| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: MEADORS ADAMS LEE INSURANCE | 100 RIVER MARKET AVE, STE 300 LITTLE ROCK, AR 72201 | ARKANSAS BLUE CROSS AND BLUE SHIELD | — | $21K | $21K | 2.26% |
| ASSUREDPARTNERS3 Filed as: MEADORS ADAMS LEE INSURANCE | 100 RIVER MARKET AVE, STE 300 LITTLE ROCK, AR 72201 | USABLE LIFE | $5K | — | $5K | 8.75% |
| ACRISURE LLC3 | 5664 PRAIRIE CREEK DR SE CALEDONIA, MI 49316 | USABLE LIFE | $4K | $102 | $4K | 7.28% |
| JAMES PEW3 | 320 W. CAPITOL, STE 900 LITTLE ROCK, AR 72201 | USABLE LIFE | $2K | — | $2K | 2.52% |
| JOHNNY RUNNELLS3 | 3008 TIMBER CREEK DRIVE NORTH LITTLE ROCK, AR 72116 | USABLE LIFE | $308 | — | $308 | 0.50% |
| GEORGE BURKS3 | 9 ALTON LANE LITTLE ROCK, AR 72211 | USABLE LIFE | — | $4 | $4 | 0.01% |
| ASSUREDPARTNERS3 Filed as: MEADORS ADAMS LEE INSURANCE | 100 RIVER MARKET AVE, STE 300 LITTLE ROCK, AR 722011798 | DELTA DENTAL PLAN OF ARKANSAS | $6K | — | $6K | 10.92% |
| ASSUREDPARTNERS3 Filed as: MEADORS ADAMS LEE INSURANCE | 100 RIVER MARKET AVE, STE 300 LITTLE ROCK, AR 72201 | GUARDIAN | $5K | — | $5K | 20.00% |
| ASHFORD MID SOUTH LLC3 | 6000 POPLAR AVE 113 MEMPHIS, TN 38119 | GUARDIAN | $52 | — | $52 | 0.20% |
| ASSUREDPARTNERS3 Filed as: MEADORS ADAMS LEE INSURANCE | 100 RIVER MARKET AVE, STE 300 LITTLE ROCK, AR 72201 | DELTA DENTAL PLAN OF ARKANSAS | $2K | — | $2K | 10.00% |
| THE HATCHER AGENCY | PO BOX 3505 LITTLE ROCK, AR 72203 | 5STAR LIFE INSURANCE COMPANY | $37 | — | $37 | 2.00% |
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 | 140 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 141 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ARKANSAS BLUE CROSS AND BLUE SHIELD | 220 | $917K |
| Dental | DELTA DENTAL PLAN OF ARKANSAS | 217 | $57K |
| Vision | DELTA DENTAL PLAN OF ARKANSAS | 163 | $19K |
| Life insurance(2 contracts, 2 carriers) | USABLE LIFE | 159 | $63K |
| Short-term disability | USABLE LIFE | 159 | $61K |
| Long-term disability | USABLE LIFE | 159 | $61K |
| Prescription drug | ARKANSAS BLUE CROSS AND BLUE SHIELD | 220 | $917K |
| Other(3 contracts, 3 carriers) | USABLE LIFE | 159 | $89K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 220 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.