| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROGERS BENEFIT GROUP INC3 Filed as: LINDA C ROGERS | PO BOX 7776 TEXARKANA, TX 75505 | KANSAS CITY LIFE INSURANCE | $11K | — | $11K | 5.00% |
| DAINES INSURANCE & FIN SERVICES LLP3 Filed as: DAINES INSURANCE & FINANCIAL | 5806 SUMMERFIELD DRIVE TEXARKANA, TX 75503 | KANSAS CITY LIFE INSURANCE | $11K | — | $11K | 5.00% |
| ROGERS BENEFIT GROUP INC3 Filed as: LINDA ROGERS | PO BOX 7776 TEXARKANA, TX 75505 | AFLAC | $11K | $475 | $11K | 7.74% |
| MICHAEL DEAN GIST3 | PO BOX 5107 TEXARKANA, TX 75505 | AFLAC | $2K | — | $2K | 1.31% |
| WORTHAM SAN ANTONIO INC3 Filed as: JOHN LEE | 1412 MAIN ST TEXARKANA, TX 75501 | AFLAC | $2K | $95 | $2K | 1.23% |
| MELBA BIAS3 | 2533 W BURT KOUNS SUITE 121 SHREVEPORT, LA 71118 | AFLAC | $1K | — | $1K | 0.97% |
| SHARON JOY MATHERLY3 | PO BOX 988 HOPE, AR 71802 | AFLAC | $795 | — | $795 | 0.54% |
| CAROLYN J LEE3 | 1412 MAIN ST SUITE 504 TEXARKANA, TX 75501 | AFLAC | $693 | — | $693 | 0.47% |
| PERRY HALL3 | PO BOX 5107 TEXARKANA, TX 75505 | AFLAC | $688 | — | $688 | 0.47% |
| MICHAEL SCHROEDER3 | 1306 CAIRO CT BOSSIER CITY, LA 71112 | AFLAC | $654 | $19 | $673 | 0.46% |
| CAROLYN S LEE3 | 1412 MAIN ST STE 504 TEXARKANA, TX 75501 | AFLAC | $457 | $76 | $533 | 0.37% |
| JEFFERY TAL WEBB3 | 900 PIERREMONT RD STE 114 SHREVEPORT, LA 71106 | AFLAC | $503 | — | $503 | 0.34% |
| RICHARD COLE JR.3 | 2504 PECAN ST TEXARKANA, AR 71854 | AFLAC | $397 | — | $397 | 0.27% |
| ELIZABETH M CHAPMOND3 | 535 PROSPECT AVE HOT SPRINGS, AR 71901 | AFLAC | $307 | — | $307 | 0.21% |
| BETHANY FRANKLIN3 | 5601 FOREST BEND LN TEXARKANA, AR 71854 | AFLAC | $301 | — | $301 | 0.21% |
| NORA L WALKER3 | 4001 MINDEN AVE TEXARKANA, AR 71854 | AFLAC | $191 | — | $191 | 0.13% |
| EDWARD L MARTINA III3 Filed as: EDWARD MARTINA III | 100 GENNA LN YOUNGSVILLE, LA 70592 | AFLAC | $156 | — | $156 | 0.11% |
| CHRIS MIOT3 | 3106 CRESTRIDGE DRIVE TEXARKANA, TX 75503 | AFLAC | $136 | — | $136 | 0.09% |
| NICHOLETTE MARIE THOMPSON3 | 1309 E 47TH ST TEXARKANA, AR 71854 | AFLAC | $132 | — | $132 | 0.09% |
| BRENT LEE EDENFIELD3 | 9249 GA HWY 315 CATALUA, GA 31804 | AFLAC | $125 | — | $125 | 0.09% |
| SHERRY L LILE3 | 3533 SKYLINE BLVD TEXARKANA, TX 75503 | AFLAC | $112 | — | $112 | 0.08% |
| CHRISTOPHER ALAN HOOD SR3 | 160 COUNTRY ROAD 4553 WINNSBORO, TX 75494 | AFLAC | $106 | — | $106 | 0.07% |
| DARRK ENTERPRISES LLC3 | 1765 E NINE MILE RD STE 1 255 PENSACOLA, FL 32514 | AFLAC | $87 | — | $87 | 0.06% |
| JOHN TIMOTHY MCRAE3 Filed as: JOHN MCRAE | 1315 PLEASANT POINTE CIR BRYANT, AR 72022 | AFLAC | $77 | — | $77 | 0.05% |
| WILLIAM D WENBERG3 Filed as: WILLIAM WENBERG | 13024 STACY LANE LITTLE ROCK, AR 72211 | AFLAC | $58 | — | $58 | 0.04% |
| TELARA A ADAMS3 Filed as: TELARA ADAMS | 204 EXECUTIVE COURT SUITE 302 LITTLE ROCK, AR 72205 | AFLAC | $57 | — | $57 | 0.04% |
| SANDRA HALL3 | PO BOX 6254 TEXARKANA, TX 75505 | AFLAC | $46 | — | $46 | 0.03% |
| BRENT P WOOD3 | 6701 LAKERIDGE DR TEXARKANA, TX 75503 | AFLAC | $40 | — | $40 | 0.03% |
| ROBERT M GLASS CORP3 Filed as: ROBERT GLASS | 524 NEVADA 48S PRESCOTT, AR 71857 | AFLAC | $36 | — | $36 | 0.02% |
| DARRELL V BLANCHARD3 | 1765 E NINE MILE RD STE 1 255 PENSACOLA, FL 32514 | AFLAC | $29 | — | $29 | 0.02% |
