| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JENNIFER GUTHRIE WILSON3 | 670 WINDING SPRING DRIVE FAYETTEVILLE, AR 72703 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10K | — | $10K | 5.18% |
| CECIL POLK3 | P.O. BOX 433 NORPHLET, AR 71759 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5K | — | $5K | 2.58% |
| ROBERT W ALLEN3 | 102 FLOYD BURNS ROAD EL PASO, AR 72045 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $351 | $5K | 2.48% |
| BARNETT BENEFITS GROUP INC3 Filed as: BARNETT BENEFITS GROUP, INC. | 101 BARNETT RD LONOKE, AR 72086 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $406 | $4K | 1.99% |
| GINGER MULLINS & COMPANY INC3 | 1701 CENTERVIEW DRIVE LITTLE ROCK, AR 72211 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $475 | $2K | 1.22% |
| DEBORAH DAVIS3 | 252 GRANT 561 SHERIDAN, AR 72150 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $41 | $1K | 0.72% |
| TIFFANY RAEANN HAMMOND3 | 4122 STILLMAN LOOP BRYANT, AR 72022 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $330 | $32 | $362 | 0.20% |
| JENNIFER GRIGGS3 | 101 JULIE LANE BRINKLEY, AR 72021 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $101 | — | $101 | 0.05% |
| JTS FIANCIAL SERVICES3 | 415 N. MCKINLEY ST SUITE 305 LITTLE ROCK, AR 72205 | DELTA DENTAL PLAN OF ARKANSAS | $2K | — | $2K | 3.61% |
| CECIL POLK3 | 302 NORTH TATE NORPHLET, AR 71759 | KANSAS CITY LIFE INSURANCE COMPANY | $2K | — | $2K | 7.65% |
| JTS FINANCIAL SERVICES3 | 415 N. MCKINLEY ST LITTLE ROCK, AR 72205 | DELTA DENTAL PLAN OF ARKANSAS | $2K | — | $2K | 10.00% |
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 | 176 | 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) | 176 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUEADVANTAGE ADMINISTRATORS OF ARKANSAS | 174 | $1.3M |
| Dental | DELTA DENTAL PLAN OF ARKANSAS | 262 | $50K |
| Vision | DELTA DENTAL PLAN OF ARKANSAS | 252 | $19K |
| Life insurance(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 170 | $207K |
| Short-term disability | KANSAS CITY LIFE INSURANCE COMPANY | 170 | $23K |
| Prescription drug | BLUEADVANTAGE ADMINISTRATORS OF ARKANSAS | 174 | $1.3M |
| Stop-loss / reinsurancereinsurance | HM LIFE INSURANCE COMPANY | 176 | $263K |
| 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."
No prospect flags tripped on this filing.