| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF OKLAHOMA | 208 N MILL PRYOR, OK 74361 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $24K | $23K | $47K | 3.87% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF OKLAHOMA | 208 N MILL PRYOR, OK 74361 | LIFE INSURANCE OF NORTH AMERICA | $11K | $14K | $26K | 4.52% |
| PREMIER CONSULTING PARTNERS LLC3 Filed as: PREMIER CONSULTING PARTNERS | 10441 S REGAL BLVD, STE 100 TULSA, OK 74133 | GUARDIAN | $28K | $12K | $40K | 13.03% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF OKLAHOMA | 208 N MILL PRYOR, OK 74361 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $2K | $4K | 4.54% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF OKLAHOMA | 208 N MILL PRYOR, OK 74361 | METROPOLITAN LIFE INSURANCE COMPANY | $10K | $11K | $22K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTHSMART BENEFIT SOLUTIONS EIN 75-1857307 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Direct payment from the plan; Contract Administrator Service code 12 | — | $1.3M |
| BLUE CROSS AND BLUE SHIELD OF ILLIN NONE | Claims processing; Direct payment from the plan; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | 300 EAST RANDOLPH ST CHICAGO, IL 606015099 | $1.3M |
| BLUE CROSS AND BLUE SHIELD OF OKLAH NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | PO BOX 3283 TULSA, OK 74119 | $165K |
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 | 5,732 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 22 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 5,754 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 3,831 | $589K |
| Life insurance(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 0 | $1.2M |
| Short-term disability | GUARDIAN | 1,449 | $306K |
| Long-term disability(2 contracts, 2 carriers) | LIFE INSURANCE OF NORTH AMERICA | 0 | $566K |
| Other(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 5,732 | $94K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,732 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.