| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INSERVICES, LLC3 Filed as: INSERVICES INC | DBA DILLINGHAM INSURANCE P O BOX 1669 ENID, OK 737021669 | BLUE CROSS BLUE SHIELD OF OKLAHOMA | $119K | $4K | $123K | 3.46% |
| INSERVICES, LLC3 Filed as: INSERVICES INC | DBA DILLINGHAM INSURANCE PO BOX 1669 ENID, OK 737021669 | DELTA DENTAL | $9K | — | $9K | 5.50% |
| INSERVICES, LLC3 Filed as: INSERVICES INC | 2402 W WILLOW RD ENID, OK 73703 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $14K | $115 | $14K | 17.73% |
| INSERVICES, LLC3 Filed as: INSERVICES, INC. | 2402 W WILLOW RD ENID, OK 737032324 | VISION SERVICE PLAN | $11K | — | $11K | 15.00% |
| JAMES D FRANTZ3 | 324 W BROADWAY P O BOX 3448 ENID, OK 737023448 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 6.53% |
| CSC INSURANCE AGENCY INC.3 Filed as: CSC INSURANCE AGENCY INC | 324 WEST BROADWAY P O BOX 3448 ENID, OK 737023448 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 6.53% |
| JAMES D FRANTZ3 Filed as: JAMES DOUGLAS FRANTZ | 324 W BROADWAY ENID, OK 73701 | PRINCIPAL LIFE INSURANCE COMPANY | $1K | — | $1K | 6.77% |
| ROGERS BENEFIT GROUP INC3 | 5110 N 40TH ST STE 234 PHOENIX, AZ 850182151 | PRINCIPAL LIFE INSURANCE COMPANY | $755 | — | $755 | 3.84% |
| INSERVICES, LLC3 Filed as: INSERVICES INC | 2402 W WILLOW RD ENID, OK 73703 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $1K | $12 | $2K | 17.69% |
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 | 686 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 692 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF OKLAHOMA | 919 | $3.6M |
| Dental | DELTA DENTAL | 706 | $156K |
| Vision | VISION SERVICE PLAN | 802 | $74K |
| Life insurance(3 contracts, 2 carriers) | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 708 | $110K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 73 | $25K |
| Other(2 contracts) | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 708 | $90K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 919 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.