| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LEGACY CAPITAL GROUP ARKANSAS, LLC3 | P.O. BOX 3877 LITTLE ROCK, AR 72203 | DELTA DENTAL OF ARKANSAS | $7K | — | $7K | 4.19% |
| SIMMONS FIRST INSURANCE SERVICES3 | 8245 TOURNAMENT DR STE 295 MEMPHIS, TN 38125 | DELTA DENTAL OF ARKANSAS | $1K | — | $1K | 0.80% |
| LEGACY CAPITAL GROUP ARKANSAS, LLC3 Filed as: LEGACY CAPITAL GROUP | ARKANSAS LLC PO BOX 3877 LITTLE ROCK, AR 72203 | PRUDENTIAL INSURANCE COMPANY | $8K | — | $8K | 19.61% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 60603 | PRUDENTIAL INSURANCE COMPANY | — | $120 | $120 | 0.29% |
| LEGACY CAPITAL GROUP ARKANSAS, LLC | 8315 CANTRELL RD STE 200 LITTLE ROCK, AR 72227 | VISION SERVICE PLAN | $2K | — | $2K | 4.34% |
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 | 334 | 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. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 334 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE ADVANTAGE ADMINISTRATORS OF ARKANSAS | 274 | $873K |
| Dental | DELTA DENTAL OF ARKANSAS | 247 | $158K |
| Vision | VISION SERVICE PLAN | 241 | $35K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY | 334 | $40K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY | 334 | $41K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 334 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.