| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE HATCHER AGENCY3 | P.O. BOX 3505 LITTLE ROCK, AR 72203 | DELTA DENTAL PLAN OF ARKANSAS | $8K | — | $8K | 9.88% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | P. O. BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $3K | — | $3K | 5.61% |
| ARKANSAS AUTO DEALERS ASSOC3 | P O BOX 9150 NORTH LITTLE ROCK, AR 72119 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $434 | $434 | 0.96% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | P. O. BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $4K | — | $4K | 13.46% |
| ARKANSAS AUTO DEALERS ASSOC3 | P O BOX 9150 NORTH LITTLE ROCK, AR 72119 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $295 | $295 | 0.93% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | P. O. BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $2K | — | $2K | 13.69% |
| ARKANSAS AUTO DEALERS ASSOC3 | P O BOX 9150 NORTH LITTLE ROCK, AR 72119 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $158 | $158 | 0.96% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | P.O. BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $389 | — | $389 | 2.46% |
| ARKANSAS AUTO DEALERS ASSOC3 | P.O. BOX 9150 NORTH LITTLE ROCK, AR 72119 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $162 | $162 | 1.02% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | P.O. BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $392 | — | $392 | 4.87% |
| ARKANSAS AUTO DEALERS ASSOC3 | P.O. BOX 9150 NORTH LITTLE ROCK, AR 72119 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $89 | $89 | 1.11% |
| THE HATCHER AGENCY3 | P.O. BOX 3505 LITTLE ROCK, AR 72203 | DELTA DENTAL PLAN OF ARKANSAS | $1K | — | $1K | 19.97% |
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 | 167 | 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) | 167 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH ADVANTAGE | 274 | $1.3M |
| Dental | DELTA DENTAL PLAN OF ARKANSAS | 255 | $80K |
| Vision | DELTA DENTAL PLAN OF ARKANSAS | 130 | $6K |
| Short-term disability(5 contracts) | AMERICAN FIDELITY ASSURANCE COMPANY | 24 | $117K |
| Long-term disability(5 contracts) | AMERICAN FIDELITY ASSURANCE COMPANY | 24 | $117K |
| Prescription drug | HEALTH ADVANTAGE | 274 | $1.3M |
| Other(5 contracts) | AMERICAN FIDELITY ASSURANCE COMPANY | 24 | $117K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 274 | — |
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.