| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JACQUELINE K QUALIZZA3 | 12877 W 151ST STREET OLATHE, KS 66062 | BLUECROSS BLUESHIELD OF OKLAHOMA | $44K | — | $44K | 4.90% |
| JUDY C ELWOOD3 | 810526 S HIGHWAY 177 CARNEY, OK 74832 | AFLAC | $3K | — | $3K | 4.82% |
| CERESTA L HILL3 | 5216 NW 111TH STREET OKLAHOMA CITY, OK 73162 | AFLAC | $2K | $107 | $2K | 2.88% |
| DONNA CDEBACA STEWART3 | 3501 FRENCH PARK DR STE E EDMOND, OH 73034 | AFLAC | $1K | $25 | $1K | 2.54% |
| BOBBY R STEWART3 | 3501 FRENCH PARK DRIVE SUITE E EDMOND, OK 73034 | AFLAC | $929 | $25 | $954 | 1.68% |
| REGAN WAGNER3 | 1004 EARL A RODKEY DR EDMOND, OK 73003 | AFLAC | $431 | $18 | $449 | 0.79% |
| CATRINA D DELLINGER3 | 617 E GREENWOOD LANE MUSTANG, OK 73064 | AFLAC | $327 | — | $327 | 0.58% |
| TREY CDEBACA3 | 1004 EARL A RODKEY DR EDMOND, OK 73003 | AFLAC | $163 | — | $163 | 0.29% |
| CAROLYN BENDER3 | 917 EGGLESTON STREET FORT COLLINS, OK 80524 | AFLAC | $141 | — | $141 | 0.25% |
| LARRY D DENNY3 | PO BOX 306 WETUMKA, OK 74883 | AFLAC | $125 | — | $125 | 0.22% |
| CHARLES D MANGUS3 | 1228 N SARA RD TUTTLE, OK 73089 | AFLAC | $121 | — | $121 | 0.21% |
| STEPHEN W SIMPSON3 | 540 CELTIC CT EDMOND, OK 73025 | AFLAC | $107 | — | $107 | 0.19% |
| KEVIN KHOURY3 | 918 NW 17TH ST OKLAHOMA CITY, OK 73106 | AFLAC | $79 | — | $79 | 0.14% |
| LISA B NEWPORT3 | 1009 SETTLERS DR EDMOND, OK 73034 | AFLAC | $78 | — | $78 | 0.14% |
| JAMES MICHAEL WILLIAMS3 | 525 BROOKSIDE TER OKLAHOMA CITY, OK 73160 | AFLAC | $68 | — | $68 | 0.12% |
| LESTER RAY BLACKSHEAR3 | 9192 SE 168TH COOK PL THE VILLAGES, FL 32162 | AFLAC | $59 | — | $59 | 0.10% |
| JOHN A WILLIAMS COMPANY INC3 | 20316 N COUNTY ROAD 3240 PAULS VALLEY, OK 73075 | AFLAC | $39 | — | $39 | 0.07% |
| COOPER SCOTT YEATES3 | 2133 E 2ND ST APT 4208 EDMOND, OK 73034 | AFLAC | $33 | — | $33 | 0.06% |
| MOFFAT DESIGNS LLC3 | 1221 LAMPLIGHTER LN EDMOND, OK 73034 | AFLAC | $23 | — | $23 | 0.04% |
| JARRELL K PRENTICE3 | 1113 EAST DR EDMOND, OK 73034 | AFLAC | $14 | — | $14 | 0.02% |
| JOSHUA C ROLAN3 | 704 SEMINOLE DR PAULS VALLEY, OK 73075 | AFLAC | $11 | — | $11 | 0.02% |
| PAUL B BROUCHOUD3 | 604 MARK DR DEL CITY, OK 73115 | AFLAC | $10 | — | $10 | 0.02% |
| SHANE M OWEN3 | 3000 UNITED FOUNDERS BLVD STE 100 OKLAHOMA CITY, OK 73112 | AFLAC | $10 | — | $10 | 0.02% |
| SHARON J FITZPATRICK3 | 2500 THOMAS DR APT 1615 EDMOND, OK 73003 | AFLAC | $6 | — | $6 | 0.01% |
| EDWARD A HALL JR3 | 2224 WOODMARSH CIR AUBURN, GA 30011 | AFLAC | $3 | — | $3 | 0.01% |
| JAMES D DUDLEY3 | 1355 LYNNFIELD ST STE 259 MEMPHIS, TN 38119 | AFLAC | $1 | — | $1 | 0.00% |
| JACQUELINE K QUALIZZA3 | ASSOCIATION INSURANCE SERVICES 12877 W 151TH STREET OLATHE, KS 66062 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $4K | — | $4K | 15.00% |
| JUDY C ELWOOD3 Filed as: JUDY CHRISTINE ELWOOD | 810526 S HIGHWAY 177 CARNEY, OK 748324845 | AMERITAS LIFE INSURANCE CORP. | $545 | — | $545 | 10.00% |
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 | 127 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 128 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF OKLAHOMA | 142 | $903K |
| Dental | AFLAC | 64 | $57K |
| Vision | AMERITAS LIFE INSURANCE CORP. | 63 | $5K |
| Life insurance(2 contracts, 2 carriers) | AFLAC | 172 | $80K |
| Short-term disability | AFLAC | 64 | $57K |
| Other(2 contracts, 2 carriers) | AFLAC | 172 | $80K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 172 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.