| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 | 100 OTTAWA AVENUE SOUTHWEST GRAND RAPIDS, MI 49503 | USABLE LIFE | $2K | $654 | $2K | 6.90% |
| MCCALL, MARTIN3 | 315 CR 782 JONESBORO, AR 72405 | USABLE LIFE | $2K | — | $2K | 5.00% |
| VANDYKE, MARIA3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $189 | — | $189 | 0.55% |
| DUNCAN, JERRY3 Filed as: DUNCAN, JERRY C/O ARKANSAS BLUE | CROSS BLUE SHIELD 516 EAST MILLSAP ROAD SUITE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $154 | — | $154 | 0.45% |
| ACRISURE LLC3 | 100 OTTAWA AVENUE SOUTHWEST GRAND RAPIDS, MI 49503 | USABLE LIFE | $2K | — | $2K | 5.00% |
| MCCALL, MARTIN3 | 315 CR 782 JONESBORO, AR 72405 | USABLE LIFE | $283 | — | $283 | 0.90% |
| VANDYKE, MARIA3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $31 | — | $31 | 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 | $25 | — | $25 | 0.08% |
| ACRISURE LLC3 | 100 OTTAWA AVENUE SOUTHWEST GRAND RAPIDS, MI 49503 | USABLE LIFE | $1K | $268 | $2K | 5.94% |
| MCCALL, MARTIN3 | 315 CR 782 JONESBORO, AR 72405 | USABLE LIFE | $1K | — | $1K | 5.00% |
| VANDYKE, MARIA3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $157 | — | $157 | 0.55% |
| DUNCAN, JERRY3 Filed as: DUNCAN, JERRY C/O ARKANSAS BLUE | CROSS BLUE SHIELD 516 EAST MILLSAP ROAD SUITE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $129 | — | $129 | 0.45% |
| ACRISURE LLC3 | 100 OTTAWA AVENUE SOUTHWEST GRAND RAPIDS, MI 49503 | USABLE LIFE | $1K | — | $1K | 5.00% |
| MCCALL, MARTIN3 | 315 CR 782 JONESBORO, AR 72405 | USABLE LIFE | $242 | — | $242 | 1.04% |
| VANDYKE, MARIA3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $27 | — | $27 | 0.12% |
| DUNCAN, JERRY3 Filed as: DUNCAN, JERRY C/O ARKANSAS BLUE | CROSS BLUE SHIELD 516 EAST MILLSAP ROAD SUITE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $22 | — | $22 | 0.09% |
| ACRISURE LLC3 | 100 OTTAWA AVENUE SW GRAND RAPIDS, MI 49503 | USABLE LIFE | $2K | $392 | $2K | 13.94% |
| MCCALL, MARTIN3 | 315 CR 782 JONESBORO, AR 72405 | USABLE LIFE | $257 | — | $257 | 1.69% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: ARKANSAS BLUE CROSS BLUE SHIELD | 601 SOUTH GAINES STREET LITTLE ROCK, AR 72201 | USABLE LIFE | $32 | — | $32 | 0.21% |
| VANDYKE, MARIA3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $29 | — | $29 | 0.19% |
| DUNCAN, JERRY3 Filed as: DUNCAN, JERRY C/O ARKANSAS BLUE | CROSS BLUE SHIELD 516 EAST MILLSAP ROAD SUITE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $24 | — | $24 | 0.16% |
| ACRISURE LLC3 | 100 OTTAWA AVENUE SOUTHWEST GRAND RAPIDS, MI 49503 | USABLE LIFE | $1K | $138 | $1K | 10.94% |
| MCCALL, MARTIN3 | 315 CR 782 JONESBORO, AR 72405 | USABLE LIFE | $198 | — | $198 | 1.81% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: ARKANSAS BLUE CROSS BLUE SHIELD | 601 SOUTH GAINES STREET LITTLE ROCK, AR 72201 | USABLE LIFE | $24 | — | $24 | 0.22% |
| VANDYKE, MARIA3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $21 | — | $21 | 0.19% |
| DUNCAN, JERRY3 Filed as: DUNCAN, JERRY C/O ARKANSAS BLUE | CROSS BLUE SHIELD 516 EAST MILLSAP ROAD SUITE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $18 | — | $18 | 0.16% |
| ACRISURE LLC3 | PO BOX 3505 LITTLE ROCK, AR 72203 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $348 | — | $348 | 7.69% |
| ROBERT W ALLEN3 | 102 FLOYD BURNS ROAD EL PASO, AR 72045 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $50 | — | $50 | 1.10% |
| GINGER MULLINS & COMPANY INC3 | 1 WEATHERSTONE POINT LITTLE ROCK, AR 72211 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $11 | — | $11 | 0.24% |
| NIKGREJESKEN INC3 | 818 MISSILE BASE ROAD JUDSONIA, AR 72081 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $11 | — | $11 | 0.24% |
| BARNETT BENEFITS GROUP INC3 | 101 BARNETT ROAD LONOKE, AR 72086 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $8 | — | $8 | 0.18% |
| ACRISURE LLC3 | 100 OTTAWA AVENUE SOUTHWEST GRAND RAPIDS, MI 49503 | USABLE LIFE | $179 | $70 | $249 | 6.94% |
| MCCALL, MARTIN3 | 315 CR 782 JONESBORO, AR 72405 | USABLE LIFE | $179 | — | $179 | 4.99% |
| VANDYKE, MARIA3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $20 | — | $20 | 0.56% |
| DUNCAN, JERRY3 Filed as: DUNCAN, JERRY C/O ARKANSAS BLUE | CROSS BLUE SHIELD 516 EAST MILLSAP ROAD SUITE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $16 | — | $16 | 0.45% |
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 | 199 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 5 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 207 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ARKANSAS BLUE CROSS AND BLUE SHIELD | 169 | $1.8M |
| Vision | ARKANSAS BLUE CROSS AND BLUE SHIELD | 143 | $28K |
| Life insurance(2 contracts) | USABLE LIFE | 203 | $52K |
| Short-term disability | USABLE LIFE | 62 | $34K |
| Long-term disability | USABLE LIFE | 203 | $32K |
| Prescription drug | ARKANSAS BLUE CROSS AND BLUE SHIELD | 169 | $1.8M |
| Other(7 contracts, 3 carriers) | USABLE LIFE | 215 | $92K |
| 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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.