| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RON BOWEN3 | CREATIVE BENEFIT CONCEPTS 740 NORTH YORK, SUITE B MUSKOGEE, OK 74403 | BLUE CROSS BLUE SHIELD OF OKLAHOMA | $8K | — | $8K | 0.93% |
| RON BOWEN3 | CREATIVE BENEFIT CONCEPTS 740 NORTH YORK, SUITE B MUSKOGEE, OK 74403 | COMMUNITY CARE | $26K | — | $26K | 4.80% |
| RON BOWEN3 | CREATIVE BENEFIT CONCEPTS 740 N. YORK, SUITE B MUSKOGEE, OK 74403 | PRUDENTIAL | $25K | — | $25K | 15.00% |
| AXA ASSISTANCE, USA5 | 122 S. MICHIGAN AVENUE, SUITE 1100 CHICAGO, IL 60603 | PRUDENTIAL | — | $53 | $53 | 0.03% |
| DELTA DENTAL HOUSE ACCOUNT0 | P. O. BOX 54709 OKLAHOMA CITY, OK 73154 | DELTA DENTAL | — | $6K | $6K | 7.38% |
| RON BOWEN3 | CREATIVE BENEFIT CONCEPTS 740 NORTH YORK, SUITE B MUSKOGEE, OK 74403 | DELTA DENTAL | $452 | — | $452 | 0.54% |
| RENEE MCKNIGHT4 | 4205 WEST VANDALIA STREET BROKEN ARROW, OK 74012 | PREPAID LEGAL SERVICES, INC. DBA LEGAL SHIELD | $439 | — | $439 | 18.10% |
| ARCH S. CHAPMAN4 | 518 NORTH 17TH STREET MUSKOGEE, OK 74401 | PREPAID LEGAL SERVICES, INC. DBA LEGAL SHIELD | $5 | — | $5 | 0.21% |
| BATES INSURANCE GROUP LLC3 Filed as: BATES INSURANCE GROUP, LLC | 519 N. 1ST PONCA CITY, OK 74601 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $29 | — | $29 | 2.18% |
| ANNA CHRISTINE POOLE3 | 4880 W. 108TH STREET #1013 OVERLAND PARK, KS 66211 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $19 | — | $19 | 1.43% |
| KELLY W PUGH3 Filed as: KELLY W. PUGH | 7367 S. 286TH EAST AVENUE BROKEN ARROW, OK 74014 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.08% |
| ROBERT K PALMER3 Filed as: ROBERT K. PALMER | 415 FOREMAN AVENUE NORMAN, OK 73069 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.08% |
| JOSEPH F PALMER3 Filed as: JOSEPH F. PALMER | P. O. BOX 270658 OKLAHOMA CITY, OK 73137 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.08% |
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 | 152 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 152 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF OKLAHOMA | 196 | $1.4M |
| Dental | DELTA DENTAL | 112 | $84K |
| Vision | VISION SERVICE PLAN | 103 | $13K |
| Life insurance | PRUDENTIAL | 152 | $167K |
| Short-term disability | PRUDENTIAL | 152 | $167K |
| Long-term disability | PRUDENTIAL | 152 | $167K |
| Other(2 contracts, 2 carriers) | PREPAID LEGAL SERVICES, INC. DBA LEGAL SHIELD | 30 | $4K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 196 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.