| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 | 1300 S MAIN ST TULSA, OK 741193218 | BLUE CROSS BLUE SHIELD | $35K | — | $35K | 5.60% |
| BRENDA FREEMAN3 | 7051 JOHNSTON RD OKMULGEE, OK 74447 | AFLAC | $2K | $56 | $2K | 8.68% |
| MICHAEL ARTHUR KIRK3 Filed as: MICHAEL KIRK | 8401 S 4TH ST BROKEN ARROW, OK 74011 | AFLAC | $476 | $11 | $487 | 2.67% |
| TRAVIS HURT3 | 18446 S 154TH EAST AVE BIXBY, OK 74008 | AFLAC | $170 | — | $170 | 0.93% |
| SANDRA MATHIS3 | 14911 S 4220 RD CLAREMORE, OK 74017 | AFLAC | $133 | $6 | $139 | 0.76% |
| SUMMIT FINANCIAL GROUP INC.3 Filed as: SUMMIT FINANCIAL GROUP INC | 1350 S BOULDER AVE STE 300 TULSA, OK 74119 | AFLAC | $47 | — | $47 | 0.26% |
| IAGENTTCB LLC3 | 14911 S 4220 RD CLAREMORE, OK 74017 | AFLAC | $30 | $6 | $36 | 0.20% |
| TIMOTHY W WORTHY JR3 Filed as: TIMOTHY WORTHY | 2929 W MAIN ST DURANT, OK 74701 | AFLAC | $35 | — | $35 | 0.19% |
| TIMOTHY W WORTHY JR3 Filed as: TIMOTHY WORTHY JR | 2929 W MAIN ST DURANT, OK 74701 | AFLAC | $27 | — | $27 | 0.15% |
| KELLI R CAROTHERS3 Filed as: KELLI CAROTHERS | 7310 E 76TH ST TULSA, OK 74133 | AFLAC | $25 | — | $25 | 0.14% |
| TAMARA M BEAM3 Filed as: TAMARA BEAM | 14106 E 492 RD CLAREMORE, OK 74019 | AFLAC | $25 | — | $25 | 0.14% |
| KELLY A JONES3 Filed as: KELLY JONES MORRIS | 1512 MELMART DR BARTLESVILLE, OK 74006 | AFLAC | $22 | — | $22 | 0.12% |
| JOHN A WILLIAMS COMPANY INC3 | 20316 N COUNTY ROAD 3240 PAULS VALLEY, OK 73075 | AFLAC | $21 | — | $21 | 0.12% |
| LARRY D DENNY3 Filed as: LARRY DENNY | PO BOX 306 WETUMKA, OK 74883 | AFLAC | $17 | — | $17 | 0.09% |
| JUSTIN CARROLL3 | 25415 S HARVARD PLACE APT B TULSA, OK 74114 | AFLAC | $13 | — | $13 | 0.07% |
| DARREN WARREN3 | 13504 N 2320 RD GOTEBO, OK 73041 | AFLAC | $8 | — | $8 | 0.04% |
| PAUL B BROUCHOUD3 Filed as: PAUL BROUCHOUD | 604 MARK DR DEL CITY, OK 73115 | AFLAC | $3 | — | $3 | 0.02% |
| MOFFATT DESIGNS LLC3 | 1221 LAMPLIGHTER LN EDMOND, OK 73034 | 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% |
| SHANE M OWEN3 Filed as: SHANE OWEN | 3000 UNITED FOUNDERS BLVD STE 100 OKLAHOMA CITY, OK 73112 | AFLAC | — | — | $0 | 0.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES, INC | 615 E BRITTON RD OKLAHOMA CITY, OK 731147710 | AETNA | $930 | — | $930 | 9.13% |
| KRISTIN J QUINLAN3 Filed as: KRISTIN BURGMIER | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | — | — | $0 | — |
| JIMMY D BOONE3 Filed as: JIMMY CHAVEZ | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | — | — | $0 | — |
| KEVIN PETERSON3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | — | — | $0 | — |
| KIMBERLY FERGUSON3 Filed as: KIMBERLY SHALEUHY | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | — | — | $0 | — |
| SUMMER L CAIN3 Filed as: SUMMER ALDRIDGE | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | — | — | $0 | — |
| STEVEN WILSON3 | 1304 NW 181ST STREET EDMOND, OK 73012 | COLONIAL LIFE &ACCIDENT INSUR. CO. | — | — | $0 | — |
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 | 124 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 124 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD | 124 | $621K |
| Vision | AETNA | 142 | $10K |
| Life insurance(3 contracts, 3 carriers) | AFLAC | 16 | $18K |
| Other | AFLAC | 16 | $18K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 142 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
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.