| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SCOUT BENEFITS GROUP LLC3 | 103 DEAN A MCGEE AVE STE 500 OKLAHOMA CITY, OK 73102 | BLUE CROSS BLUE SHIELD OF OKLAHOMA | $0 | $777 | $777 | 0.06% |
| MICHELLE SCHAFER3 | 1102 NOTTINGHAM ENID, OK 73703 | AFLAC | $6K | $163 | $7K | 9.70% |
| SHEREE L. AMOS3 Filed as: SHEREE L AMOS | 4521 HILLSIDE LN EDMOND, OK 73025 | AFLAC | $1K | $29 | $1K | 1.92% |
| WESTON WHITSITT3 | 1023 W ELM AVE ENID, OK 73703 | AFLAC | $769 | — | $769 | 1.14% |
| JOSHUA WORTHY3 Filed as: JOSHUA I WORTHY | 3700 N CLASSEN BLVD STE 220 OKLAHOMA CITY, OK 73118 | AFLAC | $476 | — | $476 | 0.71% |
| EUGENIA JENKS-WHITSITT3 | 1210 CANSLER DRIVE ENID, OK 73703 | AFLAC | $466 | — | $466 | 0.69% |
| SHANE M OWEN3 | 8413 NW 106TH ST OKLAHOMA CITY, OK 73162 | AFLAC | $308 | — | $308 | 0.46% |
| JACQUELINE K QUALIZZA3 Filed as: JACQUELINE QUALIZZA | 12877 W 151 ST STREET OLATHE, KS 66062 | AFLAC | $234 | — | $234 | 0.35% |
| BOBBY STEWART3 | 3501 FRENCH PARK DRIVE SUITE E EDMOND, OK 73034 | AFLAC | $158 | — | $158 | 0.24% |
| LARRY D DENNY3 Filed as: LARRY DENNY | PO BOX 306 WETUMKA, OK 74883 | AFLAC | $78 | — | $78 | 0.12% |
| STACEY A KRINGS3 | 1330 PRAIRIE RIDGE DR POLK CITY, IA 50226 | AFLAC | $76 | — | $76 | 0.11% |
| DARIN WHITSITT3 | 1210 CANSLER DR ENID, OK 73703 | AFLAC | $64 | — | $64 | 0.10% |
| SHARLET J NAPIER3 | 110 N 1ST ST PERRY, OK 73077 | AFLAC | $46 | $14 | $60 | 0.09% |
| JODIE V STRECK3 | 524 N CHEYENNE ST HENNESSEY, OK 73742 | AFLAC | $58 | — | $58 | 0.09% |
| DEBRA SHERLOCK3 | 2216 SUNRISE AVE GRAND ISLAND, NE 68803 | AFLAC | $51 | — | $51 | 0.08% |
| SHON MARIE TETIK3 | 1702 N 12TH PERRY, OK 73077 | AFLAC | $41 | $5 | $46 | 0.07% |
| STEPHEN W SIMPSON3 Filed as: STEPHEN SIMPSON | 540 CELTIC CT EDMOND, OK 73025 | AFLAC | $46 | — | $46 | 0.07% |
| PAUL B BROUCHOUD3 Filed as: PAUL BROUCHOUD | 604 MARK DRIVE DEL CITY, OK 73115 | AFLAC | $43 | — | $43 | 0.06% |
| CHARLES LARUE3 | 9226 COLUMBIA ST SAPULPA, OK 74066 | AFLAC | $31 | $6 | $37 | 0.06% |
| SHAWN R. GRANDI3 | 2009 EAGLE DR EDMOND, OK 73034 | AFLAC | $34 | — | $34 | 0.05% |
| DONNA CDEBACA STEWART3 | 3501 FRENCH PARK DR STE E EDMOND, OK 73034 | AFLAC | $31 | — | $31 | 0.05% |
| DEVON SCHAFER3 | 1102 NOTTINGHAM RD ENID, OK 73703 | AFLAC | $27 | — | $27 | 0.04% |
| ZACHARY EVERETT3 | 300 RIVERWALK TER STE 260 JENKS, OK 74037 | AFLAC | $17 | $6 | $23 | 0.03% |
| KRISTY GRAMLICH INC3 Filed as: KRISTY GRAMLICH | 9131 N BOOTH CT KANSAS CITY, MO 64157 | AFLAC | $20 | — | $20 | 0.03% |
| SHIRLEY MISCEVICH3 | 11408 W 72ND TER SHAWNEE, KS 66203 | AFLAC | $20 | — | $20 | 0.03% |
| RICHARD W. CORNELL3 | 317 STOCKADE ST LAWRENCE, KS 66049 | AFLAC | $15 | — | $15 | 0.02% |
