| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL HOLMES ORG | 1350 S. BOULDER AVE., SUITE 1000 TULSA, OK 741193223 | COMMUNITYCARE | — | $38K | $38K | 3.62% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MID AMERICA | 1350 S. BOULDER AVE., SUITE 1000 TULSA, OK 741193223 | COMMUNITYCARE | — | $7K | $7K | 0.70% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | 1350 S BOULDER AVE, STE 1000 TULSA, OK 74119 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $8K | — | $8K | 7.58% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL HOLMES | 1350 S. BOULDER AVE., SUITE 1000 TULSA, OK 74119 | DELTA DENTAL | $4K | — | $4K | 8.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 1350 S. BOULDER AVE., STE. 1000 TULSA, OK 741193223 | VISION SERVICE PLAN | $862 | — | $862 | 6.09% |
| SCHULTZ, CAROLYN K3 | 2506 E. 21ST ST. TULSA, OK 74114 | UNUM LIFE INSURANCE CO OF AMERICA | $1K | — | $1K | 10.80% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD. | 1350 S BOULDER, STE 1000 TULSA, OK 74119 | UNUM LIFE INSURANCE CO OF AMERICA | $1K | — | $1K | 10.80% |
| THE HOLMES ORGANISATION3 | 1350 S. BOULDER AVE., SUITE 1000 TULSA, OK 741193223 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $849 | — | $849 | 13.50% |
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 | 125 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 126 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMMUNITYCARE | 144 | $1.1M |
| Dental | DELTA DENTAL | 69 | $47K |
| Vision | VISION SERVICE PLAN | 142 | $14K |
| Life insurance(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 142 | $108K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 142 | $101K |
| Other(3 contracts, 3 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 142 | $121K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 144 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.