| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES | 1500 RIVERFRONT DR LITTLE ROCK, AR 72202 | DELTA DENTAL PLAN OF ARKANSAS | $7K | — | $7K | 2.78% |
| ACRISURE LLC3 | 5664 PRAIRIE CREEK DR SE CALEDONIA, MI 49316 | DELTA DENTAL PLAN OF ARKANSAS | $7K | — | $7K | 2.70% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INS SERVICE EB COMMISSIONS | PO BOX 896620 CHARLOTTE, NC 28289 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $15K | $3K | $18K | 11.76% |
| THE HATCHER AGENCY3 | 310 LOUISIANA ST LITTLE ROCK, AR 72201 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $9K | — | $9K | 6.30% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INS SERVICE EB COMMISSIONS | PO BOX 896620 CHARLOTTE, NC 28289 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $10K | $2K | $12K | 11.88% |
| THE HATCHER AGENCY3 | 310 LOUISIANA ST LITTLE ROCK, AR 72201 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $6K | — | $6K | 6.32% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INS SERVICE EB COMMISSIONS | PO BOX 896620 CHARLOTTE, NC 28289 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $8K | $2K | $10K | 12.03% |
| THE HATCHER AGENCY3 | 310 LOUISIANA ST LITTLE ROCK, AR 72201 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $5K | — | $5K | 6.33% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES | 1500 RIVERFRONT DR LITTLE ROCK, AR 72202 | DELTA DENTAL PLAN OF ARKANSAS | $3K | — | $3K | 5.07% |
| ACRISURE LLC3 | 5664 PRAIRIE CREEK DR SE CALENDONIA, MI 49316 | DELTA DENTAL PLAN OF ARKANSAS | $3K | — | $3K | 4.93% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INS SERVICES EB COMMISSIONS | PO BOX 896620 CHARLOTTE, NC 28289 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | $620 | $4K | 9.74% |
| THE HATCHER AGENCY3 | 310 LOUISIANA ST LITTLE ROCK, AR 72201 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 6.95% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INS SERVICES EB COMMISSIONS | PO BOX 896620 CHARLOTTE, NC 28289 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | $239 | $2K | 9.52% |
| THE HATCHER AGENCY3 | 310 LOUISIANA ST LITTLE ROCK, AR 72201 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | — | $1K | 6.97% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INS SERVICES EB COMMISSIONS | PO BOX 896620 CHARLOTTE, NC 28289 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $846 | $142 | $988 | 11.04% |
| THE HATCHER AGENCY3 | 310 LOUISIANNA ST LITTLE ROCK, AR 72201 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $585 | — | $585 | 6.54% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUEADVANTAGE ADMINISTRATORS OF AR EIN 71-0226428 CLAIMS PROCESSOR | Contract Administrator; Claims processing Service code 12 | PO BOX 3743 LITTLE ROCK, AR 72203 | $364K |
| ACRISURE LLC INSURANCE AGENT | Insurance services Service code 23 | 5664 PRAIRIE CREEK DR SE CALENDONIA, MI 49316 | $0 |
| MCGRIFF INSURANCE SERVICES INSURANCE AGENT | Insurance services Service code 23 | PO BOX 896620 CHARLOTTE, NC 28289 | $0 |
| THE HATCHER AGENCY INSURANCE AGENT | Insurance services Service code 23 | 310 LOUISIANA ST 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 | 465 | 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) | 465 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUEADVANTAGE ADMINISTRATORS OF ARKANSAS | 465 | $0 |
| Dental | DELTA DENTAL PLAN OF ARKANSAS | 430 | $266K |
| Vision | DELTA DENTAL PLAN OF ARKANSAS | 352 | $63K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 330 | $83K |
| Prescription drug | BLUEADVANTAGE ADMINISTRATORS OF ARKANSAS | 465 | $0 |
| Other(5 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 376 | $314K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 465 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.