| 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 | — | $27K | $27K | 2.61% |
| ASSUREDPARTNERS3 Filed as: MEADORS ADAMS LEE INSURANCE | 100 RIVER MARKET AVE, STE 300 LITTLE ROCK, AR 72201 | HARTFORD LIFE AND ACCIDENT | $11K | — | $11K | 8.17% |
| ASSUREDPARTNERS3 Filed as: MEADORS ADAMS LEE INSURANCE | 100 RIVER MARKET AVE, STE 300 LITTLE ROCK, AR 722011798 | DELTA DENTAL PLAN OF ARKANSAS | $7K | — | $7K | 11.41% |
| 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 | $54 | — | $54 | 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 | 11.47% |
| THE HATCHER AGENCY3 Filed as: THE HATCHER AGENCY (AGT NO. 26ARC) | PO BOX 3505 LITTLE ROCK, AR 72203 | 5STAR LIFE INSURANCE COMPANY | $34 | — | $34 | 1.99% |
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). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| 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 | 175 | $1.0M |
| Dental | DELTA DENTAL PLAN OF ARKANSAS | 206 | $62K |
| Vision | DELTA DENTAL PLAN OF ARKANSAS | 143 | $19K |
| Life insurance(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 200 | $141K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 200 | $139K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 200 | $139K |
| Prescription drug | ARKANSAS BLUE CROSS AND BLUE SHIELD | 175 | $1.0M |
| Other(2 contracts, 2 carriers) | GUARDIAN | 45 | $29K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 206 | — |
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."
No prospect flags tripped on this filing.