| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN HILLER CLARK & ASSOC | PO BOX 3529 FORT SMITH, AR 72913 | DELTA DENTAL OF ARKANSAS | $2K | — | $2K | 4.97% |
| DOUGLAS ELMORE3 | 1930 HIGHWAY 71 E MANSFIELD, AR 72944 | AFLAC | $1K | $59 | $1K | 6.70% |
| ANNEKE BOLLMAN ZIEGLER3 Filed as: ANNEKE ZIEGLER | 810 WOODLAND WAY GREENWOOD, AR 72936 | AFLAC | $278 | — | $278 | 1.26% |
| MITCHELL MINOR3 | 2605 FIANNA WAY FORT SMITH, AR 72908 | AFLAC | $274 | — | $274 | 1.24% |
| CHRISTOPHER COCKBURN3 | 1509 6TH TER BARLING, AR 72923 | AFLAC | $164 | — | $164 | 0.74% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: RONALD BROWN | 5150 BAY TOWN CONWAY, AR 72034 | AFLAC | $121 | — | $121 | 0.55% |
| RONALD BENTLEY3 | 6301 FIELDCREST DR FORT SMITH, AR 72916 | AFLAC | $118 | — | $118 | 0.53% |
| DAVID J MCCLELLAN3 Filed as: DAVID CIAMPOLI | 349 ANTIETAM DR BOSSIER CITY, LA 71112 | AFLAC | $111 | — | $111 | 0.50% |
| CHRISTOPHER L RINK3 Filed as: CHRISTOPHER RINK | 3411 S 28TH ST FORT SMITH, AR 72901 | AFLAC | $83 | $12 | $95 | 0.43% |
| BILLY DALE ELKINS3 Filed as: BILLY ELKINS | 1024 BOURLAND RD KELLER, TX 76248 | AFLAC | $90 | — | $90 | 0.41% |
| SALLY MEAD3 | 1535 FIANNA PLACE TER FORT SMITH, AR 72908 | AFLAC | $80 | — | $80 | 0.36% |
| TONYA MOLES3 | PO BOX 451 DELAWARE, AR 72835 | AFLAC | $66 | — | $66 | 0.30% |
| AMY GREEN3 | 715 E 53RD ST SAVANNAH, GA 31405 | AFLAC | $53 | $12 | $65 | 0.29% |
| PAUL MINOR3 | 2920 BRUNNER CT GREENWOOD, AR 72936 | AFLAC | $41 | — | $41 | 0.19% |
| BRIAN RANK3 | PO BOX 192 POCOLA, OK 74902 | AFLAC | $30 | — | $30 | 0.14% |
| DAVID J MCCLELLAN3 Filed as: DAVID AESOPH | 1301 SOUTH SUMMIT AVE SIOUX FALLS, SD 57105 | AFLAC | $27 | — | $27 | 0.12% |
| RONNIE N FURMAN3 Filed as: RONNIE FURMAN | 3025 N 26TH ST FORT SMITH, AR 72904 | AFLAC | $26 | — | $26 | 0.12% |
| TONYA SUE ELMORE3 Filed as: TONYA ELMORE | 1930 S HIGHWAY 71 E MANSFIELD, AR 72944 | AFLAC | $18 | — | $18 | 0.08% |
| KATRINA CHESHIER3 | 5514 CALLAWAY LN FORT SMITH, AR 72916 | AFLAC | $11 | — | $11 | 0.05% |
| RHONDA WENBERG3 | 5 HICKORY CREEK CV LITTLE ROCK, AR 72212 | AFLAC | $9 | — | $9 | 0.04% |
| ROBERT POTTER3 | 445 CANYON DR MESQUITE, NV 89027 | AFLAC | $6 | — | $6 | 0.03% |
| BYRON KEITH BURRELL3 Filed as: BYRON BURRELL | 2330 QUATTLEBAUM CV CONWAY, AR 72034 | AFLAC | $4 | $1 | $5 | 0.02% |
| TESSIE P CANTRELLE3 Filed as: TESSIE CANTRELLE | 1340 WEST TUNNEL BLVD STE 650 HOUMA, LA 70360 | AFLAC | $4 | — | $4 | 0.02% |
| KENNETH COLLINS JR3 | PO BOX 17381 JONESBORO, AR 72403 | AFLAC | $2 | — | $2 | 0.01% |
| JOHN TIMOTHY MCRAE3 Filed as: JOHN MCRAE | 1315 PLEASANT POINTE CIR BRYANT, AR 72022 | AFLAC | $1 | $1 | $2 | 0.01% |
| CHARLES L CHANCELLOR3 Filed as: CHARLES CHANCELLOR | 903 WEATHERFORD DR BENTON, AR 72015 | AFLAC | $1 | — | $1 | 0.00% |
| ANDREA STEPHENS3 | 1323 GRAHAM TRACE LN LEAGUE CITY, TX 77573 | AFLAC | $1 | — | $1 | 0.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN HILLER CLARK & ASSOC | PO BOX 3529 FORT SMITH, AR 72913 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 20.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN HILLER CLARK & ASSOC | PO BOX 3529 FORT SMITH, AR 72913 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $7K | — | $7K | 42.64% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN HILLER CLARK & ASSOC | PO BOX 3529 FORT SMITH, AR 72913 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 20.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN HILLER CLARK & ASSOC | — | SUPERIOR VISION PLAN | $940 | — | $940 | 9.83% |
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 | 149 | 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) | 150 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ARKANSAS BLUE CROSS AND SHIELD | 130 | $481K |
| Dental | DELTA DENTAL OF ARKANSAS | 157 | $44K |
| Vision | SUPERIOR VISION PLAN | 131 | $10K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 86 | $17K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 75 | $38K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 75 | $16K |
| Prescription drug | ARKANSAS BLUE CROSS AND SHIELD | 130 | $481K |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 73 | $16K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 157 | — |
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.