| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BXS INSURANCE INC3 | 8315 CANTRELL RD STE 300 LITTLE ROCK, AR 70821 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $32K | — | $32K | 10.00% |
| BXS INSURANCE INC3 Filed as: BXS INSURANCE, INC. | P.O. BOX 250 GULFORT, MS 39502 | USABLE LIFE | $29K | $6K | $35K | 11.05% |
| PEW, JAMES3 | 320 W CAPITOL SUITE 900 LITTLE ROCK, AR 72201 | USABLE LIFE | $3K | $143 | $3K | 1.00% |
| JOHNNY RUNNELLS3 | 3008 TIMBER CREEK DRIVE NORTH LITTLE ROCK, AR 72116 | USABLE LIFE | $2K | $37 | $2K | 0.50% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: ARKANSAS BLUE CROSS BLUE SHIELD | 601 SOUTH GAINES ST ATT KAREN BAGLEY LITTLE ROCK, AR 72201 | USABLE LIFE | $78 | — | $78 | 0.02% |
| BXS INSURANCE INC3 Filed as: BXS INSURANCE INC. | 8315 CANTRELL RD STE 300 LITTLE ROCK, AR 72227 | USABLE LIFE | $16K | $5K | $21K | 12.85% |
| PEW, JAMES3 | 320 WEST CAPITOL STE 900 LITTLE ROCK, AR 72201 | USABLE LIFE | $2K | $180 | $2K | 1.16% |
| JOHNNY RUNNELLS3 | 3008 TIMBER CREEK DRIVE NORTH LITTLE ROCK, AR 72116 | USABLE LIFE | $858 | $46 | $904 | 0.56% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: ARKANSAS BLUE CROSS BLUE SHIELD | 601 GAINES LITTLE ROCK, AR 72201 | USABLE LIFE | $39 | — | $39 | 0.02% |
| BXS INSURANCE INC3 Filed as: BXS INSURANCE, INC.. | 2201 FAIR PARK BLVD FL 3 JONESBORO, AR 72401 | DELTA DENTAL OF ARKANSAS | $13K | — | $13K | 10.00% |
| BXS INSURANCE INC3 | 8315 CANTRELL RD STE 300 LITTLE ROCK, AR 72227 | USABLE LIFE | $3K | $824 | $4K | 10.62% |
| JAMES PEW3 | 320 W CAPITOL STE 900 LITTLE ROCK, AR 72201 | USABLE LIFE | $507 | $8 | $515 | 1.33% |
| JUDY STEPHENS3 | 124 STOKES ROAD PINE BLUFF, AR 71602 | USABLE LIFE | $465 | — | $465 | 1.20% |
| JOHNNY RUNNELLS3 | 3008 TIMBER CREEK DRIVE NORTH LITTLE ROCK, AR 72116 | USABLE LIFE | $170 | $2 | $172 | 0.44% |
| MICHAEL DODSON3 | #15 TEXARKANA TRACE TEXARKANA, TX 75503 | USABLE LIFE | $93 | — | $93 | 0.24% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: ARKANSAS BLUE CROSS BLUE SHIELD | 601 SOUTH GAINES ST LITTLE ROCK, AR 72201 | USABLE LIFE | $12 | — | $12 | 0.03% |
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 | 1,267 | 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) | 1,267 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | BLUEADVANTAGE ADMINISTRATORS OF ARKANSAS | 1,267 | $7.8M |
| Dental | DELTA DENTAL OF ARKANSAS | 2,531 | $587K |
| Vision | DELTA DENTAL OF ARKANSAS | 2,157 | $134K |
| Life insurance(4 contracts, 2 carriers) | USABLE LIFE | 548 | $601K |
| Short-term disability(4 contracts, 2 carriers) | USABLE LIFE | 548 | $601K |
| Long-term disability(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 749 | $482K |
| Prescription drug | BLUEADVANTAGE ADMINISTRATORS OF ARKANSAS | 1,267 | $7.5M |
| Stop-loss / reinsurancereinsurance | COMPANION LIFE INSURANCE COMPANY | 1,292 | $1.6M |
| Other(3 contracts) | USABLE LIFE | 548 | $515K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,531 | — |
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."
No prospect flags tripped on this filing.