| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROGERS BENEFIT GROUP INC3 Filed as: LINDA ROGERS | PO BOX 7776 TEXARKANA, TX 75505 | AFLAC | $11K | $559 | $12K | 6.56% |
| PERRY HALL3 | PO BOX 5107 TEXARKANA, TX 75505 | AFLAC | $6K | — | $6K | 3.11% |
| MELBA BIAS3 | 720 ARKANSAS BLVD TEXARKANA, AR 71854 | AFLAC | $3K | $66 | $3K | 1.52% |
| SHARON JOY MATHERLY3 Filed as: SHARON MATHERLY | PO BOX 988 HOPE, AR 71802 | AFLAC | $1K | — | $1K | 0.62% |
| WORTHAM SAN ANTONIO INC3 Filed as: JOHN LEE | 1412 MAIN ST TEXARKANA, TX 75501 | AFLAC | $1K | $17 | $1K | 0.61% |
| ELIZABETH M CHAPMOND3 | 535 PROSPECT AVE HOT SPRINGS, AR 71901 | AFLAC | $927 | $54 | $981 | 0.55% |
| CAROLYN J LEE3 Filed as: CAROLYN LEE | 1412 MAIN ST SUITE 504 TEXARKANA, TX 75501 | AFLAC | $965 | — | $965 | 0.54% |
| BETHANY FRANKLIN3 | 5601 FOREST BEND LN TEXARKANA, AR 71854 | AFLAC | $766 | $106 | $872 | 0.49% |
| JEFFREY TAL WEBB3 Filed as: JEFFREY WEBB | 900 PIERREMONT RD SUITE 114 SHREVEPORT, LA 71106 | AFLAC | $697 | — | $697 | 0.39% |
| RICHARD COLE JR.3 | 2504 PECAN ST TEXARKANA, AR 71854 | AFLAC | $560 | — | $560 | 0.32% |
| EDWARD L MARTINA III3 Filed as: EDWARD MARTINA III | 100 GENNA LN YOUNGSVILLE, LA 70592 | AFLAC | $343 | — | $343 | 0.19% |
| NORA L WALKER3 | 4001 MINDEN AVE TEXARKANA, AR 71854 | AFLAC | $284 | — | $284 | 0.16% |
| BRENT LEE EDENFIELD3 | 9249 GA HWY 315 CATALUA, GA 31804 | AFLAC | $174 | — | $174 | 0.10% |
| CHRISTOPHER ALAN HOOD SR3 | 160 COUNTRY ROAD 4553 WINNSBORO, TX 75494 | AFLAC | $159 | — | $159 | 0.09% |
| DARRK ENTERPRISES LLC3 | 9542 YARROW CIR STE 1 PENSACOLA, FL 32514 | AFLAC | $143 | — | $143 | 0.08% |
| CHRIS MIOT3 | 3106 CRESTRIDGE DRIVE TEXARKANA, TX 75503 | AFLAC | $141 | — | $141 | 0.08% |
| BRENT P WOOD3 | 6701 LAKERIDGE DR TEXARKANA, TX 75503 | AFLAC | $122 | $18 | $140 | 0.08% |
| JOHN TIMOTHY MCRAE3 Filed as: JOHN MCRAE | 1315 PLEASANT POINTE CIR BRYANT, AR 72022 | AFLAC | $111 | — | $111 | 0.06% |
| RHONDA WENBERG3 | 3 BENT TREE DR LITTLE ROCK, AR 72212 | AFLAC | $71 | — | $71 | 0.04% |
| ROBERT M GLASS CORP3 Filed as: ROBERT GLASS | 524 NEVADA 48S PRESCOTT, AR 71857 | AFLAC | $67 | — | $67 | 0.04% |
| TELARA A ADAMS3 Filed as: TELARA ADAMS | 204 EXECUTIVE COURT SUITE 302 LITTLE ROCK, AR 72205 | AFLAC | $65 | — | $65 | 0.04% |
| MARY HEADLEE KNIGHT3 Filed as: MARY KNIGHT | PO BOX 1282 BENTON, AR 72018 | AFLAC | $49 | — | $49 | 0.03% |
| JERRY MCCARTNEY3 | 3110 HINSON RD LITTLE ROCK, AR 72212 | AFLAC | $33 | — | $33 | 0.02% |
| SANDRA HALL3 | PO BOX 6254 TEXARKANA, TX 75505 | AFLAC | $31 | — | $31 | 0.02% |
| DEWAYNE GOLDWYN SIMPSON3 Filed as: DEWAYNE SIMPSON | 4204 COPPER ROCK DR EDMOND, OK 73025 | AFLAC | $30 | — | $30 | 0.02% |
| WILLIAM A BRIGGS3 Filed as: WILLIAM BRIGGS | 1731 GAY THOMPSON RD RAMER, TN 38367 | AFLAC | $28 | — | $28 | 0.02% |
| TAMELA GALE WELLBORN3 | 117 OLIVER ST DOUGLASSVILLE, TX 75560 | AFLAC | $26 | — | $26 | 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% |
| MARY KAY BLANCHARD3 | 9542 YARROW CIRCLE PENSACOLA, FL 32514 | AFLAC | $23 | — | $23 | 0.01% |
