| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FIRST WESTERN INSURANCE AGENCY INC3 | 3914 MASSARD ROAD FORT SMITH, AR 72903 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $12K | — | $12K | 20.88% |
| ROGERS BENEFIT GROUP INC3 Filed as: JIMMY RAY ROGERS | 954 HEATHER LAKE DR COLLIERVILLE, TN 38017 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $885 | $5K | 8.13% |
| NICHOLAS MOOR WEISSFELD3 | 1309 KNIGHTSBRIDGE DR KNOXVILLE, TN 37922 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $999 | $3K | 4.62% |
| BENEFOUNDRY INC3 | 3013 LARGE HOP LN ANTIOCH, TN 37013 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $312 | $133 | $445 | 0.80% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | ATTN RON NOVAK ANDY JACKSON FORT SMITH, AR 72903 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $294 | $5 | $299 | 0.54% |
| FREDERICK AARON CHAMBERS3 | 500 SKYLINE DR APT 94 MCMINNVILLE, TN 37110 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $156 | $137 | $293 | 0.53% |
| MARKS BENEFIT MANAGEMENT LLC3 | 3847 E SPYGLASS HILL DR FAYETTEVILLE, AR 72701 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $87 | $6 | $93 | 0.17% |
| MCFADDEN BENEFIT MANAGEMENT INC3 | 5852 W KENNEDY DR FAYETTEVILLE, AR 72704 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $92 | — | $92 | 0.17% |
| KYLE HARDING3 | 314 HARDING RD NASHVILLE, AR 71852 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $64 | $2 | $66 | 0.12% |
| AMY ULERY MCFADDEN3 | 5852 W KENNEDY DR FAYETTEVILLE, AR 72704 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $41 | — | $41 | 0.07% |
| TANA L MAY3 | PO BOX 455 HARRISON, AR 72602 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $40 | — | $40 | 0.07% |
| TAMMY S BOOTH3 | 329 HICKORY ST MAUD, TX 75567 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $24 | — | $24 | 0.04% |
| AMY E COHEN3 | 19967 VILLA LANTE PL BOCA RATON, FL 33434 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $22 | — | $22 | 0.04% |
| DEIRDRE B HOEHN3 | 30885 FRESH POND DR OCEAN VIEW, DE 19970 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $14 | — | $14 | 0.03% |
| CHARLES DON SCHAEF3 | 17106 WATERVIEW MEADOW BLVD ROLAND, AR 72135 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5 | $3 | $8 | 0.01% |
| LAURA LENEE KELLY3 | 4 THOUSAND OAKS CIR CONWAY, AR 72032 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.01% |
| FIRST WESTERN INSURANCE AGENCY INC3 | 3914 MASSARD ROAD FORT SMITH, AR 72903 | USABLE LIFE | $7K | — | $7K | 14.97% |
| DAVID NEEDHAM3 | 1840 PARK RIDGE DRIVE VAN BUREN, AR 72956 | USABLE LIFE | $485 | — | $485 | 1.00% |
| MARIA VANDYKE3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $67 | — | $67 | 0.14% |
| JERRY DUNCAN3 | 516 EAST MILSAP ROAD STE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $55 | — | $55 | 0.11% |
| FIRST WESTERN INSURANCE AGENCY INC3 | 3914 MASSARD ROAD FORT SMITH, AR 72903 | USABLE LIFE | $6K | — | $6K | 15.08% |
| DAVID NEEDHAM3 | 1840 PARK RIDGE DRIVE VAN BUREN, AR 72956 | USABLE LIFE | $2K | $58 | $2K | 5.18% |
| MARIA VANDYKE3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $210 | — | $210 | 0.55% |
| JERRY DUNCAN3 | 516 EAST MILSAP ROAD STE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $172 | — | $172 | 0.45% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLF RD ROLLING MEADOWS, IL 60008 | USABLE LIFE | — | $163 | $163 | 0.43% |
| FIRST WESTERN INSURANCE AGENCY INC3 | 3914 MASSARD ROAD FORT SMITH, AR 72956 | USABLE LIFE | $3K | — | $3K | 10.05% |
| DAVID NEEDHAM3 | 1840 PARK RIDGE DRIVE VAN BUREN, AR 72956 | USABLE LIFE | $277 | — | $277 | 1.01% |
| MARIA VANDYKE3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $38 | — | $38 | 0.14% |
