| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STEPHENS INSURANCE LLC3 | 111 CENTER ST. STE 1410 LITTLE ROCK, AR 72201 | DELTA DENTAL PLAN OF ARKANSAS | $11K | — | $11K | 5.00% |
| STEPHENS INSURANCE LLC3 | P.O. BOX 3507 LITTLE ROCK, AR 72203 | CIGNA GROUP INSURANCE | $18K | — | $18K | 14.98% |
| BENEFIT ADVISORS SERVICES3 | 1120 SANCTUARY PKWAY STE. 375 ALPHARETTA, GA 30009 | CIGNA GROUP INSURANCE | $1K | — | $1K | 1.07% |
| STEPHENS INSURANCE LLC3 | 111 CENTER ST. STE 1410 LITTLE ROCK, AR 72201 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6K | — | $6K | 5.61% |
| GINGER MULLINS & COMPANY INC3 Filed as: GINGER MULLINS & COMPANY INC. | 1701 CENTERVIEW DRIVE LITTLE ROCK, AR 72211 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $122 | $3K | 2.54% |
| ROBERT W ALLEN3 Filed as: ROBERT W. ALLEN | 39 SUNCREST DR CABOT, AR 72023 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $56 | $2K | 1.72% |
| BARNETT BENEFITS GROUP INC3 | 101 BARNETT RD LONOKE, AR 72086 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $55 | $1K | 0.99% |
| J&K DOUGLAS SALES INC3 | 150 CRYSTAL LAKE ROAD AUSTIN, AR 72007 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $791 | $18 | $809 | 0.71% |
| JC HAVENS INC3 Filed as: JC HAVENS INC. | 7 JACKIE LANE CONWAY, AR 72032 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $270 | — | $270 | 0.24% |
| JENNIFER GRIGGS3 Filed as: JENNIFER HUNTER | 23138 HWY 39 BRINKLEY, AR 72021 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $140 | $20 | $160 | 0.14% |
| MELISSA MARIE HURLEY3 Filed as: MELISSA SUE JONES | 3222 MOOREHEAD DRIVE NASHVILLE, TN 37207 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $53 | — | $53 | 0.05% |
| KYLE HARDING3 | 105 EAST BROAD ST TEXARKANA, AR 71854 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $44 | — | $44 | 0.04% |
| TERRELL & COMPANY INC3 Filed as: TERRELL AGENCY INC | 242 GULFWAY DRIVE HACKBERRY, LA 70645 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $14 | — | $14 | 0.01% |
| BSK BENEFITS PLUS LLC3 | 205 PINECREST DRIVE COVINGTON, LA 70433 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | — | $4 | 0.00% |
| DAVID EVANS3 | 2711 YORK CT SOUTHLAKE, TX 76092 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| STEPHENS INSURANCE LLC3 | P.O. BOX 3507 LITTLE ROCK, AR 72203 | CIGNA GROUP INSURANCE | $11K | — | $11K | 14.12% |
| BENEFIT ADVISORS SERVICES3 | 1120 SANCTUARY PKWAY STE. 375 ALPHARETTA, GA 30009 | CIGNA GROUP INSURANCE | $864 | — | $864 | 1.07% |
| STEPHENS INSURANCE LLC3 | P.O. BOX 3507 LITTLE ROCK, AR 72203 | CIGNA GROUP INSURANCE | $11K | — | $11K | 15.00% |
| BENEFIT ADVISORS SERVICES3 | 1120 SANCTUARY PKWAY STE. 375 ALPHARETTA, GA 30009 | CIGNA GROUP INSURANCE | $793 | — | $793 | 1.08% |
| STEPHENS INSURANCE LLC3 | 111 CENTER ST. STE 1410 LITTLE ROCK, AR 72201 | DELTA DENTAL PLAN OF ARKANSAS | $2K | — | $2K | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTH ADVANTAGE CLAIMS PROCESSOR | Claims processing; Contract Administrator Service code 12 | — | $268K |
| STEPHENS INSURANCE LLC INS BROKER | Insurance agents and brokers Service code 22 | 111 CENTER ST. STE. 1410 LITTLE ROCK, AR 72201 | $0 |
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 | 453 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 457 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | HEALTH ADVANTAGE | 722 | $2.4M |
| Dental | DELTA DENTAL PLAN OF ARKANSAS | 810 | $226K |
| Vision | DELTA DENTAL PLAN OF ARKANSAS | 435 | $24K |
| Life insurance | CIGNA GROUP INSURANCE | 431 | $117K |
| Short-term disability | CIGNA GROUP INSURANCE | 330 | $74K |
| Long-term disability | CIGNA GROUP INSURANCE | 336 | $81K |
| Prescription drug | HEALTH ADVANTAGE | 722 | $2.0M |
| Other | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 145 | $114K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 810 | — |
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.