| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF FLORIDA5 Filed as: ARKANSAS BLUECROSS BLUESHIELD | 2110 FAIR PARK BLVD, STE 1 JONESBORO, AR 72401 | BLUE CROSS BLUE SHIELD | — | $268K | $268K | 9.81% |
| BLUE CROSS BLUE SHIELD OF FLORIDA5 Filed as: ARKANSAS BLUECROSS BLUESHIELD | P.O. BOX 2181 LITTLE ROCK, AR 72201 | BLUE CROSS BLUE SHIELD | — | $24K | $24K | 12.11% |
| MARTIN MCCALL3 | 315 COUNTY ROAD 782 JONESBORO, AR 72405 | USABLE LIFE | $597 | — | $597 | 0.52% |
| MARIA VANDYKE3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $66 | — | $66 | 0.06% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: JERRY DUNCAN C/O AR BCBS | 516 E MILLSAP ROAD STE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $54 | — | $54 | 0.05% |
| MARTIN MCCALL3 | 315 COUNTY ROAD 782 JONESBORO, AR 72405 | USABLE LIFE | $2K | — | $2K | 5.00% |
| ACRISURE LLC3 | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49316 | USABLE LIFE | — | $253 | $253 | 0.58% |
| MARIA VANDYKE3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $239 | — | $239 | 0.55% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: JERRY DUNCAN C/O AR BCBS | 516 E MILLSAP ROAD STE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $195 | — | $195 | 0.45% |
| MARTIN MCCALL3 | 315 COUNTY ROAD 782 JONESBORO, AR 724017740 | VISION SERVICE PLAN | $3K | — | $3K | 8.00% |
| GROUP SERVICE UNDERWRITERS INC3 | P.O. BOX 2181 LITTLE ROCK, AR 72222 | VISION SERVICE PLAN | $853 | — | $853 | 2.00% |
| MARTIN MCCALL3 | 315 COUNTY ROAD 782 JONESBORO, AR 72401 | USABLE LIFE | $2K | — | $2K | 5.00% |
| ACRISURE LLC3 | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | USABLE LIFE | — | $661 | $661 | 2.17% |
| MARIA VANDYKE3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $168 | — | $168 | 0.55% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: JERRY DUNCAN C/O AR BCBS | 516 E MILLSAP ROAD STE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $137 | — | $137 | 0.45% |
| MARTIN MCCALL3 | 315 COUNTY ROAD 782 JONESBORO, AR 72405 | USABLE LIFE | $520 | — | $520 | 4.26% |
| MARIA VANDYKE3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $57 | — | $57 | 0.47% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: JERRY DUNCAN C/O AR BCBS | 516 E MILLSAP ROAD STE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $47 | — | $47 | 0.39% |
| MARTIN MCCALL3 | 315 COUNTY ROAD 782 JONESBORO, AR 72405 | USABLE LIFE | $357 | — | $357 | 5.00% |
| ACRISURE LLC3 | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | USABLE LIFE | — | $63 | $63 | 0.88% |
| MARIA VANDYKE3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $39 | — | $39 | 0.55% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: JERRY DUNCAN C/O AR BCBS | 516 E MILLSAP ROAD STE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $32 | — | $32 | 0.45% |
| ACRISURE LLC Filed as: ACRISURE DBA MF BLOCK INSURANCE INC | 5057 KELLER SPRINGS RD STE 200 ADDISON, TX 75001 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $410 | — | $410 | 6.20% |
| ACRISURE LLC3 Filed as: ACRISURE DBA MF BLOCK INSURANCE INC | 32 SOUTHPOINTE DR PARAGOULD, AR 72450 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $104 | — | $104 | 4.24% |
| ALBERT SMITH3 | 72 VILLAS CIRCLE LITTLE ROCK, AR 72223 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $72 | — | $72 | 2.94% |
| AF SMITH & ASSOCIATES3 Filed as: AF SMITH | 14 MASTERS CIRCLE LITTLE ROCK, AR 72212 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $65 | — | $65 | 2.65% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA MF BLOCK INSURANCE | 32 SOUTHPOINT DRIVE PARAGOULD, AR 72450 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $14 | — | $14 | 0.69% |
| AF SMITH & ASSOCIATES3 Filed as: AF SMITH | 14 MASTERS CIRCLE LITTLE ROCK, AR 72212 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $7 | — | $7 | 0.35% |
| AF SMITH & ASSOCIATES3 Filed as: AF SMITH | 14 MASTERS CIRCLE LITTLE ROCK, AR 72212 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $71 | — | $71 | 4.63% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA MF BLOCK INSURANCE | 32 SOUTHPOINT DRIVE PARAGOULD, AR 72450 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $55 | — | $55 | 3.59% |
| ALBERT SMITH3 | 72 VILLA CIRCLE LITTLE ROCK, AR 72223 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $8 | — | $8 | 0.52% |
| ACRISURE LLC3 Filed as: ACRISURE DBA MF BLOCK INSURANCE INC | 32 SOUTHPOINT DRIVE PARAGOULD, AR 72450 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $3 | — | $3 | 0.86% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA MF BLOCK INSURANCE | 32 SOUTHPOINT DRIVE PARAGOULD, AR 72450 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $11 | — | $11 | 4.25% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ARKANSAS BLUE CROSS BLUE SHIELD EIN 71-0226428 VENDOR - NETWORK ADMIN | Contract Administrator Service code 13 | 2110 FAIR PARK BLVD, STE I JONESBORO, AR 72401 | $292K |
| MARTIN MCCALL INSURANCE AGENT | Insurance agents and brokers Service code 22 | 315 CR 782 JONESBORO, AR 72405 | $9K |
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 | 240 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 243 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD | 524 | $2.7M |
| Dental | BLUE CROSS BLUE SHIELD | 565 | $198K |
| Vision | VISION SERVICE PLAN | 222 | $43K |
| Life insurance(3 contracts, 2 carriers) | USABLE LIFE | 298 | $159K |
| Short-term disability(2 contracts, 2 carriers) | USABLE LIFE | 46 | $31K |
| Long-term disability | USABLE LIFE | 58 | $12K |
| Prescription drug | BLUE CROSS BLUE SHIELD | 524 | $2.7M |
| Other(6 contracts, 2 carriers) | USABLE LIFE | 298 | $132K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 565 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.