| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 | 123 S BROAD STREET SUITE 830 PHILADELPHIA, PA 19109 | USABLE LIFE | $8K | — | $8K | 25.00% |
| MICHAEL DODSON3 | #15 TEXARKANA TRACE TEXARKANA, TX 75503 | USABLE LIFE | $410 | — | $410 | 1.25% |
| CHRISTOPHER SHUMAKE3 | 75 VALLEY ESTATES COVE LITTLE ROCK, AR 72212 | USABLE LIFE | $27 | — | $27 | 0.08% |
| THE HATCHER AGENCY3 | PO BOX 3505 LITTLE ROCK, AR 72203 | HUMANA INSURANCE COMPANY | $251 | — | $251 | 0.81% |
| THE HATCHER AGENCY3 | 310 LOUISIANA STREET LITTLE ROCK, AR 72201 | THE GUARDIAN LIFE INSURANCE COMPANY | $4K | $2K | $6K | 27.33% |
| ASHFORD MID SOUTH LLC3 | 6000 POPLAR AVE 113 MEMPHIS, TN 38119 | THE GUARDIAN LIFE INSURANCE COMPANY | $44 | — | $44 | 0.20% |
| THE HATCHER AGENCY3 | 310 LOUISIANA STREET LITTLE ROCK, AR 72201 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 27.33% |
| ACRISURE LLC3 | 123 S BROAD STREET SUITE 830 PHILADELPHIA, PA 19109 | USABLE LIFE | $662 | — | $662 | 25.00% |
| MICHAEL DODSON3 | #15 TEXARKANA TRACE TEXARKANA, TX 75503 | USABLE LIFE | $25 | — | $25 | 0.94% |
| CHRISTOPHER SHUMAKE3 | 75 VALLEY ESTATES COVE LITTLE ROCK, AR 72212 | USABLE LIFE | $2 | — | $2 | 0.08% |
| ACRISURE LLC3 | 123 S BROAD STREET SUITE 830 PHILADELPHIA, PA 19109 | USABLE LIFE | $8K | — | $8K | 31196.00% |
| MICHAEL DODSON3 | #15 TEXARKANA TRACE TEXARKANA, TX 75503 | USABLE LIFE | $301 | — | $301 | 1204.00% |
| CHRISTOPHER SHUMAKE3 | 75 VALLEY ESTATES COVE LITTLE ROCK, AR 72212 | USABLE LIFE | $25 | — | $25 | 100.00% |
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 | 315 | 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) | 315 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HEALTH ADVANTAGE | 147 | $741K |
| Dental | ARKANSAS BLUE CROSS AND BLUE SHIELD | 241 | $79K |
| Vision | HUMANA INSURANCE COMPANY | 130 | $31K |
| Life insurance(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 133 | $12K |
| Short-term disability | USABLE LIFE | 108 | $25 |
| Long-term disability | USABLE LIFE | 315 | $33K |
| Prescription drug | HEALTH ADVANTAGE | 147 | $719K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 315 | — |
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.