| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 | 1300 S MAIN ST TULSA, OK 741193218 | UNITED HEALTHCARE | $4K | $31K | $35K | 8.48% |
| BRENDA FREEMAN3 | 7051 JOHNSTON RD OKMULGEE, OK 74447 | AFLAC | $2K | $68 | $2K | 8.75% |
| MICHAEL ARTHUR KIRK3 Filed as: MICHAEL KIRK | 4150 S 100TH EAST AVE STE 210 TULSA, OK 74146 | AFLAC | $350 | — | $350 | 1.80% |
| TRAVIS HURT3 | 18446 S 154TH EAST AVE BIXBY, OK 74008 | AFLAC | $221 | $11 | $232 | 1.19% |
| MICHAEL ARTHUR KIRK3 Filed as: MICHAEL KIRK | 4150 S 100TH EAST AVE STE 101 TULSA, OK 74146 | AFLAC | $178 | $14 | $192 | 0.99% |
| SUMMIT FINANCIAL GROUP INC.3 Filed as: SUMMIT FINANCIAL GROUP INC | 1350 S BOULDER AVE STE 300 TULSA, OK 74119 | AFLAC | $143 | — | $143 | 0.74% |
| KELLI R CAROTHERS3 Filed as: KELLI CAROTHERS | 7310 E 76TH ST TULSA, OK 74133 | AFLAC | $78 | $28 | $106 | 0.55% |
| TAMARA M BEAM3 Filed as: TAMARA BEAM | 14106 E 492 RD CLAREMORE, OK 74019 | AFLAC | $78 | $28 | $106 | 0.55% |
| SANDRA MATHIS3 | 14911 S 4220 RD CLAREMORE, OK 74017 | AFLAC | $87 | — | $87 | 0.45% |
| IAGENTTCB LLC3 | 14911 S 4220 RD CLAREMORE, OK 74017 | AFLAC | $49 | — | $49 | 0.25% |
| JUSTIN CARROLL3 | 5746 E SKELLY DR TULSA, OK 74135 | AFLAC | $31 | $11 | $42 | 0.22% |
| TIMOTHY W WORTHY JR3 Filed as: TIMOTHY WORTHY | 2929 W MAIN ST DURANT, OK 74701 | AFLAC | $32 | — | $32 | 0.16% |
| TIMOTHY W WORTHY JR3 Filed as: TIMOTHY WORTHY JR | 2929 W MAIN ST DURANT, OK 74701 | AFLAC | $25 | — | $25 | 0.13% |
| LARRY D DENNY3 Filed as: LARRY DENNY | PO BOX 306 WETUMKA, OK 74883 | AFLAC | $21 | — | $21 | 0.11% |
| JOHN A WILLIAMS COMPANY INC3 | 20316 N COUNTY ROAD 3240 PAULS VALLEY, OK 73075 | AFLAC | $19 | — | $19 | 0.10% |
| KELLY A JONES3 Filed as: KELLY JONES | 1512 MELMART DR BARTLESVILLE, OK 74006 | AFLAC | $14 | — | $14 | 0.07% |
| KELLY A JONES3 Filed as: KELLY JONES | 3144 DEBBIE LN BARTLESVILLE, OK 74006 | AFLAC | $11 | — | $11 | 0.06% |
| DARREN WARREN3 | 13504 N 2320 RD GOTEBO, OK 73041 | AFLAC | $9 | — | $9 | 0.05% |
| JUSTIN CARROLL3 | 25415 S HARVARD PLACE APT B TULSA, OK 74114 | AFLAC | $5 | — | $5 | 0.03% |
| MOFFATT DESIGNS LLC3 | 1221 LAMPLIGHTER LN EDMOND, OK 73034 | AFLAC | $3 | — | $3 | 0.02% |
| PAUL B BROUCHOUD3 Filed as: PAUL BROUCHOUD | 604 MARK DR DEL CITY, OK 73115 | AFLAC | $3 | — | $3 | 0.02% |
| SHANE M OWEN3 Filed as: SHANE OWEN | 3000 UNITED FOUNDERS BLVD STE 100 OKLAHOMA CITY, OK 73112 | AFLAC | $1 | — | $1 | 0.01% |
| EDWARD A HALL JR3 Filed as: EDWARD HALL JR | 2224 WOODMARSH CIRCLE AUBURN, GA 30011 | AFLAC | $1 | — | $1 | 0.01% |
| JARRELL K PRENTICE3 Filed as: JARRELL PRENTICE | 1113 EAST DR EDMOND, OK 73034 | AFLAC | $1 | — | $1 | 0.01% |
| JUSTIN CARROLL3 | 6018 S 73RD EAST AVE TULSA, OK 74145 | AFLAC | $1 | — | $1 | 0.01% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES, INC | 615 E BRITTON RD OKLAHOMA CITY, OK 731147710 | VSP | $899 | — | $899 | 6.36% |
| KEVIN PETERSON3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $369 | — | $369 | 7.39% |
| KRISTIN J QUINLAN3 Filed as: KRISTIN BURGMIER | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $184 | — | $184 | 3.69% |
| JIMMY D BOONE3 Filed as: JIMMY CHAVEZ | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $109 | — | $109 | 2.18% |
| SUMMER L CAIN3 Filed as: SUMMER ALDRIDGE | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $9 | — | $9 | 0.18% |
| KIMBERLY FERGUSON3 Filed as: KIMBERLY SHALEUHY | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $1 | — | $1 | 0.02% |
| STEVEN WILSON3 | 1304 NW 181ST STREET EDMOND, OK 73012 | COLONIAL LIFE &ACCIDENT INSUR. CO. | $3 | — | $3 | 0.63% |
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 | 144 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 144 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED HEALTHCARE | 144 | $413K |
| Vision | VSP | 98 | $14K |
| Life insurance(3 contracts, 3 carriers) | AFLAC | 20 | $25K |
| Other | AFLAC | 20 | $19K |
| 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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.