| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 310 LOUISIANA ST LITTLE ROCK, AR 72201 | CIGNA | — | $40K | $40K | 2.30% |
| THE HATCHER AGENCY3 | P.O. BOX 3505 LITTLE ROCK, AR 72201 | CIGNA | — | $4K | $4K | 0.20% |
| ACRISURE LLC3 | 5664 PRAIRIE CREEK DR SE CALEDONIA, MI 49316 | DELTA DENTAL PLAN OF ARKANSAS | $19K | — | $19K | 9.87% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 310 LOUISIANA ST LITTLE ROCK, AR 72201 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $18K | — | $18K | 27.32% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 310 LOUISIANA ST LITTLE ROCK, AR 72201 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $17K | — | $17K | 27.49% |
| ACRISURE LLC3 | 310 LOUISIANA STREET LITTLE ROCK, AR 72201 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $11K | — | $11K | 20.00% |
| N/A3 | — | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | — | $3K | $3K | 5.57% |
| THE HATCHER AGENCY3 | P.O. BOX 3505 LITTLE ROCK, AR 722033505 | VISION SERVICE PLAN | $4K | — | $4K | 10.08% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 310 LOUISANA ST LITTLE ROCK, AR 72201 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $9K | — | $9K | 27.16% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 310 LOUISIANA ST LITTLE ROCK, AR 72201 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 27.37% |
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 | 290 | 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) | 290 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA | 213 | $1.7M |
| Dental | DELTA DENTAL PLAN OF ARKANSAS | 489 | $190K |
| Vision | VISION SERVICE PLAN | 203 | $39K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 290 | $66K |
| Short-term disability(2 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 159 | $88K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 145 | $61K |
| Other(2 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 290 | $60K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 489 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.