| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| UNKNOWN3 | UNKNOWN ROGERS, AR 72756 | ARKANSAS BLUE CROSS AND BLUE SHIELD | $21K | — | $21K | 3.62% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF ARKANSAS | 2120 RIVERFRONT DRIVE, SUITE 200 LITTLE ROCK, AR 72202 | DELTA DENTAL PLAN OF ARKANSAS | $4K | — | $4K | 10.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF ARKANSAS, INC. | 1479 EXECUTIVE PLAZA, SUITE A SPRINGDALE, AR 72762 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $1K | — | $1K | 10.06% |
| DIANNA S ROBERTSON3 | 7421 NW 105TH STREET OKLAHOMA CITY, OK 73162 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | — | $1K | $1K | 10.06% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF ARKANSAS | 1479 EXECUTIVE PLACE, SUITE A SPRINGDALE, AR 72762 | HARTFORD LIFE AND ACCIDENT | $2K | — | $2K | 16.21% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF ARKANSAS | 2120 RIVERFRONT DRIVE, SUITE 200 LITTLE ROCK, AR 72202 | DELTA DENTAL PLAN OF ARKANSAS | $1K | — | $1K | 10.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF ARKANSAS, INC. | PO BOX 40 RUSSELLVILLE, AR 72811 | USABLE LIFE | $291 | — | $291 | 2.95% |
| KRISTIN HAYES3 | 4019 EAST CHURCHILL DRIVE FAYETTEVILLE, AR 72701 | USABLE LIFE | $142 | — | $142 | 1.44% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: ARKANSAS BLUE CROSS BLUE SHIELD | 601 GAINES LITTLE ROCK, AR 72201 | USABLE LIFE | $17 | — | $17 | 0.17% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF ARKANSAS, INC. | 179 EXECUTIVE PLACE, SUITE A SPRINGDALE, AR 72762 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2K | — | $2K | 27.91% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF ARKANSAS, INC. | 1479 EXECUTIVE PLACE DALE, AR 72762 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $74 | — | $74 | 0.98% |
| AF SMITH & ASSOCIATES3 | 14 MASTERS CIRCLE LITTLE ROCK, AR 72212 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $50 | — | $50 | 0.66% |
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 | 119 | 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) | 119 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ARKANSAS BLUE CROSS AND BLUE SHIELD | 121 | $582K |
| Dental | DELTA DENTAL PLAN OF ARKANSAS | 103 | $39K |
| Vision | DELTA DENTAL PLAN OF ARKANSAS | 96 | $11K |
| Life insurance(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 119 | $23K |
| Short-term disability | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 55 | $14K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 65 | $13K |
| Prescription drug | ARKANSAS BLUE CROSS AND BLUE SHIELD | 121 | $582K |
| Other(3 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT | 119 | $31K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 121 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.