| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE, LLC | P.O. BOX 1788 GRAND RAPIDS, MI 49501 | UNITED HEALTHCARE | $25K | — | $25K | 5.01% |
| THE HATCHER AGENCY Filed as: HATCHER AGENCY | P.O. BOX 3505 LITTLE ROCK, AR 72212 | DELTA DENTAL PLAN OF ARKANSAS | $6K | — | $6K | 10.01% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | P.O. BOX 1788 GRAND RAPIDS, MI 48501 | LINCOLN LIFE INS. | $6K | $185 | $6K | 25.75% |
| ACRISURE LLC Filed as: ACRISURE, LLC | 123 S. BROAD STREET, STE 830 PHILADELPHIA, PA 19009 | USABLE LIFE | $2K | $54 | $2K | 12.45% |
| WILLIAM BUCKNER | 5 LEJOS LANE HOT SPRINGS, AR 71909 | USABLE LIFE | $751 | — | $751 | 4.14% |
| STEPHEN COMPTON3 | 43 MARISSA COURT LITTLE ROCK, AR 72212 | USABLE LIFE | $109 | — | $109 | 0.60% |
| GEORGE BURKS | 9 ALTON LANE LITTLE ROCK, AR 72211 | USABLE LIFE | $74 | $2 | $76 | 0.42% |
| CLEVE LEWIS | 2908 HIGHWAY 206 EAST YELLVILLE, AR 72687 | USABLE LIFE | $0 | $18 | $18 | 0.10% |
| THE HATCHER AGENCY Filed as: HATCHER AGENCY | P.O. BOX 3505 LITTLE ROCK, AR 72212 | HARTFORD LIFE & ACCIDENT | $3K | — | $3K | 25.00% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 6307 84TH ST. SE CALEDONIA, MI 49316 | HARTFORD LIFE & ACCIDENT | — | $153 | $153 | 1.20% |
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 | 113 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 113 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED HEALTHCARE | 88 | $504K |
| Dental | DELTA DENTAL PLAN OF ARKANSAS | 149 | $60K |
| Life insurance | USABLE LIFE | 0 | $18K |
| Short-term disability | LINCOLN LIFE INS. | 110 | $25K |
| Long-term disability | HARTFORD LIFE & ACCIDENT | 110 | $13K |
| Other | USABLE LIFE | 0 | $18K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 149 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.