| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| N/A3 | — | ARKANSAS BLUE CROSS AND BLUE SHIELD | — | $38K | $38K | 2.43% |
| BXS INSURANCE INC3 Filed as: CADENCE INSURANCE, INC. | 8315 CANTRELL ROAD SUITE 300 LITTLE ROCK, AR 72227 | RELIANCE MATRIX | $29K | — | $29K | 13.45% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC. | 8315 CANTRELL SUITE 300 LITTLE ROCK, AR 72227 | DELTA DENTAL PLAN OF ARKANSAS | $10K | — | $10K | 9.09% |
| BXS INSURANCE INC3 Filed as: CADENCE INSURANCE, INC | 8315 CANTRELL ROAD SUITE 300 LITTLE ROCK, AR 72227 | SUN LIFE ASSURANCE COMPANY OF CANADA | $6K | — | $6K | 13.82% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC. | 8315 CANTRELL SUITE 300 LITTLE ROCK, AR 72227 | DELTA DENTAL PLAN OF ARKANSAS | $2K | — | $2K | 9.13% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 17900 CHENAL PARKWAY, SUITE 100 LITTLE ROCK, AR 72223 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $4K | — | $4K | 20.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2201 FAIR PARK BLVD FL 3 JONESBORO, AR 72401 | MEDICAL AIR SERVICES ASSOCIATION, INC. | $851 | — | $851 | 19.99% |
| BARRY ROE3 | 3260 TURTLE HILL COVE CONWAY, AR 72034 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $231 | — | $231 | 6.75% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2850 W GOLF RD ROLLING MEADOWS, IL 60008 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $195 | — | $195 | 5.70% |
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 | 183 | 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) | 183 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ARKANSAS BLUE CROSS AND BLUE SHIELD | 269 | $1.6M |
| Dental | DELTA DENTAL PLAN OF ARKANSAS | 305 | $111K |
| Vision | DELTA DENTAL PLAN OF ARKANSAS | 276 | $23K |
| Life insurance(2 contracts, 2 carriers) | RELIANCE MATRIX | 183 | $262K |
| Short-term disability(2 contracts, 2 carriers) | RELIANCE MATRIX | 183 | $262K |
| Long-term disability(2 contracts, 2 carriers) | RELIANCE MATRIX | 183 | $262K |
| Prescription drug | ARKANSAS BLUE CROSS AND BLUE SHIELD | 269 | $1.6M |
| Other(5 contracts, 5 carriers) | RELIANCE MATRIX | 183 | $288K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 305 | — |
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.