| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FIRST WESTERN INSURANCE3 | 1 WEST MAIN STREET BOONEVILLE, AR 72927 | QCA HEALTH PLAN | $11K | — | $11K | 1.69% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF ARKANSAS, INC | 2120 RIVERFRONT DRIVE STE 200 LITTLE ROCK, AR 72202 | QCA HEALTH PLAN | $1K | — | $1K | 0.22% |
| FIRST WESTERN INSURANCE AGENCY INC3 Filed as: FIRST WESTERN INSURANCE AGENCY | 1 WEST MAIN STREET BOONEVILLE, AR 72927 | DELTA DENTAL PLAN OF ARKANSAS | $3K | — | $3K | 7.29% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF ARKANSAS, INC | 2120 RIVERFRONT DRIVE STE 200 LITTLE ROCK, AR 72202 | DELTA DENTAL PLAN OF ARKANSAS | $300 | — | $300 | 0.73% |
| TJARKS FINANCIAL SERVICES INC3 Filed as: TJARKS FINANCIAL SERVICES, INC | 825 W. SLACK ST PEA RIDGE, AR 72751 | DELTA DENTAL PLAN OF ARKANSAS | $294 | — | $294 | 0.72% |
| FIRST WESTERN INSURANCE3 | 1 W MAIN ST BOONEVILLE, AR 72927 | VISION SERVICE PLAN | $635 | — | $635 | 4.14% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE OF ARKANSAS | 1479 EXECUTIVE PL STE A SPRINGDALE, AR 72762 | VISION SERVICE PLAN | $250 | — | $250 | 1.63% |
| JOHN TJARKS3 | 12852 BRACEBRIDGE ST BENTONVILLE, AR 72712 | VISION SERVICE PLAN | $84 | — | $84 | 0.55% |
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 | 115 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 115 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | QCA HEALTH PLAN | 172 | $650K |
| Dental | DELTA DENTAL PLAN OF ARKANSAS | 152 | $41K |
| Vision | VISION SERVICE PLAN | 88 | $15K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 172 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.