| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | 300 SUMMERS ST., STE 650 CHARLESTON, WV 25301 | UNITED OF OMAHA LIFE INS CO | $27K | $11K | $38K | 21.07% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | 300 SUMMERS ST., STE 650 CHARLESTON, WV 25301 | UNITED OF OMAHA LIFE INS CO | $17K | $7K | $23K | 20.88% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | 300 SUMMERS ST., STE 650 CHARLESTON, WV 25301 | UNITED OF OMAHA LIFE INS CO | $5K | $2K | $7K | 20.96% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE ADVANTAGE ADMINISTRATORS OF AR NONE | Contract Administrator; Claims processing Service code 12 | P.O. BOX 3743 LITTLE ROCK, AR 72203 | $483K |
| USABLE ADMINISTRATORS NONE | Claims processing; Contract Administrator Service code 12 | P.O. BOX 3743 LITTLE ROCK, AR 72203 | $33K |
| UNITED OF OMAHA EIN 47-0322111 NONE | Claims processing; Contract Administrator Service code 12 | — | $11K |
| MCGRIFF INSURANCE SERVICES, INC. NONE | Other services; Insurance brokerage commissions and fees Service code 49 | 300 SUMMERS ST., STE 650 CHARLESTON, WV 25301 | $671 |
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 | 667 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 672 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL PLAN OF ARKANSAS | 1,317 | $226K |
| Vision | DELTA DENTAL PLAN OF ARKANSAS | 1,238 | $41K |
| Life insurance | UNITED OF OMAHA LIFE INS CO | 667 | $31K |
| Long-term disability | UNITED OF OMAHA LIFE INS CO | 633 | $111K |
| Other(2 contracts) | UNITED OF OMAHA LIFE INS CO | 667 | $213K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,317 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.