| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 896620 CHARLOTTE, NC 28289 | HARTFORD LIFE AND ACCIDENT | $21K | $4K | $25K | 8.94% |
| PREPARE BENEFITS, LLC3 Filed as: PREPARE BENEFITS LLC | 7157 NARCOOSSEE ROAD #1579 ORLANDO, FL 32832 | HARTFORD LIFE AND ACCIDENT | $7K | — | $7K | 2.50% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES | 1420 NEAL ST SUITE 101 COOKEVILLE, TN 38501 | DELTA DENTAL OF ARKANSAS | $23K | — | $23K | 9.98% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES | 1420 NEAL ST SUITE 101 COOKEVILLE, TN 38501 | DELTA DENTAL OF ARKANSAS | $6K | — | $6K | 10.04% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, LLC | 550 S CALDWELL ST STE 1400 CHARLOTTE, NC 28202 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $1K | $3K | 10.79% |
| PREPARE BENEFITS, LLC3 | 10524 MOSS PARK RD # 206-306 ORLANDO, FL 32832 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $912 | $835 | $2K | 5.79% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, LLC | 214 N TRYON STREET STE 201 CHARLOTTE, NC 28202 | METLIFE INSURANCE COMPANY | $4K | — | $4K | 19.99% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, LLC | 550 S CALDWELL ST STE 1400 CHARLOTTE, NC 28202 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $828 | $2K | 10.22% |
| PREPARE BENEFITS, LLC3 | 10524 MOSS PARK RD # 206-306 ORLANDO, FL 32832 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $612 | — | $612 | 3.02% |
| NICHOLE ZIEGLER3 | PO BOX 896620 CHARLOTTE, NC 282896620 | TELADOC HEALTH, INC. | $4K | — | $4K | 20.19% |
| MCGRIFF INSURANCE SERVICES INC4 | STE 2400 2000 CENTER POINT RD COLUMBIA, SC 292105824 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $383 | — | $383 | 5.20% |
| ACRISURE LLC4 Filed as: ACRISURE LLC DBA THE HATCHER AGENCY | 6800 PINNACLE VALLEY RD LITTLE ROCK, AR 722235156 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $313 | — | $313 | 4.25% |
No Schedule C service providers reported on this filing.
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 | 501 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 2 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 504 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ARKANSAS BLUE CROSS AND BLUE SHIELD | 542 | $2.9M |
| Dental | DELTA DENTAL OF ARKANSAS | 609 | $226K |
| Vision | DELTA DENTAL OF ARKANSAS | 500 | $59K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 569 | $278K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 569 | $278K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 569 | $278K |
| Prescription drug | ARKANSAS BLUE CROSS AND BLUE SHIELD | 542 | $2.9M |
| Other(6 contracts, 5 carriers) | HARTFORD LIFE AND ACCIDENT | 569 | $377K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 609 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.