| 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 | $34K | — | $34K | 6.11% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | P.O. BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $24K | — | $24K | 4.29% |
| 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 | $40K | — | $40K | 21.52% |
| STACY HART3 | 1316 NW FERRIS LAWTON, OK 73647 | LEADERS LIFE INSURANCE | $1K | — | $1K | 5.67% |
| AMERICAN FIDELITY GENERAL AGENCY3 | 9000 CAMERON PARKWAY OKLAHOMA CITY, OK 73114 | LEADERS LIFE INSURANCE | $1K | — | $1K | 5.16% |
| LIFECARE HEALTH SERVICES, LLC3 Filed as: LIFECARE HEALTH SERVICES | P.O. BOX 15629 OKLAHOMA CITY, OK 731555629 | LEADERS LIFE INSURANCE | $633 | — | $633 | 2.84% |
| GARY C HART3 Filed as: GARY HART | 1316 NW FERRIS LAWTON, OK 73507 | LEADERS LIFE INSURANCE | $631 | — | $631 | 2.83% |
| WESLEY K DILLON3 Filed as: WESLEY DILLON | 1316 NW FERRIS AVE LAWTON, OK 73507 | LEADERS LIFE INSURANCE | $10 | — | $10 | 0.04% |
| COURTNEY DILLON3 | 1316 NW FERRIS LAWTON, OK 73507 | LEADERS LIFE INSURANCE | $8 | — | $8 | 0.04% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: LIFECARE HEALTH SERVIES | 4013 NW EXPRESSWAY, SUITE 675 OKLAHOMA CITY, OK 73116 | ZURICH AMERICAN INSURANCE COMPANY | $89 | — | $89 | 14.96% |
| LIFECARE HEALTH SERVICES, LLC3 | — | VISION SERVICE PLAN, INC | $3K | $14K | $17K | — |
| WEBTPA EMPLOYER SERVICES LLC3 Filed as: WEBTPA EMPLOYER SERVICES INC | 8500 FREEPORT PKWY SOUTH SUITE 400 IRVING, TX 75063 | WEBTPA EMPLOYER SERVICES INC | $690K | — | $690K | — |
| WELLDYNERX3 | — | WEBTPA EMPLOYER SERVICES INC | $65K | — | $65K | — |
| LIFECARE HEALTH SERVICES, LLC3 | — | VISION SERVICE PLAN, INC | -$805 | $83 | -$722 | — |
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 | 769 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 769 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AMERICAN FIDELITY ASSURANCE COMPANY | 769 | $553K |
| Vision(2 contracts) | VISION SERVICE PLAN, INC | 665 | $0 |
| Life insurance(2 contracts, 2 carriers) | SYMETRA LIFE INSURANCE COMPANY | 915 | $207K |
| Short-term disability | AMERICAN FIDELITY ASSURANCE COMPANY | 373 | $553K |
| Long-term disability | AMERICAN FIDELITY ASSURANCE COMPANY | 373 | $553K |
| Other(2 contracts, 2 carriers) | SYMETRA LIFE INSURANCE COMPANY | 915 | $185K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 915 | — |
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.