| JESSICA LANDRETH3 | 20 CHAMBLEE CIR BATESVILLE, AR 72501 | AFLAC | $22 | — | $22 | 0.01% |
| ROGERS BENEFIT GROUP INC3 Filed as: RONALD ROGERS | 1460 SW LIBERTY AVE BENTONVILLE, AR 72712 | AFLAC | $19 | — | $19 | 0.01% |
| JOHN CHRISTOPHER3 | 1637 S SILVERTHORNE DRIVE LITTLE ROCK, AR 72210 | AFLAC | $17 | — | $17 | 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% |
| FRANKLIN R DAVIES3 Filed as: FRANKLIN DAVIES | 201 ROYAL ABERDEEN WAY MCKINNEY, TX 75070 | AFLAC | $6 | — | $6 | 0.00% |
| SCOTT W BLACKSHEAR3 Filed as: SCOTT GUTHRIE | 14227 N 14TH ST PHOENIX, AZ 85022 | AFLAC | $6 | — | $6 | 0.00% |
| SHAWN STEPHENS3 | 1323 GRAHAM TRACE LN LEAGUE CITY, TX 77573 | AFLAC | $5 | — | $5 | 0.00% |
| BYRON KEITH BURRELL3 Filed as: BYRON BURRELL | 2330 QUATTLEBAUM CV CONWAY, AR 72034 | AFLAC | $3 | — | $3 | 0.00% |
| MARK C LEE3 Filed as: MARK LEE | 1192 PEYTON DR KENNESAW, GA 30152 | AFLAC | $2 | — | $2 | 0.00% |
| KAY STINNETT3 | 18627 WALDEN GLEN CIR HUMBLE, TX 77346 | AFLAC | $2 | — | $2 | 0.00% |
| VICKIE L HENDERSON3 Filed as: VICKIE HENDERSON | 607 BAY VIEW CT SHERWOOD, AR 72120 | AFLAC | $1 | — | $1 | 0.00% |
| PERRY HALL3 | 4106 BROOKHOLLOW CIRCLE TEXARKANA, TX 75503 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | $661 | $5K | 3.29% |
| ROGERS BENEFIT GROUP INC3 Filed as: LINDA ROGERS | PO BOX 7776 TEXARKANA, TX 75505 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | — | $4K | 3.10% |
| ROGERS BENEFIT GROUP INC3 Filed as: LINDA C ROGERS | PO BOX 7776 TEXARKANA, TX 75505 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $7K | — | $7K | 5.36% |
| PERRY HALL3 | 4106 BROOKHOLLOW CIRCLE TEXARKANA, TX 75503 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | $621 | $6K | 4.32% |
| BLUEADVANTAGE ADMINISTRATORS OF ARK | 320 W CAPITOL AVE LITTLE ROCK, AR 72201 | QBE INSURANCE | $11K | — | $11K | 10.00% |
| PERRY HALL3 Filed as: PERRY B HALL | 4106 BROOKHOLLOW CIRCLE TEXARKANA, TX 75503 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $147 | $147 | 0.48% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| USABLE/BLUE ADVANTAGE EIN 71-0655804 CONTRACT ADMIN | Contract Administrator Service code 13 | PO BOX 1460 LITTLE ROCK, AR 72203 | $157K |
| GROUP SERVICE EIN 71-0246079 CONTRACT ADMIN | Contract Administrator Service code 13 | PO BOX 2181 LITTLE ROCK, AR 72203 | $115K |
| CERIDIAN EIN 59-3424469 CONTRACT ADMIN | Contract Administrator Service code 13 | PO BOX 10989 NEWARK, NJ 07193 | $6K |
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 | 505 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 507 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AFLAC | 281 | $178K |
| Life insurance(3 contracts, 2 carriers) | AFLAC | 558 | $338K |
| Short-term disability(4 contracts, 2 carriers) | AFLAC | 558 | $477K |
| Long-term disability(2 contracts, 2 carriers) | AFLAC | 339 | $317K |
| Stop-loss / reinsurancereinsurance | QBE INSURANCE | 516 | $115K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 558 | — |
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.