| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BIRCHALL AND HAMPTON LLC3 | 3000 UNITED FOUNDERS BLVD OKLAHOMA CITY, OK 73112 | BLUECROSS BLUESHIELD OF OKLAHOMA | $54K | — | $54K | 2.70% |
| BIRCHALL AND HAMPTON LLC3 | 3000 UNITED FOUNDERS BLVD #135 OKLAHOMA CITY, OK 73112 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 6.09% |
| BIRCHALL AND HAMPTON LLC3 Filed as: BIRCHALL AND HAMPTON | 3000 UNITED FOUNDERS BLVD #135 OKLAHOMA CITY, OK 73112 | STANDARD INSURANCE COMPANY | $4K | — | $4K | 11.11% |
| WILLIAM D STAEDKE3 | PO BOX 140803 BROKEN ARROW, OK 74014 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $53 | $1K | 5.26% |
| BIRCHALL AND HAMPTON LLC3 | 3000 UNITED FOUNDERS BLVD OKLAHOMA CITY, OK 73112 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $594 | — | $594 | 2.54% |
| MARILYN K EMBERSON3 | 7220 N HAMMOND AVE WARR ACRES, OK 73132 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $423 | — | $423 | 1.81% |
| KELLY W PUGH3 | 7367 S 286TH E AVE BROKEN ARROW, OK 74014 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $204 | $14 | $218 | 0.93% |
| SHANNON MARIE BALDWIN3 | 14620 S 52ND EAST AVE BIXBY, OK 74008 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $134 | — | $134 | 0.57% |
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 | 128 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 128 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF OKLAHOMA | 218 | $2.0M |
| Dental | DELTA DENTAL OF OKLAHOMA | 131 | $142K |
| Vision | VISION SERVICE PLAN | 118 | $31K |
| Life insurance(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 124 | $66K |
| Short-term disability | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 29 | $23K |
| Long-term disability(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 124 | $56K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 218 | — |
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.