| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BLUEADVANTAGE ADMINISTRATORS OF AR5 | PO BOX 3743 LITTLE ROCK, AR 72203 | QBE INSURANCE | $63K | — | $63K | 10.00% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES | 1500 RIVERFRONT DRIVE LITTLE ROCK, AR 72202 | DELTA DENTAL PLAN OF ARKANSAS | $8K | — | $8K | 2.74% |
| MCGRIFF INSURANCE SERVICES INC3 | 550 S CALDWELL ST STE 1400 CHARLOTTE, NC 28202 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $39K | — | $39K | 15.00% |
| MCGRIFF INSURANCE SERVICES INC3 | 200 PINE ST W FL 1 WILSON, NC 27893 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $10K | $10K | 3.75% |
| MCGRIFF INSURANCE SERVICES INC3 | 550 S CALDWELL ST STE 14400 CHARLOTTE, NC 28202 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $26K | — | $26K | 15.00% |
| MCGRIFF INSURANCE SERVICES INC3 | 200 PINE ST W FL 1 WILSON, NC 27893 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $7K | $7K | 4.27% |
| MCGRIFF INSURANCE SERVICES INC3 | 550 S CALDWELL ST STE 1400 CHARLOTTE, NC 28202 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $23K | — | $23K | 15.00% |
| MCGRIFF INSURANCE SERVICES INC3 | 200 PINE ST W FL 1 WILSON, NC 27893 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $5K | $5K | 2.91% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 28289 | VISION SERVICE PLAN | $3K | — | $3K | 5.00% |
| MCGRIFF INSURANCE SERVICES INC3 | 550 S CALDWELL ST STE 1400 CHARLOTTE, NC 28202 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $10K | — | $10K | 15.00% |
| MCGRIFF INSURANCE SERVICES INC3 | 200 PINE ST W FL 1 WILSON, NC 27893 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $3K | $3K | 4.10% |
| MCGRIFF INSURANCE SERVICES INC3 | 1465 E JOYCE BLVD FAYETTEVILLE, AR 72703 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $9K | — | $9K | 20.00% |
| MCGRIFF INSURANCE SERVICES INC3 | 1465 E JOYCE BLVD FAYETTEVILLE, AR 72703 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | — | $5K | 15.00% |
| MCGRIFF INSURANCE SERVICES INC3 | 1500 RIVERFRONT DRIVE LITTLE ROCK, AR 72203 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | — | $5K | 20.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| VISION SERVICE PLAN EIN 75-1769288 CLAIMS PROC | Claims processing Service code 12 | 7400 GAYLORD PKWY FRISCO, TX 75034 | $13K |
| CONSOLIDATED ADMIN SER LLC EIN 80-0504117 ADMIN SER | Plan Administrator Service code 14 | PO BOX 1513 CABOT, AR 72023 | $7K |
| BLUEADVANTAGE ADMIN OF AR EIN 71-0226428 CLAIMS PROC | Claims processing Service code 12 | PO BOX 3743 LITTLE ROCK, AR 72203 | $0 |
| MCGRIFF INSURANCE SER INC INS BROKER | Insurance agents and brokers Service code 22 | 200 PINE ST W FL 1 WILSON, NC 27893 | $0 |
| QBE INSURANCE EIN 22-2311816 AGENT | Insurance services Service code 23 | 55 WATER STREET NEW YORK, NY 10041 | $0 |
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 | 569 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 569 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | QBE INSURANCE | 622 | $634K |
| Dental | DELTA DENTAL PLAN OF ARKANSAS | 991 | $285K |
| Vision | VISION SERVICE PLAN | 677 | $68K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 963 | $326K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 506 | $155K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 1,338 | $171K |
| Stop-loss / reinsurancereinsurance | QBE INSURANCE | 622 | $634K |
| Other(6 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 1,367 | $429K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,367 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.