| MATTHEW PHILIP BRADEN3 | 480 W MURRAY BLVD APT 10E SALT LAKE CITY, UT 84123 | AFLAC | $12 | — | $12 | 0.02% |
| HAL W MOFFATT3 | 1221 LAMPLIGHTER LN EDMOND, OK 73034 | AFLAC | $11 | — | $11 | 0.02% |
| JEREMY FRYE & ASSOCIATES INC3 Filed as: JEREMY J FRYE | 1508 N CHURCH RD STE B LIBERTY, MO 64068 | AFLAC | $11 | — | $11 | 0.02% |
| KELLY A GRAMLICH3 Filed as: KELLY A. GRAMLICH | 9131 N BOOTH CT KANSAS CITY, MO 64157 | AFLAC | $10 | — | $10 | 0.01% |
| JARRELL K PRENTICE3 | 1113 EAST DR EDMOND, OK 73034 | AFLAC | $6 | — | $6 | 0.01% |
| JEREMY FRYE & ASSOCIATES INC3 | 1508 N CHURCH RD SUITE B LIBERTY, MO 64068 | AFLAC | $5 | — | $5 | 0.01% |
| JOSHUA C ROLAN3 Filed as: JOSHUA ROLAN | 704 SEMINOLE DR PAULS VALLEY, OK 73075 | AFLAC | $5 | — | $5 | 0.01% |
| THOMAS PITZENBERGER3 | 1501 SUGARLAND PKWY PLEASANT HILL, MO 64080 | AFLAC | $4 | — | $4 | 0.01% |
| CONSTANCE I LAGER3 Filed as: CONSTANCE LAGER | 5109 NE 55TH TERRACE KANSAS CITY, MO 64119 | AFLAC | $3 | — | $3 | 0.00% |
| JONATHAN SAMUEL KIRKLAND3 Filed as: JONATHAN SAMUAEL KIRKLAND | 1270 HOPEWELL CRST ALPHARETTA, GA 30004 | AFLAC | $2 | — | $2 | 0.00% |
| JOHN A WILLIAMS COMPANY INC3 | 20316 N COUNTY RD 3240 PAULS VALLEY, OK 73075 | AFLAC | $1 | — | $1 | 0.00% |
| JANET ZENTMIRE RIGSBY3 | 801 MELANAE CT LIBERTY, MO 64068 | AFLAC | $1 | — | $1 | 0.00% |
| JENNIFER SMITH3 Filed as: JENNIFER L SMITH | 4640 S STEWART AVE SPRINGFIELD, MO 65804 | AFLAC | $1 | — | $1 | 0.00% |
| DONNA BAILEY3 Filed as: DONNA M BAILEY | 1108 S WESTPORT DR APT 1 MARSHALL, MO 65340 | AFLAC | $1 | — | $1 | 0.00% |
| SCOUT BENEFITS GROUP LLC3 | 500 N WALKER AVE STE. 100 OKLAHOMA CITY, OK 73102 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $3K | $3K | 4.35% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 736 S STONE AVE LA GRANGE, IL 60525 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $2K | $2K | 2.90% |
| SCOUT BENEFITS GROUP LLC3 | 103 DEAN A MCGEE AVE STE 500 OKLAHOMA CITY, OK 73102 | DELTA DENTAL | $0 | $6K | $6K | 12.06% |
| MICHELLE SCHAFER3 | 1102 NOTTINGHAM RD ENID, OK 737033135 | VSP | $1K | $0 | $1K | 5.31% |
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 | 210 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 210 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF OKLAHOMA | 210 | $1.3M |
| Dental | DELTA DENTAL | 128 | $52K |
| Vision | VSP | 92 | $22K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 134 | $66K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 134 | $66K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 134 | $66K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 134 | $66K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 210 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.