| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LIFECARE HEALTH SERVICES, LLC3 Filed as: LIFECARE HEALTH SERVICES LLC | 4013 NW EXPRESSWAY #675 OKLAHOMA CITY, OK 73116 | AMERICAN FIDELITY ASSURANCE COMPANY | $35K | — | $35K | 8.66% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | P.O. BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $28K | — | $28K | 7.05% |
| VHA MID AMERICA INS SVCS3 Filed as: VHA MID AMERICA INSURANCE SERV | 7415 W 130TH ST STE 200 OVERLAND PARK, KS 66213 | SYMETRA LIFE INSURANCE COMPANY | $26K | $5K | $31K | 22.27% |
| LIFECARE HEALTH SERVICES, LLC3 | — | VISION SERVICE PLAN, INC | $3K | — | $3K | 3.00% |
| GARY C HART3 Filed as: GARY HART | 1316 NW FERRIS LAWTON, OK 73507 | LEADERS LIFE INSURANCE | $1K | — | $1K | 7.56% |
| LIFECARE HEALTH SERVICES, LLC3 Filed as: LIFECARE HEALTH SERVICES | 4013 NW EXPRESSWAY, SUITE 675 OKLAHOMA CITY, OK 73116 | LEADERS LIFE INSURANCE | $749 | — | $749 | 3.83% |
| SUSAN BALES3 | P.O. BOX 129 FOSS, OK 73647 | LEADERS LIFE INSURANCE | $147 | — | $147 | 0.75% |
| WESLEY K DILLON3 Filed as: WESLEY DILLON | 1316 NW FERRIS AVE LAWTON, OK 73507 | LEADERS LIFE INSURANCE | $23 | — | $23 | 0.12% |
| COURTNEY DILLON3 | 1316 NW FERRIS LAWTON, OK 73507 | LEADERS LIFE INSURANCE | $22 | — | $22 | 0.11% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: LIFECARE HEALTH SERVIES | 4013 NW EXPRESSWAY, SUITE 675 OKLAHOMA CITY, OK 73116 | ZURICH AMERICAN INSURANCE COMPANY | $123 | — | $123 | 15.06% |
| BENEFIT COMMUNICATIONS INC3 | 2977 SIDCO DR NASHVILLE, TN 37204 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 1.39% |
| WATERSTONE BENEFIT ADMINISTRATION3 Filed as: WATERSTONE BENEFIT | ADMINISTRATORS LLC 4013 NW EXPRESSWAY STE 500 OKLAHOMA CITY, OK 73116 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.84% |
| WEBTPA EMPLOYER SERVICES LLC3 Filed as: WEBTPA EMPLOYER SERVICES INC | 8500 FREEPORT PKWY SOUTH SUITE 400 IRVING, TX 75063 | WEBTPA EMPLOYER SERVICES INC | $664K | — | $664K | — |
| HEALTHCARE HIGHWAYS3 Filed as: HEALTHCARE HIGHWAY RX INC. | 1 COWBOYS WAY SUITE 290 FRISCO, TX 75034 | WEBTPA EMPLOYER SERVICES INC | $15K | — | $15K | — |
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 | 0 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AMERICAN FIDELITY ASSURANCE COMPANY | 767 | $401K |
| Vision | VISION SERVICE PLAN, INC | 696 | $88K |
| Life insurance(2 contracts, 2 carriers) | SYMETRA LIFE INSURANCE COMPANY | 958 | $159K |
| Long-term disability | AMERICAN FIDELITY ASSURANCE COMPANY | 405 | $401K |
| Other(4 contracts, 4 carriers) | AMERICAN FIDELITY ASSURANCE COMPANY | 958 | $541K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 958 | — |
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.