| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CROSS POINTE INSURANCE ADVISORS LLC3 Filed as: CROSS POINTE INSURANCE ADVISORS DBA | 6701 BROADWAY EXTENSION SUITE 200 OKLAHOMA CITY, OK 73116 | ARKANSAS BLUE CROSS AND BLUE SHIELD | $5K | — | $5K | 10.01% |
| CROSS POINTE INSURANCE ADVISORS LLC3 Filed as: CROSS POINTE INS ADVISORS LLC | 1120 GARRISON AVENUE SUITE 2A FORT SMITH, AR 72901 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $7K | $2K | $8K | 18.54% |
| CROSS POINTE INSURANCE ADVISORS LLC3 Filed as: CROSS POINTE INS ADVISORS LLC | 1120 GARRISON AVENUE SUITE 2A FORT SMITH, AR 72901 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $1K | $6K | 18.54% |
| CROSS POINTE INSURANCE ADVISORS LLC3 Filed as: CROSS POINTE INS ADVISORS LLC | 1120 GARRISON AVENUE SUITE 2A FORT SMITH, AR 72901 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $375 | $2K | 18.85% |
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 | 123 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 124 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH ADVANTAGE | 169 | $601K |
| Dental | ARKANSAS BLUE CROSS AND BLUE SHIELD | 157 | $52K |
| Vision | ARKANSAS BLUE CROSS AND BLUE SHIELD | 132 | $16K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 142 | $32K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 142 | $43K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 20 | $10K |
| Prescription drug | HEALTH ADVANTAGE | 169 | $601K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 142 | $32K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 169 | — |
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.