| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BIRCHALL AND HAMPTON LLC | 3601 N CLASSEN BLVD STE 201 OKLAHOMA CITY, OK 73118 | BLUE CROSS BLUE SHIELD OF OKLAHOMA | $41K | — | $41K | 2.69% |
| WILLIAM P BIRCHALL3 | 3601 N CLASSEN BLVD STE 201 OKLAHOMA CITY, OK 73118 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 3.78% |
| JAMES H HAMPTON3 | 3601 N CLASSEN BLVD OKLAHOMA CITY, OK 73118 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 3.78% |
| BIRCHALL AND HAMPTON LLC | 3601 N CLASSEN BLVD OKLAHOMA CITY, OK 73118 | COLONIAL LIFE &ACCIDENT INSURANCE COMPANY | $4K | $162 | $4K | 14.58% |
| WILLIAM D STAEDKE | PO BOX 140803 BROKEN ARROW, OK 74014 | COLONIAL LIFE &ACCIDENT INSURANCE COMPANY | $1K | $140 | $1K | 5.02% |
| MARILYN K EMBERSON | 7220 N HAMMOND AVE OKLAHOMA CITY, OK 73132 | COLONIAL LIFE &ACCIDENT INSURANCE COMPANY | $697 | $15 | $712 | 2.63% |
| KELLY W PUGH | 7367 S 286TH EAST AVE BROKEN ARROW, OK 74014 | COLONIAL LIFE &ACCIDENT INSURANCE COMPANY | $290 | $7 | $297 | 1.10% |
| SHANNON MARIE BALDWIN | 14620 S 52ND EAST AVE BIXBY, OK 74008 | COLONIAL LIFE &ACCIDENT INSURANCE COMPANY | $177 | — | $177 | 0.65% |
| WILLIAM P BIRCHALL3 | 3601 N CLASSEN BLVD STE 201 OKLAHOMA CITY, OK 73118 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 6.52% |
| JAMES H HAMPTON3 | 3601 N CLASSEN BLVD OKLAHOMA CITY, OK 73118 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 6.52% |
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 | 121 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 121 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF OKLAHOMA | 214 | $1.5M |
| Dental | DELTA DENTAL OF OKLAHOMA | 131 | $108K |
| Vision | VISION SERVICE PLAN | 122 | $31K |
| Life insurance(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 122 | $55K |
| Short-term disability | COLONIAL LIFE &ACCIDENT INSURANCE COMPANY | 28 | $27K |
| Long-term disability(2 contracts, 2 carriers) | COLONIAL LIFE &ACCIDENT INSURANCE COMPANY | 122 | $52K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 214 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.