| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RELATION INSURANCE SERVICES OF CA3 Filed as: RELATION INSURANCE SERVICES, INC. | 10425 SOUTH 82ND EAST AVENUE SUITE 110 TULSA, OK 74133 | DELTA DENTAL | $11K | $0 | $11K | 6.47% |
| TRILOGY PURCHASING ALLIANCE LLC3 Filed as: TRILOGY PURCHASING ALLIANCE, LLC | 1601 MEDICAL CENTER DRIVE, SUITE 11 EDMOND, OK 73034 | DELTA DENTAL | $6K | — | $6K | 3.53% |
| TRILOGY PURCHASING ALLIANCE LLC3 Filed as: TRILOGY PURCHASING ALLIANCE, LLC | 1601 MEDICAL CENTER DRIVE SUITE 11 EDMOND, OK 73034 | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INS. CO. | $2K | $0 | $2K | 5.55% |
| RELATION INSURANCE SERVICES OF CA3 Filed as: RELATION INSURANCE SERVICES, INC. | 10425 SOUTH 82ND EAST AVENUE SUITE 110 TULSA, OK 74133 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $1K | $0 | $1K | 5.26% |
| TRILOGY PURCHASING ALLIANCE LLC3 Filed as: TRILOGY PURCHASING ALLIANCE, LLC | 1601 MEDICAL CENTER DRIVE, SUITE 11 EDMOND, OK 73034 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $789 | $0 | $789 | 4.04% |
| ENROLLEASE3 | 660 YORK STREET, SUITE 102 SAN FRANCISCO, CA 94110 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $252 | $0 | $252 | 1.29% |
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 | 383 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 383 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL | 240 | $169K |
| Vision | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INS. CO. | 466 | $32K |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 383 | $20K |
| Other | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 383 | $20K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 466 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.