| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| UNKNOWN3 | UNKNOWN ROGERS, AR 72756 | ARKANSAS BLUE CROSS AND BLUE SHIELD | $20K | — | $20K | 3.44% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF ARKANSAS, INC. | 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 | 1479 EXECUTIVE PLACE, SUITE A SPRINGDALE, AR 72762 | HARTFORD LIFE AND ACCIDENT | $2K | — | $2K | 13.94% |
| 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 | 9.95% |
| DIANNA S ROBERTSON3 | 7421 NW 105TH STREET OKLAHOMA CITY, OK 73162 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | — | $1K | $1K | 9.94% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF ARKANSAS, INC. | PO BOX 40 RUSSELLVILLE, AR 72811 | USABLE LIFE | $326 | — | $326 | 2.90% |
| KRISTIN HAYES3 | 4019 EAST CHURCHILL DRIVE FAYETTEVILLE, AR 72701 | USABLE LIFE | $172 | — | $172 | 1.53% |
| JERRY DUNCAN3 | 516 EAST MILLSAP ROAD, SUITE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $34 | — | $34 | 0.30% |
| 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 | $912 | — | $912 | 10.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF ARKANSAS, INC. | 1479 EXECUTIVE PLACE, SUITE A SPRINGDALE, AR 72762 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2K | — | $2K | 24.95% |
| 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 | $64 | — | $64 | 0.97% |
| AF SMITH & ASSOCIATES3 | 14 MASTERS CIRCLE LITTLE ROCK, AR 72212 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $34 | — | $34 | 0.51% |
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 | 120 | 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) | 120 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ARKANSAS BLUE CROSS AND BLUE SHIELD | 120 | $573K |
| Dental | DELTA DENTAL PLAN OF ARKANSAS | 125 | $41K |
| Vision | DELTA DENTAL PLAN OF ARKANSAS | 101 | $9K |
| Life insurance(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 120 | $27K |
| Short-term disability | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 56 | $14K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 64 | $15K |
| Prescription drug | ARKANSAS BLUE CROSS AND BLUE SHIELD | 120 | $573K |
| Other(3 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT | 120 | $33K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 125 | — |
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.