| JERRY DUNCAN3 | 516 EAST MILSAP ROAD STE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $31 | — | $31 | 0.11% |
| FIRST WESTERN INSURANCE AGENCY INC3 | 3914 MASSARD ROAD FORT SMITH, AR 72903 | USABLE LIFE | $3K | — | $3K | 20.65% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLF RD ROLLING MEADOWS, IL 60008 | USABLE LIFE | — | $610 | $610 | 3.81% |
| DAVID NEEDHAM3 | 1840 PARK RIDGE DRIVE VAN BUREN, AR 72956 | USABLE LIFE | $314 | $174 | $488 | 3.05% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: ARKANSAS BLUE CROSS BLUE SHIELD | 601 SOUTH GAINES ST LITTLE ROCK, AR 72201 | USABLE LIFE | $38 | — | $38 | 0.24% |
| MARIA VANDYKE3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $35 | — | $35 | 0.22% |
| JERRY DUNCAN3 | 516 EAST MILSAP ROAD STE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $28 | — | $28 | 0.17% |
| FIRST WESTERN INSURANCE AGENCY INC3 | 3914 MASSARD ROAD FORT SMITH, AR 72903 | USABLE LIFE | $2K | — | $2K | 20.66% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLF RD ROLLING MEADOWS, IL 60008 | USABLE LIFE | — | $465 | $465 | 3.89% |
| DAVID NEEDHAM3 | 1840 PARK RIDGE DRIVE VAN BUREN, AR 72956 | USABLE LIFE | $242 | $121 | $363 | 3.04% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: ARKANSAS BLUE CROSS BLUE SHIELD | 601 SOUTH GAINES ST LITTLE ROCK, AR 72201 | USABLE LIFE | $29 | — | $29 | 0.24% |
| MARIA VANDYKE3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $27 | — | $27 | 0.23% |
| JERRY DUNCAN3 | 516 EAST MILSAP ROAD STE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $22 | — | $22 | 0.18% |
| FIRST WESTERN INSURANCE AGENCY INC3 | 3914 MASSARD ROAD FORT SMITH, AR 75903 | USABLE LIFE | $2K | — | $2K | 18.52% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLF RD ROLLING MEADOWS, IL 60008 | USABLE LIFE | — | $388 | $388 | 3.79% |
| DAVID NEEDHAM3 | 1840 PARK RIDGE DRIVE VAN BUREN, AR 72956 | USABLE LIFE | $172 | $107 | $279 | 2.72% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: ARKANSAS BLUE CROSS BLUE SHIELD | 601 SOUTH GAINES ST LITTLE ROCK, AR 72201 | USABLE LIFE | $21 | — | $21 | 0.20% |
| MARIA VANDYKE3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $19 | — | $19 | 0.19% |
| JERRY DUNCAN3 | 516 EAST MILSAP ROAD STE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $16 | — | $16 | 0.16% |
| FIRST WESTERN INSURANCE AGENCY INC3 | 3914 MASSARD ROAD FORT SMITH, AR 72903 | USABLE LIFE | $596 | — | $596 | 14.96% |
| DAVID NEEDHAM3 | 1840 PARK RIDGE DRIVE VAN BUREN, AR 72956 | USABLE LIFE | $199 | $14 | $213 | 5.35% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLD RD ROLLING MEADOWS, IL 60008 | USABLE LIFE | — | $40 | $40 | 1.00% |
| MARIA VANDYKE3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $22 | — | $22 | 0.55% |
| JERRY DUNCAN3 | 516 EAST MILSAP ROAD STE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $18 | — | $18 | 0.45% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ARKANSAS BLUE CROSS BLUE SHIELD EIN 71-0226428 | Other fees Service code 99 | P.O. BOX 2181 LITTLE ROCK, AR 72203 | $34K |
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 | 238 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 238 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ARKANSAS BLUE CROSS AND BLUE SHIELD | 177 | $1.5M |
| Dental | ARKANSAS BLUE CROSS AND BLUE SHIELD | 238 | $100K |
| Vision | ARKANSAS BLUE CROSS AND BLUE SHIELD | 227 | $29K |
| Life insurance(3 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 212 | $121K |
| Long-term disability | USABLE LIFE | 212 | $49K |
| Prescription drug | ARKANSAS BLUE CROSS AND BLUE SHIELD | 177 | $1.5M |
| Other(6 contracts) | USABLE LIFE | 212 | $108K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 238 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.