| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CHANTAL N. LYLES LOGAN3 | 999 WATERSIDE DRIVE, SUITE 1500 NORFOLK, VA 23510 | HUMANA INSURANCE COMPANY | $17K | $0 | $17K | 10.04% |
| CHANTAL N. LYLES LOGAN3 | 6895 HUNT ROAD NORFOLK, VA 23518 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $4K | $0 | $4K | 10.00% |
| JAMES MICHAEL WILLIAMS3 | 525 BROOKSIDE TERRACE OKLAHOMA CITY, OK 73160 | AFLAC | $53 | $0 | $53 | 2.70% |
| KIMBERLY K WILLIAMS3 Filed as: KIMBERLY K. WILLIAMS | 525 BROOKSIDE TERRACE MOORE, OK 73160 | AFLAC | $39 | $0 | $39 | 1.98% |
| MJ INSURANCE3 Filed as: JOHN WILLIAMS CO AND VARIOUS AGENTS | 20316 NORTH COUNTY ROAD 3240 PAULS VALLEY, OK 73075 | AFLAC | $32 | $0 | $32 | 1.63% |
| LAURIE J. VICE3 | 15101 KESTRAL WAY EDMOND, OK 73013 | AFLAC | $24 | $0 | $24 | 1.22% |
| BOBBY R STEWART3 Filed as: BOBBY R. STEWART | 3501 FRENCH PARK DRIVE, SUITE E EDMOND, OK 73034 | AFLAC | $22 | $0 | $22 | 1.12% |
| MOFFATT DESIGNS LLC3 | 1221 LAMPLIGHTER LANE EDMOND, OK 73034 | AFLAC | $13 | $0 | $13 | 0.66% |
| MAEDE C MILLER3 Filed as: MAEDE C. MILLER | 17133 KNOLL DALE TRAIL CONROE, TX 77385 | AFLAC | $10 | $0 | $10 | 0.51% |
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 | 192 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 192 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 108 | $799K |
| Dental | HUMANA INSURANCE COMPANY | 192 | $165K |
| Vision | HUMANA INSURANCE COMPANY | 192 | $165K |
| Life insurance | HUMANA INSURANCE COMPANY | 192 | $165K |
| Short-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 147 | $43K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 147 | $43K |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 108 | $799K |
| Other(3 contracts, 3 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 192 | $966K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 192 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.