| 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 OF OKLAHOMA | $38K | $2K | $39K | 6.05% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC. | 1300 S MAIN ST TULSA, OK 74119 | SYMETRA LIFE INSURANCE COMPANY | $7K | — | $7K | 16.81% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: ARTHUR GALLAGHER & CO | 2850 GOLF RD 5TH FLOOR ROLLING MEADOWS, IL 60008 | SYMETRA LIFE INSURANCE COMPANY | — | $947 | $947 | 2.25% |
| BRENDA FREEMAN3 | 7051 JOHNSTON RD OKMULGEE, OK 74447 | AFLAC | $1K | $22 | $1K | 8.75% |
| MICHAEL ARTHUR KIRK3 Filed as: MICHAEL KIRK | 8401 S 4TH ST BROKEN ARROW, OK 74011 | AFLAC | $344 | $5 | $349 | 2.38% |
| TRAVIS HURT3 | 18446 S 154TH EAST AVE BIXBY, OK 74008 | AFLAC | $119 | — | $119 | 0.81% |
| SANDRA MATHIS3 | 14911 S 4220 RD CLAREMORE, OK 74017 | AFLAC | $106 | $5 | $111 | 0.76% |
| DANNY PRYOR3 | 6255 E 145TH ST N COLLINSVILLE, OK 74021 | AFLAC | $46 | — | $46 | 0.31% |
| JOHN N KARR3 | 907 S DETROIT AVE STE 905 TULSA, OK 74120 | AFLAC | $36 | — | $36 | 0.25% |
| TIMOTHY W WORTHY JR3 Filed as: TIMOTHY WORTHY | 2929 W MAIN ST DURANT, OK 74701 | AFLAC | $32 | — | $32 | 0.22% |
| IAGENTTCB LLC3 | 14911 S 4220 RD CLAREMORE, OK 74017 | AFLAC | $26 | — | $26 | 0.18% |
| TIMOTHY W WORTHY JR3 Filed as: TIMOTHY WORTHY JR | 2929 W MAIN ST DURANT, OK 74701 | AFLAC | $25 | — | $25 | 0.17% |
| JOHN A WILLIAMS COMPANY INC3 | 20316 N COUNTY ROAD 3240 PAULS VALLEY, OK 73075 | AFLAC | $20 | — | $20 | 0.14% |
| KELLY A JONES3 Filed as: KELLY JONES MORRIS | 1512 MELMART DR BARTLESVILLE, OK 74006 | AFLAC | $19 | — | $19 | 0.13% |
| LARRY D DENNY3 Filed as: LARRY DENNY | PO BOX 306 WETUMKA, OK 74883 | AFLAC | $14 | — | $14 | 0.10% |
| SUMMIT FINANCIAL GROUP INC.3 Filed as: SUMMIT FINANCIAL GROUP INC | 1350 S BOULDER AVE STE 300 TULSA, OK 74119 | AFLAC | $9 | — | $9 | 0.06% |
| DARREN WARREN3 | 13504 N 2320 RD GOTEBO, OK 73041 | AFLAC | $7 | — | $7 | 0.05% |
| KELLI R CAROTHERS3 Filed as: KELLI CAROTHERS | 7310 E 76TH ST TULSA, OK 74133 | AFLAC | $5 | — | $5 | 0.03% |
| TAMARA M BEAM3 Filed as: TAMARA BEAM | 14106 E 492 RD CLAREMORE, OK 74019 | AFLAC | $5 | — | $5 | 0.03% |
| PAUL B BROUCHOUD3 Filed as: PAUL BROUCHOUD | 604 MARK DR DEL CITY, OK 73115 | AFLAC | $3 | — | $3 | 0.02% |
| JUSTIN CARROLL3 | 25415 S HARVARD PLACE APT B TULSA, OK 74114 | AFLAC | $2 | — | $2 | 0.01% |
| 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% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES, INC | P.O. BOX 95287 CHICAGO, IL 606945287 | VISION SERVICE PLAN | $712 | — | $712 | 6.57% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC. | 1300 S MAIN ST TULSA, OK 741193218 | VISION SERVICE PLAN | $468 | — | $468 | 4.32% |
| KEVIN PETERSON3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $327 | — | $327 | 7.61% |
| KRISTIN J QUINLAN3 Filed as: KRISTIN BURGMIER | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $155 | — | $155 | 3.61% |
| JIMMY D BOONE3 Filed as: JIMMY CHAVEZ | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $36 | — | $36 | 0.84% |
| TONIA HAMMOCK3 Filed as: TONIA TILLMAN | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $36 | — | $36 | 0.84% |
| WORTHAM SAN ANTONIO INC3 Filed as: JOHN OSBORN | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $21 | — | $21 | 0.49% |
| KIMBERLY FERGUSON3 Filed as: KIMBERLY SHALEUHY | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $10 | — | $10 | 0.23% |
| SUMMER L CAIN3 Filed as: SUMMER ALDRIDGE | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $9 | — | $9 | 0.21% |
| STEVEN WILSON3 | 1304 NW 181ST STREET EDMOND, OK 73012 | COLONIAL LIFE &ACCIDENT INSUR. CO. | $4 | — | $4 | 0.91% |
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 | 119 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 119 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF OKLAHOMA | 119 | $652K |
| Vision | VISION SERVICE PLAN | 96 | $11K |
| Life insurance(4 contracts, 4 carriers) | SYMETRA LIFE INSURANCE COMPANY | 100 | $62K |
| Short-term disability | SYMETRA LIFE INSURANCE COMPANY | 100 | $42K |
| Other(2 contracts, 2 carriers) | SYMETRA LIFE INSURANCE COMPANY | 100 | $57K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 119 | — |
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.