| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BLUE ADVANTAGE ADMINISTRATORS OF AR3 | 320 W. CAPITOL 8CC LITTLE ROCK, AR 722031151 | SIRIUS AMERICA INSURANCE COMPANY | $9K | — | $9K | 10.00% |
| JTS FINANCIAL SERVICES3 Filed as: JTS FINANCIAL SERVICES LLC | 415 N MCKINLEY SUITE 305 LITTLE ROCK, AR 72205 | TRANSAMERICA LIFE INSURANCE COMPANY | $18K | — | $18K | 21.01% |
| DENNISE FRANKLIN3 | 100 WALNUT RIDGE LANE APT. 10 PRINCETON, LA 71067 | USABLE LIFE | $236 | — | $236 | 4.52% |
| JONATHAN ANDERSON3 | 2105 ACORN ST SPRINGDALE, AR 72762 | USABLE LIFE | $25 | — | $25 | 0.48% |
| CAMPBELL/CO OF CAMDEN3 | P.O. BOX D CAMDEN, AR 71701 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $26 | — | $26 | 2.39% |
| DENNIS FULLER3 | 216 MAIN STREET STAMPS, AR 71860 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7 | — | $7 | 0.64% |
| GARY W DUMAS3 Filed as: GARY W. DUMAS | P.O. BOX 1221 EL DORADO, AR 71731 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | — | $6 | 0.55% |
| JTS FINANCIAL SERVICES3 Filed as: JTS FINANCIAL SERVICES LLC | 415 N MCKINLEY SUITE 305 LITTLE ROCK, AR 72205 | TRANSAMERICA LIFE INSURANCE COMPANY | $148 | — | $148 | 54.01% |
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 | 328 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 328 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD | 259 | $1.4M |
| Life insurance(3 contracts, 3 carriers) | USABLE LIFE | 5 | $9K |
| Other(4 contracts, 3 carriers) | SIRIUS AMERICA INSURANCE COMPANY | 304 | $184K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 304 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.