| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DANNY WILLIAM CROSS3 | 516 SUNSET PLACE CHARLES CITY, IA 50616 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $11K | — | $11K | 20.00% |
| DANNY WILLIAM CROSS3 | 516 SUNSET PLACE CHARLES CITY, IA 50616 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $7K | — | $7K | 20.00% |
| CPI INSURANCE SERVICES3 | 2860 MICHELLE SUITE 150 IRVINE, CA 92606 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| DANNY WILLIAM CROSS3 | 516 SUNSET PLACE CHARLES CITY, IA 50616 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| APRIL MARIE HUDGENS3 | PO BOX 450053 GROVE, OK 74345 | AFLAC | $471 | — | $471 | 2.86% |
| M JOANNE BLEVINS3 | PO BOX 1436 MIAMI, OK 74355 | AFLAC | $214 | — | $214 | 1.30% |
| DEREK J COMAGES3 | 416610 EDGEWATER CHECOTAH, OK 74426 | AFLAC | $163 | — | $163 | 0.99% |
| MICHAEL ARTHUR KIRK3 | 8401 S 4TH STREET BROKEN ARROW, OK 74011 | AFLAC | $130 | — | $130 | 0.79% |
| TRAVIS D HURT3 | 18446 S 154TH EAST AVENUE BIXBY, OK 74008 | AFLAC | $128 | — | $128 | 0.78% |
| SHIRLEY A BAZAY3 | 17460 I-35 N SUITE 430 #137 SCHERT, TX 78154 | AFLAC | $118 | — | $118 | 0.72% |
| GENA GRACE QUARANTELLO3 | 12962 E VISTAPARK DR MOORPARK, CA 93021 | AFLAC | $118 | — | $118 | 0.72% |
| JAMES D GRACE3 | 4401 HIGHLAND HILLS DRIVE NORMAN, OK 73026 | AFLAC | $76 | — | $76 | 0.46% |
| DARREN R WARREN3 | 13504 N 2320 ROAD GOTEBO, OK 73041 | AFLAC | $67 | — | $67 | 0.41% |
| IAGENTTCB LLC3 | 14911 S 4220 ROAD CLAREMORE, OK 74017 | AFLAC | $64 | — | $64 | 0.39% |
| KELLI R CAROTHERS3 Filed as: KELLI CAROTHERS | 7310 E 76TH ST TULSA, OK 74133 | AFLAC | $62 | — | $62 | 0.38% |
| JOHN ROBERT DE LARIOS3 | 119 TAMARACK CV HOLLY LAKE RANCH, TX 75765 | AFLAC | $55 | — | $55 | 0.33% |
| LARRY D DENNY3 | PO BOX 306 WETUMKA, OK 74883 | AFLAC | $53 | — | $53 | 0.32% |
| LINDA M SMITH3 | PO BOX 451736 GROVE, OK 74345 | AFLAC | $51 | — | $51 | 0.31% |
| ELAINE HAMMAR3 | 7922 S 78TH EAST AVENUE TULSA, OK 74133 | AFLAC | $46 | — | $46 | 0.28% |
| DAVID L DEARDORFF3 | 1719 NW 7TH PLACE CAPE CORAL, FL 33993 | AFLAC | $19 | — | $19 | 0.12% |
| LESTER RAY BLACKSHEAR3 | 9192 SE 168TH COOK PLACE THE VILLAGES, FL 32162 | AFLAC | $18 | — | $18 | 0.11% |
| LESLIE J BAILEY3 | 4234 N PORTAGE AVE MERIDIAN, ID 83646 | AFLAC | $14 | — | $14 | 0.08% |
| JOHN N KARR3 | 907 S DETROIT AVE SUITE 905 TULSA, OK 74120 | AFLAC | $11 | — | $11 | 0.07% |
| CARL CLARK3 | 1410 CEDAR ST BARTLESVILLE, OK 74006 | AFLAC | $11 | — | $11 | 0.07% |
| HAL W MOFFATT3 | 1221 LAMPLIGHTER LANE EDMOND, OK 73034 | AFLAC | $4 | — | $4 | 0.02% |
| JARRELL K PRENTICE3 | 1113 EAST DRIVE EDMOND, OK 73034 | AFLAC | $4 | — | $4 | 0.02% |
| LINDA F BENGE3 | 7434 E 83RD PLACE TULSA, OK 74133 | AFLAC | $3 | — | $3 | 0.02% |
| STEPHEN W SIMPSON3 | 540 CELTIC CT EDMOND, OK 73025 | AFLAC | $3 | — | $3 | 0.02% |
| SHANE M OWEN3 | 8413 NW 106TH ST OKLAHOMA CITY, OK 73162 | AFLAC | $3 | — | $3 | 0.02% |
| JOHN A WILLIAMS COMPANY INC3 | 20316 N COUNTY ROAD 3240 PAULS VALLEY, OK 73075 | AFLAC | $2 | — | $2 | 0.01% |
| EDWARD A HALL JR3 | 2224 WOODMARSH CIRCLE AUBURN, GA 30011 | AFLAC | $2 | — | $2 | 0.01% |
| DOUGLAS E FOX3 | 6836 THAYER LAKE DR ALDEN, MI 49612 | AFLAC | $2 | — | $2 | 0.01% |
| JAMES D DUDLEY3 | 1355 LYNNFIELD ROAD SUITE 259 MEMPHIS, TN 38119 | AFLAC | $1 | — | $1 | 0.01% |
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 | 181 | 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. |
| Total participants (= "Plan participants" tile) | 181 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 195 | $75K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 52 | $37K |
| Other(3 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 195 | $91K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 195 | — |
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.