| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | 2828 N. MANSFIELD AVE., STE 202 FAYETTEVILLE, AR 72703 | ARKANSAS BLUE CROSS AND BLUE SHIELD | — | $53K | $53K | 2.00% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES | 2828 N. MANSFIELD AVE., STE 202 FAYETTEVILLE, AR 72703 | ARKANSAS BLUE CROSS AND BLUE SHIELD | $13K | — | $13K | 10.01% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | P.O. BOX 896620 CHARLOTTE, NC 28289 | USABLE LIFE | $13K | $995 | $14K | 21.44% |
| KAREN WOODWARD3 | 4026 N. ZION VALLEY DR. FAYETTEVILLE, AR 72703 | USABLE LIFE | $3K | — | $3K | 4.99% |
| MARIA VANDYKE3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $368 | — | $368 | 0.55% |
| JERRY DUNCAN3 | 516 E. MILLSEP RD., STE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $301 | — | $301 | 0.45% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | P.O. BOX 896620 CHARLOTTE, NC 282896620 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | $79 | $5K | 19.99% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS INC. | 225 WIRELESS BLVD STE 200 HAUPPAUGE, NY 117883914 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $10 | $1K | 4.96% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC.. | P.O. BOX 896620 CHARLOTTE, NC 282896620 | METROPOLITAN LIFE INSURANCE COMPANY | — | $253 | $253 | 0.96% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN | 250 PEHLE AVE. STE. 400 SADDLEBROOK, NJ 07663 | METROPOLITAN LIFE INSURANCE COMPANY | — | $110 | $110 | 0.42% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC | P.O. BOX 896620 CHARLOTTE, NC 28289 | USABLE LIFE | $5K | $101 | $5K | 20.51% |
| KAREN WOODWARD3 | 4026 N. ZION VALLEY DR. FAYETTEVILLE, AR 72703 | USABLE LIFE | $1K | — | $1K | 5.03% |
| MARIA VANDYKE3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $139 | — | $139 | 0.55% |
| JERRY DUNCAN3 | 516 E. MILLSEP RD., STE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $114 | — | $114 | 0.45% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | P.O. BOX 896620 CHARLOTTE, NC 28289 | METROPOLITAN LIFE INSURANCE | $3K | $216 | $3K | 21.22% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS, INC. | 225 WIRELESS BLVD., STE 200 HAUPPAGE, NY 11788 | METROPOLITAN LIFE INSURANCE | $676 | $10 | $686 | 4.99% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN | 250 PEHLE AVE STE 400 SADDLEBROOK, NJ 07663 | METROPOLITAN LIFE INSURANCE | — | $63 | $63 | 0.46% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES | PO BOX 896620 CHARLOTTE, NC 28289 | USABLE LIFE | $433 | $63 | $496 | 11.40% |
| KAREN WOODWARD3 | 4026 N ZION VALLEY DR FAYETTEVILLE, AR 72703 | USABLE LIFE | $43 | — | $43 | 0.99% |
| MARIA VANDYKE3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $6 | — | $6 | 0.14% |
| JERRY DUNCAN3 | 516 E. MILLSEP RD., STE 10 FAYETTEVILLE, AR 72703 | USABLE LIFE | $5 | — | $5 | 0.11% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| TOTAL ADMINISTRATIVE SERVICES CORP. NONE | Contract Administrator Service code 13 | 2302 INTERNATIONAL LANE MADISON, WI 53704 | $3K |
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 | 381 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 382 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | ARKANSAS BLUE CROSS AND BLUE SHIELD | 409 | $2.7M |
| Dental | ARKANSAS BLUE CROSS AND BLUE SHIELD | 445 | $133K |
| Vision | ARKANSAS BLUE CROSS AND BLUE SHIELD | 409 | $37K |
| Life insurance | USABLE LIFE | 115 | $4K |
| Prescription drug | ARKANSAS BLUE CROSS AND BLUE SHIELD | 409 | $2.7M |
| Other(3 contracts) | USABLE LIFE | 184 | $97K |
| 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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.