| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MID-AMERICA | 425 WEST CAPITOL AVENUE SUITE 3550 LITTLE ROCK, AR 72201 | GUARDIAN | $15K | $6K | $21K | 15.04% |
| MICHEAL MULLEN3 | 2315 S IRVINGTON AVE TULSA, OK 74114 | AMERICAN PUBLIC LIFE INSURANCE COMPANY | $9K | — | $9K | 22.02% |
| DIANNA S ROBERTSON3 Filed as: DIANNA ROBERTSON | 7421 NW 105TH ST OKLAHOMA CITY, OK 73162 | AMERICAN PUBLIC LIFE INSURANCE COMPANY | $562 | — | $562 | 1.41% |
| MICHAEL DUNN MULLEN3 Filed as: MICHAEL D MULLEN | 2315 S IRVINGTON AVE TULSA, OK 74114 | 5STAR LIFE INSURANCE COMPANY | $893 | — | $893 | 14.90% |
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 | 204 | 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) | 204 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMMUNITYCARE HMO, INC. | 238 | $2K |
| Dental | GUARDIAN | 202 | $143K |
| Vision | GUARDIAN | 202 | $143K |
| Life insurance(2 contracts, 2 carriers) | GUARDIAN | 202 | $149K |
| Short-term disability | AMERICAN PUBLIC LIFE INSURANCE COMPANY | 105 | $40K |
| Long-term disability | GUARDIAN | 202 | $143K |
| Other(2 contracts, 2 carriers) | GUARDIAN | 238 | $144K |
| 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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.