| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CETERA ADVISOR NETWORKS LLC3 | 200 N. SEPULVEDA BLVD. EL SEGUNDO, CA 902454340 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $7K | — | $7K | 3.31% |
| NOVAK PETER S3 Filed as: NOVAK, PETER S. | 330 WHITNEY AVE., SUITE 600 HOLYOKE, MA 01040 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $790 | — | $790 | 0.36% |
| MCCASKILL, THOMAS III3 | P.O. BOX 18981 OKLAHOMA CITY, OK 731540981 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $594 | — | $594 | 0.27% |
| NAUGHTON BRENDAN C3 Filed as: NAUGHTON, BRENDAN C. | 501 MERRITT 7, 5TH FL NORWALK, CT 068517002 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $339 | — | $339 | 0.15% |
| WOODRUFF, FRANK EDWARD JR.3 | 10101 REUNION PL., STE 300 SAN ANTONIO, TX 782164157 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $116 | — | $116 | 0.05% |
| PREMIER SOURCE LLC3 | 211 N. ROBINSON AVE., SUITE 1250 OKLAHOMA CITY, OK 73102 | DELTA DENTAL | $8K | — | $8K | 4.00% |
| PREMIERSOURCE LLC3 | 211 N. ROBINSON AVE., SUITE 1250 OKLAHOMA CITY, OK 73102 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | — | $5K | 4.55% |
| PREMIERSOURCE LLC3 Filed as: PREMIERSOURCE | 211 N. ROBINSON AVE., SUITE 1490 OKLAHOMA CITY, OK 731027135 | VISION SERVICE PLAN | $1K | — | $1K | 4.81% |
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 | 317 | 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) | 318 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL | 232 | $193K |
| Vision | VISION SERVICE PLAN | 208 | $28K |
| Life insurance | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | 167 | $222K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 174 | $113K |
| Other | NEW DIRECTIONS BEHAVIORAL HEALTH | 328 | $7K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 328 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.