| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE ROBBI DAVIS AGENCY3 Filed as: THE ROBBI DAVIS AGENCY INC | 1909 HINSON LOOP RD STE 102 LITTLE ROCK, AR 72212 | ARKANSAS BLUE CROSS AND BLUE SHIELD | $19K | — | $19K | 1.50% |
| JUDY BETHEA INSURANCE INC3 | 11323 ARCADE DRIVE SUITE 228 LITTLE ROCK, AR 72212 | USABLE LIFE | $14K | — | $14K | 11.39% |
| CHRISTOPHER SHUMAKE3 | 75 VALLEY ESTATES COVE LITTLE ROCK, AR 72212 | USABLE LIFE | $4K | — | $4K | 3.69% |
| GEORGE BURKS3 | 9 ALTON LANE LITTLE ROCK, AR 72211 | USABLE LIFE | $486 | — | $486 | 0.41% |
| MICHAEL DODSON3 | 15 TEXARKANA TRACE TEXARKANA, TX 75503 | USABLE LIFE | $249 | — | $249 | 0.21% |
| THE ROBBI DAVIS AGENCY3 Filed as: THE ROBBI DAVIS AGENCY INC | 1909 HINSON LOOP RD STE 102 LITTLE ROCK, AR 72212 | ARKANSAS BLUE CROSS AND BLUE SHIELD | $6K | — | $6K | 4.99% |
| THE ROBBI DAVIS AGENCY3 Filed as: THE ROBBI DAVIS AGENCY INC | 1909 HINSON LOOP RD STE 102 LITTLE ROCK, AR 72212 | ARKANSAS BLUE CROSS AND BLUE SHIELD | $2K | — | $2K | 10.01% |
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 | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 3 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 233 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ARKANSAS BLUE CROSS AND BLUE SHIELD | 195 | $1.3M |
| Dental | ARKANSAS BLUE CROSS AND BLUE SHIELD | 218 | $115K |
| Vision | ARKANSAS BLUE CROSS AND BLUE SHIELD | 180 | $25K |
| Life insurance | USABLE LIFE | 284 | $119K |
| Short-term disability | USABLE LIFE | 284 | $119K |
| Long-term disability | USABLE LIFE | 284 | $119K |
| Prescription drug | ARKANSAS BLUE CROSS AND BLUE SHIELD | 195 | $1.3M |
| Other | USABLE LIFE | 284 | $119K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 284 | — |
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.