| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA THE HATCHER AGENCY | PO BOX 3505 LITTLE ROCK, AR 72203 | ARKANSAS BLUE CROSS AND BLUE SHIELD | $44K | — | $44K | 2.50% |
| ACRISURE LLC3 | — | ARKANSAS BLUE CROSS AND BLUE SHIELD | $3K | — | $3K | 9.97% |
| ACRISURE LLC3 | 100 OTTAWA AVENUE SW GRAND RAPIDS, MI 49503 | USABLE LIFE | $1K | $89 | $2K | 5.31% |
| PRICE, DUSTIN3 | 1800 HIDDEN CREEK DRIVE SHERWOOD, AR 72120 | USABLE LIFE | $848 | — | $848 | 2.96% |
| MCCALL, MARTIN3 | 4203 STEPHANIE LANE JONESBORO, AR 72401 | USABLE LIFE | $583 | — | $583 | 2.04% |
| RUNNELLS, JOHNNY3 | 3008 TIMBER CREEK DRIVE NORTH LITTLE ROCK, AR 72116 | USABLE LIFE | $170 | $2 | $172 | 0.60% |
| VANDYKE, MARIA3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $64 | — | $64 | 0.22% |
| DUNCAN, JERRY3 Filed as: DUNCAN, JERRY C/O ARKANSAS BLUE | CROSS BLUE SHIELD 516 EAST MILLSAP ROAD SUITE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $53 | — | $53 | 0.19% |
| ACRISURE LLC3 | 100 OTTAWA AVENUE SW GRAND RAPIDS, MI 49503 | USABLE LIFE | $1K | — | $1K | 5.00% |
| PRICE, DUSTIN3 | 1800 HIDDEN CREEK DRIVE SHERWOOD, AR 72120 | USABLE LIFE | $206 | — | $206 | 0.75% |
| MCCALL, MARTIN3 | 4203 STEPHANIE LANE JONESBORO, AR 72401 | USABLE LIFE | $57 | — | $57 | 0.21% |
| RUNNELLS, JOHNNY3 | 3008 TIMBER CREEK DRIVE NORTH LITTLE ROCK, AR 72116 | USABLE LIFE | $41 | — | $41 | 0.15% |
| VANDYKE, MARIA3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $6 | — | $6 | 0.02% |
| DUNCAN, JERRY3 Filed as: DUNCAN, JERRY C/O ARKANSAS BLUE | CROSS BLUE SHIELD 516 EAST MILLSAP ROAD SUITE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $5 | — | $5 | 0.02% |
| ACRISURE LLC3 | 100 OTTAWA AVENUE SW GRAND RAPIDS, MI 49503 | USABLE LIFE | $1K | $169 | $1K | 5.63% |
| PRICE, DUSTIN3 | 1800 HIDDEN CREEK DRIVE SHERWOOD, AR 72120 | USABLE LIFE | $752 | — | $752 | 2.83% |
| MCCALL, MARTIN3 | 4203 STEPHANIE LANE JONESBORO, AR 72401 | USABLE LIFE | $578 | — | $578 | 2.17% |
| RUNNELLS, JOHNNY3 | 3008 TIMBER CREEK DRIVE NORTH LITTLE ROCK, AR 72116 | USABLE LIFE | $150 | $4 | $154 | 0.58% |
| VANDYKE, MARIA3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $64 | — | $64 | 0.24% |
| DUNCAN, JERRY3 Filed as: DUNCAN, JERRY C/O ARKANSAS BLUE | CROSS BLUE SHIELD 516 EAST MILLSAP ROAD SUITE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $52 | — | $52 | 0.20% |
| ACRISURE LLC3 | 100 OTTAWA AVENUE SW GRAND RAPIDS, MI 49503 | USABLE LIFE | $1K | — | $1K | 5.00% |
| PRICE, DUSTIN3 | 1800 HIDDEN CREEK DRIVE SHERWOOD, AR 72120 | USABLE LIFE | $171 | — | $171 | 0.83% |
| MCCALL, MARTIN3 | 4203 STEPHANIE LANE JONESBORO, AR 72401 | USABLE LIFE | $57 | — | $57 | 0.28% |
| RUNNELLS, JOHNNY3 | 3008 TIMBER CREEK DRIVE NORTH LITTLE ROCK, AR 72116 | USABLE LIFE | $34 | — | $34 | 0.16% |
| VANDYKE, MARIA3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $6 | — | $6 | 0.03% |
| DUNCAN, JERRY3 Filed as: DUNCAN, JERRY C/O ARKANSAS BLUE | CROSS BLUE SHIELD 516 EAST MILLSAP ROAD SUITE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $5 | — | $5 | 0.02% |
| ACRISURE LLC3 | 100 OTTAWA AVENUE SW GRAND RAPIDS, MI 49503 | USABLE LIFE | $1K | $15 | $1K | 8.53% |
| PRICE, DUSTIN3 | 1800 HIDDEN CREEK DRIVE SHERWOOD, AR 72120 | USABLE LIFE | $160 | — | $160 | 1.22% |
| MCCALL, MARTIN3 | 4203 STEPHANIE LANE JONESBORO, AR 72401 | USABLE LIFE | $116 | — | $116 | 0.89% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: ARKANSAS BLUE CROSS BLUE SHIELD | 601 SOUTH GAINES STREET LITTLE ROCK, AR 72201 | USABLE LIFE | $34 | — | $34 | 0.26% |
| RUNNELLS, JOHNNY3 | 3008 TIMBER CREEK DRIVE NORTH LITTLE ROCK, AR 72116 | USABLE LIFE | $32 | — | $32 | 0.24% |
| VANDYKE, MARIA3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $13 | — | $13 | 0.10% |
