| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL CFR | 6100 SOUTH YALE AVENUE, SUITE 1900 TULSA, OK 74136 | DELTA DENTAL | $9K | $0 | $9K | 8.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 6100 SOUTH YALE AVENUE, SUITE 1900 TULSA, OK 74136 | MONY LIFE INSURANCE COMPANY OF AMERICA | $12K | $0 | $12K | 13.52% |
| BENEFIT RESOURCES, INC.3 Filed as: BENEFIT RESOURCES INC. | 4775 EAST 91ST STREET, SUITE 100 TULSA, OK 74137 | SUN LIFE ASSURANCE COMPANY OF CANADA | $7K | $0 | $7K | 18.36% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 6100 SOUTH YALE AVENUE, SUITE 1900 TULSA, OK 74136 | VISION SERVICE PLAN | $1K | $0 | $1K | 3.89% |
| CAROLYN W CURLESS3 | 26070 WEST 41ST STREET SOUTH SAND SPRNIGS, OK 74063 | AFLAC | $1K | $0 | $1K | 4.38% |
| MJ INSURANCE3 Filed as: JOHN C HAWKINS AND VARIOUS AGENTS | PO BOX 866 PRYOR, OK 74362 | AFLAC | $1K | $0 | $1K | 3.34% |
| MITCHELL M ALLNER3 | 8600 EXECUTIVE WOODS DRIVE LINCOLN, NE 68512 | AFLAC | $530 | $0 | $530 | 1.75% |
| JOHN ROBERT DE LARIOS3 | 119 TAMARACK COVE HOLLY LAKE RANCH, TX 75765 | AFLAC | $242 | $0 | $242 | 0.80% |
| SHIRLEY A BAZAY3 | 5150 BROADWAY STREET, SUITE 156 SAN ANTONIO, TX 78209 | AFLAC | $230 | $0 | $230 | 0.76% |
| DAVID L DEARDORFF3 | 9083 EAST 138TH STREET SOUTH BIXBY, OK 74008 | AFLAC | $177 | $0 | $177 | 0.58% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF OKLAHOMA INC | 208 NORTH MILL STREET PRYOR, OK 74361 | AFLAC | $174 | $0 | $174 | 0.57% |
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 | 323 | 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) | 323 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMMUNITYCARE HMO | 319 | $5K |
| Dental | DELTA DENTAL | 218 | $115K |
| Vision | VISION SERVICE PLAN | 206 | $31K |
| Life insurance | MONY LIFE INSURANCE COMPANY OF AMERICA | 323 | $86K |
| Long-term disability | MONY LIFE INSURANCE COMPANY OF AMERICA | 323 | $86K |
| Prescription drug | COMMUNITYCARE HMO | 319 | $5K |
| Other(3 contracts, 3 carriers) | MONY LIFE INSURANCE COMPANY OF AMERICA | 323 | $153K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 323 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.