| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PREMIER SOURCE LLC3 | TWO LEADERSHIP SQUARE OKLAHOMA CITY, OK 73102 | DELTA DENTAL | $4K | — | $4K | 4.43% |
| INSERVICES, LLC3 Filed as: INSERVICES INC DBA DILLINGHAM INS. | P.O. BOX 1669 ENID, OK 737021669 | DELTA DENTAL | $2K | — | $2K | 1.57% |
| PREMIER SOURCE LLC3 | 211 N ROBINSON AVE. SUITE 1250 OKLAHOMA CITY, OK 73102 | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 6.32% |
| INSERVICES, LLC3 Filed as: INSERVICES INC DBA DILLINGHAM INS. | P.O. BOX 1669 ENID, OK 737021669 | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | $647 | — | $647 | 1.18% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 400 MIDLAND DRIVE MT. LAUREL, NJ 08054 | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | $126 | — | $126 | 0.23% |
| PREMIER SOURCE LLC3 | 211 N ROBINSON AVE. SUITE 1250 OKLAHOMA CITY, OK 73102 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $72 | $2K | 11.81% |
| INSERVICES, LLC3 Filed as: INSERVICES INC DBA DILLINGHAM INS. | P.O. BOX 1669 ENID, OK 737021669 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $647 | $62 | $709 | 3.64% |
| PAI FINANCIAL SERVICES, INC.3 | 3240 WEST BRITTON ROAD OKLAHOMA CITY, OK 73120 | VISION SERVICE PLAN | $752 | — | $752 | 7.48% |
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 | 110 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 110 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL | 105 | $99K |
| Vision | VISION SERVICE PLAN | 74 | $10K |
| Life insurance | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 166 | $55K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 58 | $19K |
| Other(2 contracts, 2 carriers) | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 166 | $74K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 166 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.