| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BXS INSURANCE INC3 Filed as: BXS INSURANCE, INC. | P.O. BOX 250 GULFORT, MS 39502 | USABLE LIFE | $50K | $509 | $50K | 10.25% |
| TOBIE JOST3 | 3705 CORNWALLIS DR NORTH LITTLE ROCK, AR 72116 | USABLE LIFE | $11K | — | $11K | 2.23% |
| MARIA VANDYKE3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $1K | — | $1K | 0.24% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: JERRY DUNCAN C/O ARKANSAS BCBS | 516 EAST MILLSAP ROAD STE 300 FAYETTEVILLE, AR 72703 | USABLE LIFE | $976 | — | $976 | 0.20% |
| 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 | $81 | — | $81 | 0.02% |
| BXS INSURANCE INC3 Filed as: BXS INSURANCE INC. | 8315 CANTRELL RD STE 300 LITTLE ROCK, AR 72227 | USABLE LIFE | $24K | $250 | $24K | 7.70% |
| TOBIE JOST3 | 3705 CORNWALLIS DR NORTH LITTLE ROCK, AR 72116 | USABLE LIFE | $7K | — | $7K | 2.10% |
| MARIA VANDYKE3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $715 | — | $715 | 0.23% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: JERRY DUNCAN C/O ARKANSAS BCBS | 516 EAST MILLSAP ROAD STE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $587 | — | $587 | 0.19% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: ARKANSAS BLUE CROSS BLUE SHIELD | 601 SOUTH GAINES ST ATTN KAREN BAGLEY LITTLE ROCK, AR 72201 | USABLE LIFE | $36 | — | $36 | 0.01% |
| BXS INSURANCE INC3 Filed as: BXS INSURANCE, INC.. | 2201 FAIR PARK BLVD FL 3 JONESBORO, AR 72401 | DELTA DENTAL OF ARKANSAS | $15K | — | $15K | 10.00% |
| BXS INSURANCE INC3 | 8315 CANTRELL RD STE 300 LITTLE ROCK, AR 72227 | USABLE LIFE | $6K | $62 | $6K | 9.71% |
| TOBIE JOST3 | 3705 CORNWALLIS DR NORTH LITTLE ROCK, AR 72116 | USABLE LIFE | $1K | — | $1K | 1.83% |
| JUDY STEPHENS3 | 124 STOKES ROAD PINE BLUFF, AR 71602 | USABLE LIFE | $490 | — | $490 | 0.76% |
| MARIA VANDYKE3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $130 | — | $130 | 0.20% |
| JERRY DUNCAN3 | 516 EAST MILLSAP ROAD STE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $107 | — | $107 | 0.17% |
| MICHAEL DODSON3 | #15 TEXARKANA TRACE TEXARKANA, TX 75503 | USABLE LIFE | $98 | — | $98 | 0.15% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: ARKANSAS BLUE CROSS BLUE SHIELD | 601 SOUTH GAINES ST LITTLE ROCK, AR 72201 | USABLE LIFE | $13 | — | $13 | 0.02% |
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 | 1,330 | 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) | 1,330 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 2 carriers) | BLUEADVANTAGE ADMINISTRATORS OF ARKANSAS | 2,409 | $10.2M |
| Dental | DELTA DENTAL OF ARKANSAS | 2,544 | $671K |
| Vision | DELTA DENTAL OF ARKANSAS | 2,196 | $152K |
| Life insurance(3 contracts) | USABLE LIFE | 587 | $863K |
| Short-term disability(3 contracts) | USABLE LIFE | 587 | $863K |
| Long-term disability(3 contracts) | USABLE LIFE | 587 | $863K |
| Prescription drug | BLUEADVANTAGE ADMINISTRATORS OF ARKANSAS | 2,409 | $9.4M |
| Stop-loss / reinsurancereinsurance | COMPANION LIFE INSURANCE COMPANY | 1,292 | $1.7M |
| Other(3 contracts) | USABLE LIFE | 587 | $863K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,544 | — |
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.