| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INSURICA, INC.3 Filed as: INSURICA, INC | 5100 N CLASSEN BLVD STE 300 OKLAHOMA CITY, OK 73118 | BLUECROSS BLUESHIELD OF OKLAHOMA | $119K | $1K | $120K | 4.26% |
| INSURICA, INC.3 Filed as: INSURICA, INC | 5100 N CLASSEN BLVD STE 300 OKLAHOMA CITY, OK 73118 | VISION SERVICE PLAN | $2K | — | $2K | 4.31% |
| INSURICA, INC.3 Filed as: INSURICA INC. | 5100 N CLASSEN BLVD BLVD STE 300 OKLAHOMA CITY, OK 73118 | SUN LIFE ASSURANCE COMPANY OF CANADA | $3K | — | $3K | 14.51% |
| INSURICA, INC.3 Filed as: INSURICA, INC | 5100 N CLASSEN BLVD STE 300 OKLAHOMA CITY, OK 73118 | DEARBORN LIFE INSURANCE COMPANY | $2K | — | $2K | 15.04% |
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 | 297 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 300 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF OKLAHOMA | 370 | $2.8M |
| Dental | BLUECROSS BLUESHIELD OF OKLAHOMA | 370 | $2.8M |
| Vision | VISION SERVICE PLAN | 277 | $36K |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 493 | $15K |
| Short-term disability | DEARBORN LIFE INSURANCE COMPANY | 493 | $15K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 19 | $17K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 493 | — |
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.