| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RICH & CARTMILL, INC.3 | 2738 E 51ST STE 400 TULSA, OK 74105 | COMMUNITY CARE HMO | $19K | — | $19K | 1.15% |
| RICH & CARTMILL, INC.3 | 2738 EAST 51ST STREET, SUITE 400 TULSA, OK 74105 | DELTA DENTAL | $7K | $11K | $18K | 15.11% |
| RICH & CARTMILL, INC.3 | 2738 EAST 51ST STREET, SUITE 400 TULSA, OK 74105 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 5.00% |
| RICH & CARTMILL, INC.3 | 2738 EAST 51ST STREET, SUITE 400 TULSA, OK 74105 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 5.00% |
| RICH & CARTMILL, INC.3 | 2738 EAST 51ST STREET, SUITE 400 TULSA, OK 74105 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 10.00% |
| WORTHAM SAN ANTONIO INC3 Filed as: JOHN J MCGURRAN | 100 E CALIFORNIA 400 OKLAHOMA CITY, OK 73104 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $15 | — | $15 | 0.09% |
| OPES ONE ADVISORS LLC3 Filed as: OPES ONE ADVISORS OKLAHOMA LLC | 100 E CALIFORNIA 400 OKLAHOMA CITY, OK 73104 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $3 | — | $3 | 0.02% |
| RICH & CARTMILL, INC.3 | 2738 EAST 51ST STREET, SUITE 400 TULSA, OK 74105 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $801 | — | $801 | 14.99% |
| RICH & CARTMILL, INC.3 | 2738 EAST 51ST STREET, SUITE 400 TULSA, OK 74105 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $432 | — | $432 | 10.45% |
| RICH & CARTMILL, INC.3 | 2738 EAST 51ST STREET, SUITE 400 TULSA, OK 74105 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $55 | — | $55 | 15.07% |
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 | 264 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 264 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMMUNITY CARE HMO | 264 | $1.7M |
| Dental | DELTA DENTAL | 139 | $120K |
| Vision | VISION SERVICE PLAN | 115 | $12K |
| Life insurance(4 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 181 | $112K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 36 | $13K |
| Long-term disability(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 181 | $56K |
| Other(4 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 181 | $108K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 264 | — |
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."
No prospect flags tripped on this filing.