| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CROUCH INSURANCE AGENCY INC.3 | 249 EAGLE MOUNTAIN BLVD BATESVILLE, AR 725014232 | METROPOLITAN LIFE INSURANCE COMPANY | $8K | — | $8K | 8.87% |
| CROUCH INSURANCE AGENCY INC.3 | 249 EAGLE MOUNTAIN BLVD BATESVILLE, AR 725014232 | DELTA DENTAL PLAN OF ARKANSAS | $6K | — | $6K | 9.07% |
| CROUCH INSURANCE AGENCY INC.3 | 249 EAGLE MOUNTAIN BLVD BATESVILLE, AR 725014232 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 20.84% |
| MIKA L QUEEN3 | 249 EAGLE MOUNTAIN BLVD BATESVILLE, AR 725014232 | CONTINENTAL AMERICAN INSURANCE COMPANY | $966 | — | $966 | 10.78% |
| GREGORY INSURANCE SOLUTIONS3 | 415 N MCKINLEY DR SUITE 280-I LITTLE ROCK, AR 72205 | CONTINENTAL AMERICAN INSURANCE COMPANY | $253 | — | $253 | 2.82% |
| RICKY C REYNOLDS3 | 20 BLANKINS HIP DR CONWAY, AK 72032 | CONTINENTAL AMERICAN INSURANCE COMPANY | $137 | — | $137 | 1.53% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ALLEGIANCE BENEFIT PLAN MANAGEMENT EIN 81-0400550 TPA | Claims processing Service code 12 | — | $30K |
| ALLEGIANCE CARE MANAGEMENT, INC. EIN 03-0507057 CARE MANAGEMENT | Other insurance fees and expenses Service code 73 | — | $4K |
| ALLEGIANCE COBRA SERVICES, INC EIN 71-0916514 COBRA PROVIDER | Other insurance fees and expenses Service code 73 | — | $854 |
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 | 123 | 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) | 123 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CONTINENTAL AMERICAN INSURANCE COMPANY | 19 | $9K |
| Dental | DELTA DENTAL PLAN OF ARKANSAS | 230 | $68K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 270 | $91K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 270 | $91K |
| Short-term disability | CONTINENTAL AMERICAN INSURANCE COMPANY | 19 | $9K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 270 | $91K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 270 | $91K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 270 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.