| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROGERS BENEFIT GROUP INC3 Filed as: LINDA C ROGERS | PO BOX 7776 TEXARKANA, TX 75505 | AFLAC | $15K | $643 | $16K | 7.76% |
| PERRY HALL3 | PO BOX 5107 TEXARKANA, TX 75505 | AFLAC | $8K | — | $8K | 3.80% |
| MELBA BIAS3 | 216 OLIVE ST TEXARKANA, AR 71854 | AFLAC | $5K | $181 | $5K | 2.38% |
| BETHANY FRANKLIN3 | 1818 WOODWAY DR TEXARKANA, AR 71854 | AFLAC | $2K | $183 | $2K | 1.13% |
| EDWARD L MARTINA III3 Filed as: EDWARD MARTINA III | 10800 FINANCIAL CENTRE PKWAY SUITE 150 LITTLE ROCK, AR 72211 | AFLAC | $1K | $183 | $2K | 0.77% |
| SHARON JOY MATHERLY3 Filed as: SHARON MATHERLY | PO BOX 988 HOPE, AR 71802 | AFLAC | $1K | — | $1K | 0.72% |
| CAROLYN J LEE3 Filed as: CAROLYN LEE | 1412 MAIN ST SUITE 504 TEXARKANA, TX 75501 | AFLAC | $1K | — | $1K | 0.68% |
| RICHARD COLE JR.3 | 2504 PECAN ST TEXARKANA, AR 71854 | AFLAC | $1K | — | $1K | 0.62% |
| JEFFREY TAL WEBB3 Filed as: JEFFREY WEBB | 900 PIERREMONT RD SUITE 114 SHREVEPORT, LA 71106 | AFLAC | $894 | — | $894 | 0.44% |
| NORA L WALKER3 | 4001 MINDEN AVE TEXARKANA, AR 71854 | AFLAC | $356 | — | $356 | 0.18% |
| BRENT LEE EDENFIELD3 | 9249 GA HWY 315 CATALUA, GA 31804 | AFLAC | $246 | — | $246 | 0.12% |
| CHRISTOPHER ALAN HOOD SR3 | 160 COUNTRY ROAD 4553 WINNSBORO, TX 75494 | AFLAC | $244 | — | $244 | 0.12% |
| CHRIS MIOT3 | 3106 CRESTRIDGE DRIVE TEXARKANA, TX 75503 | AFLAC | $171 | — | $171 | 0.08% |
| DARRK ENTERPRISES LLC3 | 9542 YARROW CIR STE 1 PENSACOLA, FL 32514 | AFLAC | $168 | — | $168 | 0.08% |
| SANDRA HALL3 | 7205 HILLCREST DRIVE TEXARKANA, TX 75503 | AFLAC | $133 | — | $133 | 0.07% |
| JEFFERY TAL WEBB3 | 900 PIERREMONT RD STE 114 SHREVEPORT, LA 71106 | AFLAC | $132 | — | $132 | 0.07% |
| WILLIAM D WENBERG3 Filed as: WILLIAM WENBERG | 13024 STACY LANE LITTLE ROCK, AR 72211 | AFLAC | $96 | — | $96 | 0.05% |
| ROBERT M GLASS CORP3 Filed as: ROBERT GLASS | 524 NEVADA 48S PRESCOTT, AR 71857 | AFLAC | $86 | $2 | $88 | 0.04% |
| TAMELA GALE WELLBORN3 | 117 OLIVER ST DOUGLASSVILLE, TX 75560 | AFLAC | $71 | — | $71 | 0.04% |
| DEWAYNE GOLDWYN SIMPSON3 Filed as: DEWAYNE SIMPSON | 4204 COPPER ROCK DR EDMOND, OK 73025 | AFLAC | $40 | — | $40 | 0.02% |
| MARY KAY BLANCHARD3 | 9542 YARROW CIRCLE PENSACOLA, FL 32514 | AFLAC | $40 | — | $40 | 0.02% |
| JERRY MCCARTNEY3 | 3110 HINSON RD LITTLE ROCK, AR 72212 | AFLAC | $33 | — | $33 | 0.02% |
| WILLIAM A BRIGGS3 Filed as: WILLIAM BRIGGS | 1731 GAY THOMPSON RD RAMER, TN 38367 | AFLAC | $30 | — | $30 | 0.01% |
| JOHN H RYDEN3 Filed as: JOHN RYDEN | 2 MEADOW VISTA TEXARKANA, TX 75503 | AFLAC | $26 | — | $26 | 0.01% |
| SCOTTI MADISON3 | 3330 COBB PARKWAY SUITE 324-3 ACWORTH, GA 30101 | AFLAC | $25 | — | $25 | 0.01% |
| JESSICA LANDRETH3 | 20 CHAMBLEE CIR BATESVILLE, AR 72501 | AFLAC | $23 | — | $23 | 0.01% |
| THOMAS ROBERT GIDDENS3 Filed as: THOMAS GIDDENS | PO BOX 2517 KENNESAW, GA 30156 | AFLAC | $7 | — | $7 | 0.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: JAMES G BROWN | 2522 OWENS LANDING TRL NW KENNESAW, GA 30152 | AFLAC | $6 | — | $6 | 0.00% |
