| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC Filed as: ACRISURE | 5664 PRAIRIE CREEK DR SE CALEDONIA, MI 49316 | DELTA DENTAL PLAN OF ARKANSAS | $11K | — | $11K | 9.16% |
| ACRISURE LLC Filed as: ACRISURE | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | USABLE LIFE | $21K | — | $21K | 25.00% |
| WILLIAM BUCKNER | 7002 WESTSHORE AVE BENTON, AR 72019 | USABLE LIFE | $2K | — | $2K | 2.92% |
| JERRY DUNCAN Filed as: JERRY DUNCAN C/O ARKANSAS BLUE CROS | 516 EAST MILLSAP RD.STE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $290 | — | $290 | 0.35% |
| ACRISURE LLC3 Filed as: ACRISURE | 5664 PRAIRIE CREEK DR SE CALEDONIA, MI 49316 | USABLE LIFE | $21K | — | $21K | 25.00% |
| WILLIAM BUCKNER | 7002 WESTSHORE AVE BENTON, AR 72019 | USABLE LIFE | $4K | — | $4K | 5.30% |
| JERRY DUNCAN Filed as: JERRY DUNCAN C/O ARKANSAS BLUE CROS | 516 EAST MILLSAP RD. STE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $870 | — | $870 | 1.06% |
| ACRISURE LLC3 Filed as: ACRISURE | 5664 PRAIRIE CREEK DR SE CALEDONIA, MI 49316 | USABLE LIFE | $9K | — | $9K | 25.00% |
| WILLIAM BUCKNER | 7002 WESTSHORE AVE BENTON, AR 72019 | USABLE LIFE | $2K | — | $2K | 5.57% |
| JERRY DUNCAN Filed as: JERRY DUNCAN C/O ARKANSAS BLUE CROS | 516 EAST MILLSAP RD. STE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $418 | — | $418 | 1.11% |
| ACRISURE LLC | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | USABLE LIFE | $8K | — | $8K | 25.00% |
| WILLIAM BUCKNER | 7002 WESTSHORE AVE BENTON, AR 72019 | USABLE LIFE | $2K | — | $2K | 4.84% |
| DUNCAN, JERRY Filed as: DUNCAN, JERRY C/O ARKANSAS BLUE CRO | 516 EAST MILLSAP RD. STE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $191 | — | $191 | 0.58% |
| ACRISURE LLC3 Filed as: ACRISURE | 5664 PRAIRIE CREEK DR SE CALEDONIA, MI 49316 | DELTA DENTAL PLAN OF ARKANSAS | $6K | — | $6K | 20.00% |
| ACRISURE LLC Filed as: ACRISURE DBA THE HATCHER AGENCY | 310 LOUISIANA ST LITTLE ROCK, AR 72201 | 5 STAR LIFE INSURANCE COMPANY | $3K | — | $3K | 16.99% |
| BROKER SOLUTIONS INC | 310 LOUISIANA ST LITTLE ROCK, AR 72201 | 5 STAR LIFE INSURANCE COMPANY | $884 | — | $884 | 5.80% |
| BROKER SOLUTIONS INC | PO BOX 3525 LITTLE ROCK, AR 72203 | MANHATTANLIFE ASSURANCE CO OF AMERICA | $2K | — | $2K | 50.00% |
| ACRISURE LLC Filed as: ACRISURE DBA THE HATCHER AGENCY | 310 LOUISIANA ST LITTLE ROCK, AR 72201 | MANHATTANLIFE ASSURANCE CO OF AMERICA | $746 | — | $746 | 20.01% |
| BAFFIN BAY MARKETING GROUP, LLC Filed as: BAFFIN BAY MARKETING GROUP LLC | PO BOX 161690 AUSTIN, TX 78716 | MANHATTANLIFE ASSURANCE CO OF AMERICA | $167 | — | $167 | 4.48% |
| BROKER SOLUTIONS INC Filed as: BROKER SOLUTIONS | PO BOX 3525 LITTLE ROCK, AR 72203 | MANHATTANLIFE ASSURANCE CO OF AMERICA | $1K | — | $1K | 50.00% |
| ACRISURE LLC Filed as: ACRISURE DBA THE HATCHER AGENCY | 310 LOUSIANA ST LITTLE ROCK, AR 72201 | MANHATTANLIFE ASSURANCE CO OF AMERICA | $498 | — | $498 | 19.97% |
| BAFFIN BAY MARKETING GROUP, LLC Filed as: BAFFIN BAY MARKETING GROUP LLC | PO BOX 161690 AUSTIN, TX 78716 | MANHATTANLIFE ASSURANCE CO OF AMERICA | $112 | — | $112 | 4.49% |
| BROKER SOLUTIONS INC | PO BOX 3525 LITTLE ROCK, AR 72203 | MANHATTANLIFE ASSURANCE CO OF AMERICA | $642 | — | $642 | 50.00% |
| ACRISURE LLC Filed as: ACRISURE DBA THE HATCHER AGENCY | 310 LOUISIANA ST LITTLE ROCK, AR 72201 | MANHATTANLIFE ASSURANCE CO OF AMERICA | $257 | — | $257 | 20.02% |
| BAFFIN BAY MARKETING GROUP, LLC Filed as: BAFFIN BAY MARKETING GROUP LLC | PO BOX 161690 AUSTIN, TX 78716 | MANHATTANLIFE ASSURANCE CO OF AMERICA | $58 | — | $58 | 4.52% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UMR INC EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | — | $135K |
| THE HATCHER AGENCY EIN 71-0685455 BROKER | Other commissions Service code 55 | PO BOX 3505 LITTLE ROCK, AR 72203 | $47K |
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 | 0 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL PLAN OF ARKANSAS | 321 | $124K |
| Vision | DELTA DENTAL PLAN OF ARKANSAS | 247 | $32K |
| Life insurance(3 contracts, 2 carriers) | USABLE LIFE | 216 | $86K |
| Long-term disability | USABLE LIFE | 216 | $83K |
| Other(6 contracts, 2 carriers) | USABLE LIFE | 216 | $160K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 321 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.