| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RELATION INSURANCE INC3 Filed as: RELATIONS INSURANCE SERVICES, INC. | 10425 S. 82ND EAST AVENUE SUITE 110 TULSA, OK 74133 | COMMUNITY CARE HMO | $19K | — | $19K | 1.38% |
| PREMIER CONSULTING PARTNERS LLC3 Filed as: PREMIER CONSULTING PARTNERS, LLC | 10425 S. 82ND EAST AVENUE SUITE 110 TULSA, OK 74133 | COMMUNITY CARE HMO | $18K | — | $18K | 1.35% |
| PREMIER CONSULTING PARTNERS LLC3 Filed as: PREMIER CONSULTING PARTNERS, LLC | 10425 S. 82ND EAST AVENUE SUITE 110 TULSA, OK 74133 | PRUDENTIAL INSURANCE COMPANY | $21K | — | $21K | 15.00% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 606036115 | PRUDENTIAL INSURANCE COMPANY | — | $28 | $28 | 0.02% |
| IMG5 | 2960 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | PRUDENTIAL INSURANCE COMPANY | — | $10 | $10 | 0.01% |
| PREMIER CONSULTING PARTNERS LLC3 Filed as: PREMIER CONSULTING PARTNERS, LLC | 10425 S. 82ND EAST AVENUE SUITE 110 TULSA, OK 74133 | DELTA DENTAL | $8K | — | $8K | 10.00% |
| DELTA DENTAL HOUSE ACCOUNT0 | 16 NW 63RD STREET SUITE 201 OKLAHOMA CITY, OK 73116 | DELTA DENTAL | — | $5K | $5K | 6.42% |
| PREMIER CONSULTING PARTNERS LLC3 Filed as: PREMIER CONSULTING PARTNERS, LLC | 10425 S. 82ND EAST AVENUE SUITE 110 TULSA, OK 74133 | VISION SERVICE PLAN | $986 | — | $986 | 7.52% |
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 | 130 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 5 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 136 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMMUNITY CARE HMO | 153 | $1.4M |
| Dental | DELTA DENTAL | 93 | $79K |
| Vision | VISION SERVICE PLAN | 96 | $13K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY | 131 | $138K |
| Short-term disability | PRUDENTIAL INSURANCE COMPANY | 131 | $138K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY | 131 | $138K |
| Other | COMMUNITY CARE EAP | 199 | $2K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 199 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.