| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIAMOND STATE INSURANCE3 | — | QCA HEALTH PLAN | $22K | — | $22K | 2.50% |
| DIAMOND STATE INSURANCE3 Filed as: DIAMOND STATE INSURANCE INC | PO BOX 396 MURFREESBORO, AR 71958 | USABLE LIFE | $4K | — | $4K | 15.00% |
| DEBORAH BRAINARD3 | 418 SUNCREST STREET BRYANT, AR 72022 | USABLE LIFE | $153 | — | $153 | 0.62% |
| KAYLA PROPPS3 | 130 HEMPSTEAD 353 NASHVILLE, AR 71852 | USABLE LIFE | $51 | — | $51 | 0.21% |
| MICHAEL DODSON3 | #15 TEXARKANA TRACE TEXARKANA, TX 75503 | USABLE LIFE | $31 | — | $31 | 0.13% |
| JERRY DUNCAN3 | 516 EAST MILLSAP ROAD SUITE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $8 | — | $8 | 0.03% |
| DIAMOND STATE INSURANCE3 Filed as: DIAMOND STATE INSURANCE INC | PO BOX 396 MURFREESBORO, AR 71958 | USABLE LIFE | $4K | — | $4K | 15.00% |
| DEBORAH BRAINARD3 | 418 SUNCREST STREET BRYANT, AR 72022 | USABLE LIFE | $716 | — | $716 | 3.01% |
| KAYLA PROPPS3 | 130 HEMPSTEAD 353 NASHVILLE, AR 71852 | USABLE LIFE | $474 | — | $474 | 1.99% |
| MICHAEL DODSON3 | #15 TEXARKANA TRACE TEXARKANA, TX 75503 | USABLE LIFE | $143 | — | $143 | 0.60% |
| JERRY DUNCAN3 | 516 EAST MILLSAP ROAD SUITE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $76 | — | $76 | 0.32% |
| DIAMOND STATE INSURANCE3 Filed as: DIAMOND STATE INSURANCE, INC. | PO BOX 396 MURFREESBORO, AR 71958 | USABLE LIFE | $3K | — | $3K | 15.00% |
| DEBORAH BRAINARD3 | 418 SUNCREST STREET BRYANT, AR 72022 | USABLE LIFE | $236 | — | $236 | 1.02% |
| KAYLA PROPPS3 | 130 HEMPSTEAD 353 NASHVILLE, AR 71852 | USABLE LIFE | $80 | — | $80 | 0.35% |
| MICHAEL DODSON3 | #15 TEXARKANA TRACE TEXARKANA, TX 75503 | USABLE LIFE | $47 | — | $47 | 0.20% |
| JERRY DUNCAN3 | 516 EAST MILLSAP ROAD SUITE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $13 | — | $13 | 0.06% |
| DIAMOND STATE INSURANCE3 Filed as: DIAMOND STATE INSURANCE , INC. | PO BOX 396 MURFREESBORO, AR 71958 | USABLE LIFE | $2K | — | $2K | 15.00% |
| DEBORAH BRAINARD3 | 418 SUNCREST STREET BRYANT, AR 72022 | USABLE LIFE | $84 | — | $84 | 0.62% |
| KAYLA PROPPS3 | 130 HEMPSTEAD 353 NASHVILLE, AR 71852 | USABLE LIFE | $28 | — | $28 | 0.21% |
| MICHAEL DODSON3 | #15 TEXARKANA TRACE TEXARKANA, TX 75503 | USABLE LIFE | $17 | — | $17 | 0.13% |
| JERRY DUNCAN3 | 516 EAST MILLSAP ROAD SUITE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $5 | — | $5 | 0.04% |
| DIAMOND STATE INSURANCE3 Filed as: DIAMOND STATE INSURANCE, INC. | PO BOX 396 MURFREESBORO, AR 71958 | USABLE LIFE | $469 | — | $469 | 3.74% |
| DEBORAH BRAINARD3 | 418 SUNCREST STREET BRYANT, AR 72022 | USABLE LIFE | $28 | — | $28 | 0.22% |
| KAYLA PROPPS3 | 130 HEMPSTEAD 353 NASHVILLE, AR 71852 | USABLE LIFE | $22 | — | $22 | 0.18% |
| SCOTT SAMPLE3 | 4661 BRANDYWINE COVE SHERWOOD, AR 72120 | USABLE LIFE | $1 | — | $1 | 0.01% |
| DIAMOND STATE INSURANCE3 Filed as: DIAMOND STATE INSURANCE, INC. | PO BOX 396 MURFREESBORO, AR 71958 | USABLE LIFE | $182 | — | $182 | 5.84% |
| KAYLA PROPPS3 | 130 HEMPSTEAD 353 NASHVILLE, AR 71852 | USABLE LIFE | $18 | — | $18 | 0.58% |
| DEBORAH BRAINARD3 | 418 SUNCREST STREET BRYANT, AR 72022 | USABLE LIFE | $14 | — | $14 | 0.45% |
| DIAMOND STATE INSURANCE3 Filed as: DIAMOND STATE INSURANCE INC | PO BOX 396 MURFREESBORO, AR 71958 | USABLE LIFE | $297 | — | $297 | 15.00% |
| DEBORAH BRAINARD3 | 418 SUNCREST STREET BRYANT, AR 72022 | USABLE LIFE | $59 | — | $59 | 2.98% |
| KAYLA PROPPS3 | 130 HEMPSTEAD 353 NASHVILLE, AR 71852 | USABLE LIFE | $40 | — | $40 | 2.02% |
| MICHAEL DODSON3 | #15 TEXARKANA TRACE TEXARKANA, TX 75503 | USABLE LIFE | $12 | — | $12 | 0.61% |
| JERRY DUNCAN3 | 516 EAST MILLSAP ROAD SUITE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $6 | — | $6 | 0.30% |
| DIAMOND STATE INSURANCE3 Filed as: DIAMOND STATE INSURANCE, INC. | PO BOX 396 MURFREESBORO, AR 71958 | USABLE LIFE | $48 | — | $48 | 4.96% |
| DIAMOND STATE INSURANCE3 Filed as: DIAMOND STATE INSURANCE, INC. | PO BOX 396 MURFREESBORO, AR 71958 | USABLE LIFE | $30 | — | $30 | 5.04% |
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 | 137 | 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) | 140 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | QCA HEALTH PLAN | 138 | $890K |
| Dental | ARKANSAS BLUE CROSS AND BLUE SHIELD | 131 | $75K |
| Life insurance(2 contracts) | USABLE LIFE | 145 | $37K |
| Short-term disability | USABLE LIFE | 145 | $25K |
| Long-term disability | USABLE LIFE | 145 | $23K |
| Other(7 contracts) | USABLE LIFE | 145 | $57K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 145 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.