| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | USABLE LIFE | $12K | $44 | $12K | 15.36% |
| TOBIE JOST3 | 3705 CORNWALLIS DR NORTH LITTLE ROCK, AR 72116 | USABLE LIFE | $2K | — | $2K | 2.87% |
| MARIA VANDYKE3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $267 | — | $267 | 0.33% |
| JERRY DUNCAN3 | 516 EAST MILLSAP ROAD STE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $218 | — | $218 | 0.27% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: ARKANSAS BLUE CROSS BLUE SHIELD | 601 SOUTH GAINES ST LITTLE ROCK, AR 72201 | USABLE LIFE | $2 | — | $2 | 0.00% |
| WILLIAM BUCKNER3 | 4816 KENYON DR LITTLE ROCK, AR 72205 | USABLE LIFE | -$195 | — | -$195 | -0.24% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 5664 PRARIE CREEK DR SE CALEDONIA, MI 49316 | DELTA DENTAL PLAN OF ARKANSAS | $6K | — | $6K | 9.06% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA THE HATCHER AGENCY | 310 LOUISIANA STREET LITTLE ROCK, AR 72201 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $2K | — | $2K | 9.92% |
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 | 227 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 227 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | ARKANSAS BLUE CROSS AND BLUE SHIELD | 227 | $618K |
| Dental | DELTA DENTAL PLAN OF ARKANSAS | 271 | $65K |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 158 | $17K |
| Life insurance | USABLE LIFE | 227 | $80K |
| Short-term disability | USABLE LIFE | 227 | $80K |
| Long-term disability | USABLE LIFE | 227 | $80K |
| Prescription drug | ARKANSAS BLUE CROSS AND BLUE SHIELD | 154 | $538K |
| Other | USABLE LIFE | 227 | $80K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 271 | — |
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."
No prospect flags tripped on this filing.