| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 2100 ROSS AVENUE STE 1200 DALLAS, TX 75201 | ZURICH AMERICAN INSURANCE COMPANY | — | $10K | $10K | 5.00% |
| APRIL MARIE HUDGENS3 | PO BOX 450053 GROVE, OK 74345 | AFLAC | $1K | — | $1K | 2.38% |
| M JOANNE BLEVINS3 | PO BOX 1436 MIAMI, OK 74355 | AFLAC | $989 | — | $989 | 2.00% |
| TRAVIS D HURT3 | 18446 S 154TH EAST AVE BIXBY, OK 74008 | AFLAC | $615 | — | $615 | 1.25% |
| MICHAEL ARTHUR KIRK3 | 9726 E 42ND ST STE 201 TULSA, OK 74146 | AFLAC | $603 | — | $603 | 1.22% |
| SHIRLEY A BAZAY3 | 5150 BROADWAY ST 156 SAN ANTONIO, TX 78209 | AFLAC | $358 | — | $358 | 0.73% |
| GENA GRACE QUARANTELLO3 | 12962 E VISTAPARK DR MOORPARK, CA 93021 | AFLAC | $349 | — | $349 | 0.71% |
| IAGENTTCB LLC3 | 14911 S 4220 RD CLAREMORE, OK 74017 | AFLAC | $342 | — | $342 | 0.69% |
| JOHN ROBERT DE LARIOS3 | 4306 W TOLEDO CT BROKEN ARROW, OK 74012 | AFLAC | $328 | — | $328 | 0.66% |
| DARREN R WARREN3 | 13504 N 2320 RD GOTEBO, OK 73041 | AFLAC | $310 | — | $310 | 0.63% |
| LARRY D DENNY3 | PO BOX 306 WETUMKA, OK 74883 | AFLAC | $222 | — | $222 | 0.45% |
| DEREK J COMAGES3 | 631-5 HC 60 BOX CHECOTAH, OK 74426 | AFLAC | $201 | — | $201 | 0.41% |
| KELLI R CAROTHERS3 | 7310 E 76TH ST TULSA, OK 74133 | AFLAC | $111 | — | $111 | 0.22% |
| LINDA M SMITH3 | PO BOX 451736 GROVE, OK 74345 | AFLAC | $109 | — | $109 | 0.22% |
| LYNDA F BENGE3 | 7434 E 83RD PLACE TULSA, OK 74133 | AFLAC | $102 | — | $102 | 0.21% |
| ELAINE HAMMAR3 | 7922 S 78TH EAST AVE TULSA, OK 74133 | AFLAC | $73 | — | $73 | 0.15% |
| LESLIE J BAILEY3 | 4234 N PORTAGE AVE MERIDIAN, ID 83646 | AFLAC | $48 | — | $48 | 0.10% |
| LESTER RAY BLACKSHEAR3 | 8545 SW 86TH TER OCALA, FL 34481 | AFLAC | $48 | — | $48 | 0.10% |
| DAVID L DEARDORFF3 | 9083 E 138TH ST S BIXBY, OK 74008 | AFLAC | $37 | — | $37 | 0.07% |
| CARL CLARK3 | 1410 CEDAR ST BARTLESVILLE, OK 74006 | AFLAC | $21 | — | $21 | 0.04% |
| JOHN A WILLIAMS COMPANY INC3 | 20316 N COUNTY ROAD 3240 PAULS VALLEY, OK 73075 | AFLAC | $19 | — | $19 | 0.04% |
| GENA G QUARANTELLO3 | 12962 E VISTAPARK DR MOORPARK, CA 93021 | AFLAC | $17 | — | $17 | 0.03% |
| DOUGLAS E FOX3 | 735 S GARFIELD AVE STE 203 TRAVERSE CITY, MI 49686 | AFLAC | $7 | — | $7 | 0.01% |
| JARRELL K PRENTICE3 | 1113 EAST DR EDMOND, OK 73034 | AFLAC | $3 | — | $3 | 0.01% |
| MOFFATT DESIGNS LLC3 | 1221 LAMPLIGHTER LANE EDMOND, OK 73034 | AFLAC | $3 | — | $3 | 0.01% |
| EDWARD A HALL JR3 | 15 VILLAGE PARK DR NEWNAN, GA 30265 | AFLAC | $2 | — | $2 | 0.00% |
| SHANE M OWEN3 | 3000 UNITED FOUNDERS BLVD STE 248 OKLAHOMA CITY, OK 73112 | AFLAC | $2 | — | $2 | 0.00% |
| STEPHEN W SIMPSON3 | 541 CONQUISTADOR CT EDMOND, OK 73025 | AFLAC | $1 | — | $1 | 0.00% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | PO BOX 843844 KANSAS CITY, MO 641843844 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $907 | $395 | $1K | 8.45% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UMR, INC EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | 11 SCOTT STREET 715-841-7709 WAUSAU, WI 54403 | $95K |
| SCRIPT CARE, LTD EIN 76-0621375 RX ADMINISTRATOR | Contract Administrator; Claims processing Service code 12 | 444 W 47TH STREET, SUITE 600 KANSAS CITY, MO 641121906 | $9K |
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 | 154 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 154 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ZURICH AMERICAN INSURANCE COMPANY | 153 | $195K |
| Dental | ZURICH AMERICAN INSURANCE COMPANY | 153 | $195K |
| Vision | ZURICH AMERICAN INSURANCE COMPANY | 153 | $195K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 164 | $15K |
| Stop-loss / reinsurancereinsurance | ZURICH AMERICAN INSURANCE COMPANY | 153 | $195K |
| Other(2 contracts, 2 carriers) | AFLAC | 164 | $65K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 164 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.