| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BEACON FINANCIAL GROUP3 | 3 JARROD DRIVE BELLA VISTA, AR 72714 | COMPANION LIFE | $11K | — | $11K | — |
| HEALTHCARE SOLUTIONS GROUP, INC.3 | P O BOX 1309 MUSKOGEE, OK 74402 | COMPANION LIFE | $11K | — | $11K | — |
| GORDON W. FLEMING3 | P O BOX 5097 BELLA VISTA, AR 72714 | GUARDIAN | $5K | — | $5K | — |
| CHARTWELL FINANCIAL GROUP LLC3 | 6000 POPLAR ST 113 MEMPHIS, TN 38119 | GUARDIAN | $17 | — | $17 | — |
| CHARTWELL FINANCIAL GROUP LLC3 | 6363 POPLAR AVE SUITE 220 MEMPHIS, TN 38119 | GUARDIAN | $10 | — | $10 | — |
| HEALTHCARE SOLUTIONS GROUP, INC.3 | PO BOX 1309 MUSKOGEE, OK 74402 | COMPANION LIFE | $3K | — | $3K | — |
| THE ABACUS GROUP LLC3 Filed as: THE ABACUS GROUP | 2541 LAFAYETTE PLAZA DRIVE ALBANY, GA 31707 | UNION SECURITY INSURANCE COMPANY | $354 | — | $354 | — |
| JAMIE COWLEY3 | PO BOX 6458 SHERWOOD, AR 72120 | UNION SECURITY INSURANCE COMPANY | $177 | — | $177 | — |
| DISABILITY RMS5 Filed as: DISABILITY RMS, INC. | ONE RIVERFRONT PLAZA WESTBROOK, ME 04092 | UNION SECURITY INSURANCE COMPANY | — | $117 | $117 | — |
| GORDON W. FLEMING3 | PO BOX 5097 BELLA VISTA, AR 72714 | UNION SECURITY INSURANCE COMPANY | $116 | — | $116 | — |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS PERRIN FORSTER & CROSBY, INC | MELLON BANK CTR 1735 MARKET ST PHILADELPHIA, PA 191037501 | UNION SECURITY INSURANCE COMPANY | — | $41 | $41 | — |
| PRICE & ASSOCIATES INC3 | P.O. BOX 6458 SHERWOOD, AR 72124 | UNION SECURITY INSURANCE COMPANY | $2 | — | $2 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTHCARE SOLUTIONS GROUP EIN 73-1478844 | Claims processing Service code 12 | — | $18K |
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 | 95 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 95 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMPANION LIFE | 76 | $0 |
| Life insurance(2 contracts, 2 carriers) | COMPANION LIFE | 95 | $0 |
| Short-term disability | GUARDIAN | 83 | $0 |
| Long-term disability | GUARDIAN | 83 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 95 | — |
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.