| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIAMOND STATE INSURANCE3 | — | QCA HEALTH PLAN | $23K | — | $23K | 2.50% |
| DIAMOND STATE INSURANCE3 Filed as: DIAMOND STATE INSURANCE INC | PO BOX 396 MURFREESBORO, AR 71958 | USABLE LIFE | $4K | — | $4K | 15.00% |
| KAYLA PROPPS3 | 130 HEMPSTEAD 353 NASHVILLE, AR 71852 | USABLE LIFE | $205 | — | $205 | 0.83% |
| JERRY DUNCAN3 Filed as: JERRY DUNCAN C/O ARKANSAS BLUE CROS | 516 EAST MILLSAP ROAD SUITE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $41 | — | $41 | 0.17% |
| DIAMOND STATE INSURANCE3 Filed as: DIAMOND STATE INSURANCE, INC. | PO BOX 396 MURFREESBORO, AR 71958 | USABLE LIFE | $4K | — | $4K | 15.00% |
| KAYLA PROPPS3 | 130 HEMPSTEAD 353 NASHVILLE, AR 71852 | USABLE LIFE | $317 | — | $317 | 1.36% |
| JERRY DUNCAN3 Filed as: JERRY DUNCAN C/O ARKANSAS BLUE CROS | 516 EAST MILLSAP ROAD SUITE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $63 | — | $63 | 0.27% |
| DIAMOND STATE INSURANCE3 Filed as: DIAMOND STATE INSURANCE INC | PO BOX 396 MURFREESBORO, AR 71958 | USABLE LIFE | $3K | — | $3K | 15.00% |
| KAYLA PROPPS3 | 130 HEMPSTEAD 353 NASHVILLE, AR 71852 | USABLE LIFE | $1K | — | $1K | 5.00% |
| JERRY DUNCAN3 Filed as: JERRY DUNCAN C/O ARKANSAS BLUE CROS | 516 EAST MILLSAP ROAD SUITE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $213 | $1 | $214 | 1.01% |
| DIAMOND STATE INSURANCE3 Filed as: DIAMOND STATE INSURANCE, INC. | PO BOX 396 MURFREESBORO, AR 71958 | USABLE LIFE | $365 | — | $365 | 2.64% |
| KAYLA PROPPS3 | 130 HEMPSTEAD 353 NASHVILLE, AR 71852 | USABLE LIFE | $26 | — | $26 | 0.19% |
| DIAMOND STATE INSURANCE3 Filed as: DIAMOND STATE INSURANCE INC. | PO BOX 396 MURFREESBORO, AR 71958 | USABLE LIFE | $2K | — | $2K | 15.00% |
| KAYLA PROPPS3 | 130 HEMPSTEAD 353 NASHVILLE, AR 71852 | USABLE LIFE | $111 | — | $111 | 0.82% |
| JERRY DUNCAN3 Filed as: JERRY DUNCAN C/0 ARKANSAS BLUE CROS | 516 EAST MILLSAP ROAD SUITE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $22 | — | $22 | 0.16% |
| DIAMOND STATE INSURANCE3 Filed as: DIAMOND STATE INSURANCE, INC. | PO BOX 396 MURFREESBORO, AR 71958 | USABLE LIFE | $112 | — | $112 | 4.22% |
| KAYLA PROPPS3 | 130 HEMPSTEAD 353 NASHVILLE, AR 71852 | USABLE LIFE | $9 | — | $9 | 0.34% |
| DIAMOND STATE INSURANCE3 Filed as: DIAMOND STATE INSURANCE INC | PO BOX 396 MURFREESBORO, AR 71958 | USABLE LIFE | $239 | — | $239 | 14.99% |
| KAYLA PROPPS3 | 130 HEMPSTEAD 353 NASHVILLE, AR 71852 | USABLE LIFE | $80 | — | $80 | 5.02% |
| JERRY DUNCAN3 Filed as: JERRY DUNCAN C/O ARKANSAS BLUE CROS | 516 EAST MILLSAP ROAD SUITE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $16 | — | $16 | 1.00% |
| 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 | 135 | 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) | 135 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | QCA HEALTH PLAN | 141 | $912K |
| Dental | BLUE CROSS AND BLUE SHIELD | 131 | $76K |
| Life insurance(2 contracts) | USABLE LIFE | 149 | $35K |
| Short-term disability | USABLE LIFE | 149 | $25K |
| Long-term disability | USABLE LIFE | 149 | $23K |
| Other(7 contracts) | USABLE LIFE | 149 | $54K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 149 | — |
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.