| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RON BOWEN3 | CREATIVE BENEFIT CONCEPTS 740-B NORTH YORK MUSKOGEE, OK 74403 | COMMUNITY CARE HMO | $21K | — | $21K | 1.68% |
| PREMIER CONSULTING PARTNERS LLC3 Filed as: PREMIER CONSULTING PARTNERS, LLC | 10425 S 82ND EAST AVE SUITE 110 TULSA, OK 74133 | COMMUNITY CARE HMO | $5K | — | $5K | 0.38% |
| RON BOWEN3 | CREATIVE BENEFIT CONCEPTS 740-B NORTH YORK MUSKOGEE, OK 74403 | PRUDENTIAL INSURANCE COMPANY | $17K | — | $17K | 11.31% |
| PREMIER CONSULTING PARTNERS LLC3 | 10425 S. 82ND EAST AVENUE SUITE 110 TULSA, OK 74133 | PRUDENTIAL INSURANCE COMPANY | $5K | — | $5K | 3.70% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 60603 | PRUDENTIAL INSURANCE COMPANY | — | $45 | $45 | 0.03% |
| DELTA DENTAL HOUSE ACCOUNT0 | 16 NW 63RD STREET SUITE 201 OKLAHOMA CITY, OK 73116 | DELTA DENTAL | — | $6K | $6K | 6.72% |
| PREMIER CONSULTING PARTNERS LLC3 | 10425 S 82ND EAST AVENUE SUITE 110 TULSA, OK 74133 | DELTA DENTAL | $1K | — | $1K | 1.53% |
| PREMIER CONSULTING PARTNERS LLC3 | 10425 S 82ND EAST AVENUE SUITE 110 TULSA, OK 74133 | VISION SERVICE PLAN | $334 | — | $334 | 2.54% |
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 | 138 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 3 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 142 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMMUNITY CARE HMO | 156 | $1.3M |
| Dental | DELTA DENTAL | 109 | $85K |
| Vision | VISION SERVICE PLAN | 100 | $13K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY | 136 | $148K |
| Short-term disability | PRUDENTIAL INSURANCE COMPANY | 136 | $148K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY | 136 | $148K |
| Other | COMMUNITY CARE | 190 | $2K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 190 | — |
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.