| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RELATION INSURANCE SERVICES OF CA3 Filed as: RELATION INSURANCE SERVICES, INC. | 10425 S. 52ND E. AVENUE SUITE 110 TULSA, OK 74133 | COMMUNITY CARE HMO | $41K | — | $41K | 2.93% |
| RELATION INSURANCE SERVICES OF CA3 Filed as: RELATION INSURANCE SERVICES, INC. | 10425 S.82ND E. AVENUE TULSA, OK 74133 | PRUDENTIAL INSURANCE COMPANY | $22K | — | $22K | 15.00% |
| IMG5 | 2960 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | PRUDENTIAL INSURANCE COMPANY | — | $29 | $29 | 0.02% |
| RELATION INSURANCE SERVICES OF CA3 Filed as: RELATION INSURANCE SERVICES, INC. | 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 | — | $6K | $6K | 7.82% |
| RELATION INSURANCE SERVICES OF CA3 Filed as: RELATION INSURANCE SERVICES, INC. | 10425 S.82ND AVENUE SUITE 110 TULSA, OK 74133 | VISION SERVICE PLAN | $843 | — | $843 | 6.12% |
| PREMIER CONSULTING PARTNERS LLC3 | 10425 S. 82ND AVENUE SUITE 110 TULSA, OK 74133 | VISION SERVICE PLAN | $45 | — | $45 | 0.33% |
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 | 139 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 6 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 148 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMMUNITY CARE HMO | 177 | $1.4M |
| Dental | DELTA DENTAL | 99 | $78K |
| Vision | VISION SERVICE PLAN | 104 | $14K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY | 143 | $148K |
| Short-term disability | PRUDENTIAL INSURANCE COMPANY | 143 | $148K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY | 143 | $148K |
| Other | COMMUNITY CARE EAP | 209 | $2K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 209 | — |
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.