| MARY HEADLEE KNIGHT3 Filed as: MARY KNIGHT | PO BOX 1282 BENTON, AR 72018 | AFLAC | $27 | — | $27 | 0.02% |
| TAMELA GALE WELLBORN3 | 117 OLIVER ST DOUGLASSVILLE, TX 75560 | AFLAC | $26 | — | $26 | 0.02% |
| JOHN H RYDEN3 Filed as: JOHN RYDEN | 2 MEADOW VISTA TEXARKANA, TX 75503 | AFLAC | $26 | — | $26 | 0.02% |
| JERRY MCCARTNEY3 | 3110 HINSON RD LITTLE ROCK, AR 72212 | AFLAC | $26 | — | $26 | 0.02% |
| SCOTTI MADISON3 | 3330 COBB PARKWAY SUITE 324-3 ACWORTH, GA 30101 | AFLAC | $25 | — | $25 | 0.02% |
| MARY KAY BLANCHARD3 | 1765 E NINE MILE ROAD STE 1 255 PENSACOLA, FL 32514 | AFLAC | $23 | — | $23 | 0.02% |
| DEWAYNE GOLDWYN SIMPSON3 Filed as: DEWAYNE SIMPSON | 4204 COPPER ROCK DR EDMOND, OK 73025 | AFLAC | $23 | — | $23 | 0.02% |
| ROGERS BENEFIT GROUP INC3 Filed as: RONALD ROGERS | 1460 SW LIBERTY AVE BENTONVILLE, AR 72712 | AFLAC | $20 | — | $20 | 0.01% |
| WILLIAM A BRIGGS3 Filed as: WILLIAM BRIGGS | 1731 GAY THOMPSON RD RAMER, TN 38367 | AFLAC | $19 | — | $19 | 0.01% |
| JOHN CHRISTOPHER3 | 1637 S SILVERTHORNE DRIVE LITTLE ROCK, AR 72210 | AFLAC | $15 | — | $15 | 0.01% |
| JESSICA LANDRETH3 | 20 CHAMBLEE CIR BATESVILLE, AR 72501 | AFLAC | $14 | — | $14 | 0.01% |
| THOMAS ROBERT GIDDENS3 Filed as: THOMAS GIDDENS | PO BOX 2517 KENNESAW, GA 30156 | AFLAC | $7 | — | $7 | 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% |
| 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% |
| SHAWN STEPHENS3 | 1323 GRAHAM TRACE LN LEAGUE CITY, TX 77573 | AFLAC | $4 | — | $4 | 0.00% |
| BYRON KEITH BURRELL3 Filed as: BYRON BURRELL | 2805 LONDONDERRY LANE CONWAY, AR 72034 | 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% |
| ROGERS BENEFIT GROUP INC3 Filed as: LINDA C ROGERS | PO BOX 7776 TEXARKANA, TX 75505 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $8K | — | $8K | 7.32% |
| DAINES INSURANCE & FIN SERVICES LLP3 Filed as: DAINES INSURANCE & FINANCIAL S | 5806 SUMMERFIELD DR TEXARKANA, TX 75503 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $231 | — | $231 | 0.21% |
| ROGERS BENEFIT GROUP INC3 Filed as: LINDA ROGERS | PO BOX 7776 TEXARKANA, TX 75505 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $10K | — | $10K | 10.00% |
| DAINES INSURANCE & FIN SERVICES LLP3 Filed as: DAINES INSURANCE & FINANCIAL | 5806 SUMMERFIELD DR TEXARKANA, TX 75503 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $846 | — | $846 | 0.86% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| USABLE/BLUE ADVANTAGE EIN 71-0655804 CONTRACT ADMIN | Contract Administrator Service code 13 | PO BOX 1460 LITTLE ROCK, AR 72203 | $200K |
| GROUP SERVICE EIN 71-0246079 CONTRACT ADMIN | Contract Administrator Service code 13 | PO BOX 2181 LITTLE ROCK, AR 72203 | $131K |
| 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 | 449 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 451 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AFLAC | 223 | $146K |
| Dental | KANSAS CITY LIFE INSURANCE | 315 | $225K |
| Life insurance(3 contracts, 2 carriers) | AFLAC | 431 | $268K |
| Short-term disability(4 contracts, 2 carriers) | AFLAC | 431 | $375K |
| Long-term disability(2 contracts, 2 carriers) | AFLAC | 263 | $254K |
| Stop-loss / reinsurancereinsurance | QBE INSURANCE | 445 | $115K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 445 | — |
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.