| DUNCAN, JERRY3 Filed as: DUNCAN, JERRY C/O ARKANSAS BLUE | CROSS BLUE SHIELD 516 EAST MILLSAP ROAD SUITE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $10 | — | $10 | 0.08% |
| ACRISURE LLC3 | 100 OTTAWA AVENUE SW GRAND RAPIDS, MI 49503 | USABLE LIFE | $872 | $32 | $904 | 8.98% |
| PRICE, DUSTIN3 | 1800 HIDDEN CREEK DRIVE SHERWOOD, AR 72120 | USABLE LIFE | $126 | — | $126 | 1.25% |
| MCCALL, MARTIN3 | 4203 STEPHANIE LANE JONESBORO, AR 72401 | USABLE LIFE | $83 | — | $83 | 0.82% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: ARKANSAS BLUE CROSS BLUE SHIELD | 601 SOUTH GAINES STREET LITTLE ROCK, AR 72201 | USABLE LIFE | $26 | — | $26 | 0.26% |
| RUNNELLS, JOHNNY3 | 3008 TIMBER CREEK DRIVE NORTH LITTLE ROCK, AR 72116 | USABLE LIFE | $25 | $1 | $26 | 0.26% |
| VANDYKE, MARIA3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $9 | — | $9 | 0.09% |
| DUNCAN, JERRY3 Filed as: DUNCAN, JERRY C/O ARKANSAS BLUE | CROSS BLUE SHIELD 516 EAST MILLSAP ROAD SUITE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $8 | — | $8 | 0.08% |
| ACRISURE LLC3 | PO BOX 3505 LITTLE ROCK, AR 72203 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $474 | — | $474 | 8.45% |
| ROBERT W ALLEN3 | 102 FLOYD BURNS ROAD EL PASO, AR 72045 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $52 | — | $52 | 0.93% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PARKWAY ATLANTA, GA 30339 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $27 | — | $27 | 0.48% |
| GINGER MULLINS & COMPANY INC3 | 1 WEATHERSTONE POINT LITTLE ROCK, AR 72211 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $11 | — | $11 | 0.20% |
| NIKGREJESKEN INC3 | 818 MISSILE BASE ROAD JUDSONIA, AR 72081 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $11 | — | $11 | 0.20% |
| MARKS BENEFIT MANAGEMENT LLC3 | 3847 EAST SPYGLASS HILL DRIVE FAYETTEVILLE, AR 72701 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10 | — | $10 | 0.18% |
| BARNETT BENEFITS GROUP INC3 | 101 BARNETT ROAD LONOKE, AR 72086 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $8 | — | $8 | 0.14% |
| MCFADDEN BENEFIT MANAGEMENT INC3 | 5852 KENNEDY DRIVE FAYETTEVILLE, AR 72704 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7 | — | $7 | 0.12% |
| KYLE HARDING3 | 520 WEST 12TH STREET TEXARKANA, TX 75501 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.05% |
| ACRISURE LLC3 | 100 OTTAWA AVENUE SW GRAND RAPIDS, MI 49503 | USABLE LIFE | $164 | $8 | $172 | 5.24% |
| PRICE, DUSTIN3 | 1800 HIDDEN CREEK DRIVE SHERWOOD, AR 72120 | USABLE LIFE | $96 | — | $96 | 2.93% |
| MCCALL, MARTIN3 | 4203 STEPHANIE LANE JONESBORO, AR 72401 | USABLE LIFE | $68 | — | $68 | 2.07% |
| RUNNELLS, JOHNNY3 | 3008 TIMBER CREEK DRIVE NORTH LITTLE ROCK, AR 72116 | USABLE LIFE | $19 | — | $19 | 0.58% |
| VANDYKE, MARIA3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $7 | — | $7 | 0.21% |
| DUNCAN, JERRY3 Filed as: DUNCAN, JERRY C/O ARKANSAS BLUE | CROSS BLUE SHIELD 516 EAST MILLSAP ROAD SUITE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $6 | — | $6 | 0.18% |
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 | 205 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 5 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 212 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ARKANSAS BLUE CROSS AND BLUE SHIELD | 171 | $1.7M |
| Vision | ARKANSAS BLUE CROSS AND BLUE SHIELD | 153 | $30K |
| Life insurance(2 contracts) | USABLE LIFE | 205 | $49K |
| Short-term disability | USABLE LIFE | 68 | $27K |
| Long-term disability | USABLE LIFE | 205 | $28K |
| Prescription drug | ARKANSAS BLUE CROSS AND BLUE SHIELD | 171 | $1.7M |
| Other(7 contracts, 3 carriers) | USABLE LIFE | 215 | $90K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 215 | — |
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.