| SCOTT W BLACKSHEAR3 Filed as: SCOTT GUTHRIE | 5401 ASHBURY CT TYLER, TX 75703 | AFLAC | $6 | — | $6 | 0.00% |
| FRANKLIN R DAVIES3 Filed as: FRANKLIN DAVIES | 201 ROYAL ABERDEEN WAY MCKINNEY, TX 75070 | AFLAC | $6 | — | $6 | 0.00% |
| MARK C LEE3 Filed as: MARK LEE | 1192 PEYTON DR KENNESAW, GA 30152 | AFLAC | $2 | — | $2 | 0.00% |
| PERRY HALL3 | PO BOX 5107 TEXARKANA, TX 75505 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | $469 | $5K | 3.37% |
| ROGERS BENEFIT GROUP INC3 Filed as: LINDA ROGERS | PO BOX 7776 TEXARKANA, TX 75505 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | — | $4K | 3.02% |
| BLUEADVANTAGE ADMINISTRATORS OF ARK3 Filed as: BLUEADVANTAGE ADMINISTRATORS OF AR | 320 W CAPITOL AVE LITTLE ROCK, AR 72201 | QBE INSURANCE | $13K | — | $13K | 10.00% |
| PERRY HALL3 | PO BOX 5107 TEXARKANA, TX 75505 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | $671 | $4K | 5.29% |
| ROGERS BENEFIT GROUP INC3 Filed as: LINDA ROGERS | PO BOX 7776 TEXARKANA, TX 75505 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 4.41% |
| PERRY HALL3 | PO BOX 5107 TEXARKANA, TX 75505 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $177 | $177 | 0.89% |
| STEPHEN FAWCETT3 | 2702 SHADY PINES RD TEXARKANA, TX 75501 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $24 | — | $24 | 1.69% |
| DOUG BARNETTE3 | 2505 SUGARHILL RD TEXARKANA, AR 71854 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $13 | — | $13 | 0.91% |
| SHAREE HOOPER3 | 349 GREENACRES BLVD BOSSIER CITY, LA 71111 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.35% |
| DON FENNELL3 | 1340 MARSH HARBOR DR JACKSONVILLE, FL 32225 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.35% |
| DAVID EVANS3 | 2711 YORK CT SOUTHLAKE, TX 76092 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.14% |
| TAMMIE PEARSON3 | 216 E PIONEER ST TEXARKANA, TX 75501 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | — | — | $0 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| USABLE/BLUE ADVANTAGE EIN 71-0655804 CONTRACT ADMIN | Contract Administrator Service code 13 | PO BOX 1460 LITTLE ROCK, AR 72203 | $147K |
| GROUP SERVICE EIN 71-0246079 CONTRACT ADMIN | Contract Administrator Service code 13 | PO BOX 2181 LITTLE ROCK, AR 72203 | $123K |
| CERIDIAN EIN 59-3424469 CONTRACT ADMIN | Contract Administrator Service code 13 | PO BOX 10989 NEWARK, NJ 07193 | $7K |
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 | 489 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AFLAC | 288 | $203K |
| Life insurance(4 contracts, 3 carriers) | AFLAC | 518 | $300K |
| Short-term disability(5 contracts, 3 carriers) | AFLAC | 518 | $434K |
| Long-term disability(2 contracts, 2 carriers) | AFLAC | 301 | $337K |
| Stop-loss / reinsurancereinsurance | QBE INSURANCE | 495 | $127K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 518 | — |
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.