIFE INSURANCE COMPANY | 241 | $31K |
| Other | EVERST REINSURANCE COMPANY | 262 | $332K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 262 | — |
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.