Form 5500 · Employee benefit plan · BATESVILLE, AR
CUSTOM CRAFT POULTRY, LLC
The filing calls this plan CUSTOM CRAFT POULTRY, LLC HEALTH & WELFARE BENEFIT.
Public Form 5500 records show how CUSTOM CRAFT POULTRY, LLC of BATESVILLE, AR, a agriculture employer, structures its employee benefits. Its broker of record is AP BENEFIT ADVISORS LLC. Coverage is written through ARKANSAS BLUE CROSS AND BLUE SHIELD and 1 other carrier. The plan's most recent policy period ended in July.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 47-3105706 · plan 501 · plan year 2025, filed Dec 16, 2025
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13 other employer plans in Arkansas have policy years ending in July. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
Benefits declared on this filing
Also declared: death benefits, other welfare.
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
Schedule A lists 2 insured contracts covering health, dental, vision, life and disability; the largest, with ARKANSAS BLUE CROSS AND BLUE SHIELD, covers 263 people.
Reported premium across the insured contracts is $1,458,099, with $69,089 in disclosed broker commissions — about 4.7% of premium.
The most recent policy period ended in July, and the plan year ends July 31. Group contracts typically renew on that annual cycle.
AP BENEFIT ADVISORS LLC is the broker of record on 1 of the 2 contracts; the rest name a different broker or none.
Two carriers split the book: ARKANSAS BLUE CROSS AND BLUE SHIELD and UNITED OF OMAHA LIFE INSURANCE COMPANY.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Dental, Vision, Life, Disability | 490 | Aug 1, 2025 | $381,277 | $69,089 |
| ARKANSAS BLUE CROSS AND BLUE SHIELD | Health | 263 | Aug 1, 2025 | $1,076,822 | $0 |
Premium and claims on this contract
ARKANSAS BLUE CROSS AND BLUE SHIELD, contract 042360. For the contract year on this filing, the carrier reported $1,076,822 in premium earned and $908,262 in claims incurred. Dividing one by the other gives 84%.
- ARKANSAS BLUE CROSS AND BLUE SHIELD, contract 042360 reported $130,526 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.
Reported to OSHA
Reported to OSHA for 2025: 288 employees, 13 recordable cases, 29 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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Renewal calendar
13 other employer plans in Arkansas are August 1 renewals (policy year ends July).
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