| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SCOTT HUNTLEY3 Filed as: SCOTT MCCOY INS | 7030 S YALE AVE #109 TULSA, OK 74136 | TRUSTMARK LIFE INSURANCE COMPANY | $19K | — | $19K | 15.00% |
| SCOTT HUNTLEY3 Filed as: SCOTT MCCOY INS | 7030 S YALE SUITE 109 TULSA, OK 74136 | AETNA LIFE INSURANCE CO | $3K | — | $3K | 9.18% |
| BRENDA FREEMAN3 Filed as: BRENDA J FREEMAN | 7051 JOHNSTON ROAD OKMULGEE, OK 74447 | AFLAC | $2K | $76 | $2K | 15.40% |
| MICHAEL ARTHUR KIRK3 | 1913 W TACOMA ST STE C BROKEN ARROW, OK 74012 | AFLAC | $419 | $20 | $439 | 3.80% |
| TRAVIS D HURT3 | 18446 S 154TH EAST AVE BIXBY, OK 74008 | AFLAC | $255 | $20 | $275 | 2.38% |
| KELLY A JONES3 | 9052 E 29TH STREET TULSA, OK 74129 | AFLAC | $94 | — | $94 | 0.81% |
| JOHN A WILLIAMS COMPANY INC3 | 3100 S BERRY RD STE 100 NORMAN, OK 73072 | AFLAC | $30 | $20 | $50 | 0.43% |
| CHARLES F FREEMAN3 | 7051 JOHNSTON RD OKMULGEE, OK 74447 | AFLAC | $21 | $24 | $45 | 0.39% |
| LARRY D DENNY3 | PO BOX 306 WETUMKA, OK 74883 | AFLAC | $40 | — | $40 | 0.35% |
| DARREN R WARREN3 | 13504 N 2320 RD GOTEBO, OK 73041 | AFLAC | $21 | — | $21 | 0.18% |
| JOHN ROBERT DE LARIOS3 | 4306 W TOLEDO CT BROKEN ARROW, OK 74012 | AFLAC | $12 | — | $12 | 0.10% |
| SCOTT MCCOY INSURANCE AGENCY INC3 | 7030 S YALE AVE #109 TULSA, OK 74136 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 14.53% |
| MATT MCCOY3 | 3520 W HOUSTON ST BROKEN ARROW, OK 74012 | STATE FARM LIFE INSURANCE COMPANY | $437 | — | $437 | 4.45% |
| SCOTT MCCOY INSURANCE AGENCY INC3 Filed as: SCOTT MCCOY INSURANCE AGENCY, INC. | 7030 S YALE AVE STE 109 TULSA, OK 741365709 | VISION SERVICE PLAN | $727 | — | $727 | 7.62% |
| SCOTT MCCOY INSURANCE AGENCY INC3 | 7030 S YALE AVE #109 TULSA, OK 74136 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $733 | — | $733 | 12.20% |
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 | 111 | 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. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 111 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | TRUSTMARK LIFE INSURANCE COMPANY | 92 | $129K |
| Dental | AETNA LIFE INSURANCE CO | 143 | $36K |
| Vision | VISION SERVICE PLAN | 93 | $10K |
| Life insurance(2 contracts, 2 carriers) | AFLAC | 111 | $21K |
| Short-term disability(2 contracts) | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 75 | $17K |
| Prescription drug | TRUSTMARK LIFE INSURANCE COMPANY | 92 | $129K |
| Stop-loss / reinsurancereinsurance | TRUSTMARK LIFE INSURANCE COMPANY | 92 | $129K |
| Other(3 contracts, 2 carriers) | AFLAC | 75 | $28K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 143 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.