| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CHASE CAIN3 | 2208 N CLEVELAND ST. LITTLE ROCK, AR 72207 | USABLE LIFE | $14K | — | $14K | 5.20% |
| MARIA VANDYKE3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $1K | — | $1K | 0.55% |
| JERRY DUNCAN3 | C/O ARKANSAS BLUE CROSS BLUE SHIELD 518 EAST MILLSAP ROAD, STE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $1K | — | $1K | 0.45% |
| CHASE CAIN3 | 2206 N CLEVELAND ST LITTLE ROCK, AR 72207 | USABLE LIFE | $5K | — | $5K | 5.70% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: ARKANSAS BLUE CROSS & BLUE SHIELD | 601 SOUTH GAINES ST. LITTLE ROCK, AR 72201 | USABLE LIFE | $587 | — | $587 | 0.65% |
| MARIA VANDYKE3 | 13 PAWNEE COURT MAUMELLE, AR 72113 | USABLE LIFE | $535 | — | $535 | 0.60% |
| JERRY DUNCAN3 | C/O ARKANSAS BLUE CROSS BLUE SHIELD 516 EAST MILLSAP ROAD, STE 103 FAYETTEVILLE, AR 72703 | USABLE LIFE | $440 | — | $440 | 0.49% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFITS SERVICES | 6325 RANCH DRIVE LITTLE ROCK, AR 72223 | MEDICAL AIR SERVICES ASSOCIATION, INC | $4K | — | $4K | 19.94% |
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 | 401 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 403 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | ARKANSAS BLUE CROSS AND BLUE SHIELD | 909 | $332K |
| Vision | DELTA DENTAL PLAN OF ARKANSAS | 802 | $55K |
| Life insurance | USABLE LIFE | 526 | $264K |
| Short-term disability | USABLE LIFE | 526 | $264K |
| Long-term disability | USABLE LIFE | 526 | $264K |
| Other(3 contracts, 2 carriers) | USABLE LIFE | 526 | $374K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 909 | — |
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.