| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RELATION INSURANCE SERVICES OF CA3 Filed as: RELATION INSURANCE SERVICES, INC. | 10425 S. 82ND E. AVE SUITE 110 TULSA, OK 74133 | COMMUNITY CARE HMO AND PPO | $32K | — | $32K | 2.89% |
| RELATION INSURANCE SERVICES OF CA3 Filed as: RELATION INSURANCE SERVICES, INC. | DBA PREMIER CONSULTING 10425 S. 82ND E. AVE, STE 110 TULSA, OK 74133 | STANDARD INSURANCE COMPANY | $30K | — | $30K | 21.07% |
| ADP INC3 | ATTN CLIENT AR #2261112 P. O. BOX 830272 PHILADELPHIA, PA 19182 | STANDARD INSURANCE COMPANY | — | $6K | $6K | 3.99% |
| ADP INC3 Filed as: ADP, INC | RTHO-ATTN C5 P. O. BOX 711 PORTLAND, OR 97207 | STANDARD INSURANCE COMPANY | — | $5 | $5 | 0.00% |
| RELATION INSURANCE SERVICES OF CA3 Filed as: RELATION INSURANCE SERVICES INC | DBA PREMIER CONSULTING PARTNERS OK 10425 S. 82ND EAST AVENUE, STE 110 TULSA, OK 74133 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $6K | $0 | $6K | 10.00% |
| CENTRO BENEFITS RESEARCH LLC3 Filed as: CENTRO BENEFITS RESEARCH LLC (GA) | 325 N. KIRKWOOD ROAD SUITE 300 KIRKWOOD, MO 63122 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $5 | $0 | $5 | 0.01% |
| RELATION INSURANCE SERVICES OF CA3 Filed as: RELATION INSURANCE SERVICES | 10425 S. 82ND EAST AVENUE SUITE 110 TULSA, OK 74133 | VISION SERVICE PLAN | $878 | $0 | $878 | 7.04% |
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 | 150 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 7 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 157 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMMUNITY CARE HMO AND PPO | 136 | $1.1M |
| Dental | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 242 | $60K |
| Vision | VISION SERVICE PLAN | 97 | $12K |
| Life insurance | STANDARD INSURANCE COMPANY | 150 | $143K |
| Short-term disability | STANDARD INSURANCE COMPANY | 150 | $143K |
| Long-term disability | STANDARD INSURANCE COMPANY | 150 | $143K |
| Other | COMMUNITY CARE EAP | 209 | $2K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 242 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.