| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEX, INC.3 | 8516 EAST 101ST STREET SUITE H TULSA, OK 74133 | COMMUNITY CARE | $84K | — | $84K | 6.48% |
| BENEX, INC.3 Filed as: BENEX, INC | 8516 EAST 101ST STREET SUITE H TULSA, OK 74133 | TRU-SERVICES | $13K | $2K | $15K | 11.13% |
| HEALTHCARE SOLUTIONS GROUP, INC.3 | PO BOX 1309 MUSKOGEE, OK 74402 | TRU-SERVICES | $7K | — | $7K | 5.06% |
| BENEX, INC.3 | 8516 EAST 101ST STREET SUITE H TULSA, OK 74133 | DELTA DENTAL OF OKLAHOMA | $5K | $12K | $17K | 14.45% |
| BENEX, INC.3 | 8516 EAST 101ST STREET SUITE H TULSA, OK 74133 | METROPOLITAN LIFE INSURANCE COMPANY-LIFE | $9K | — | $9K | 15.08% |
| BENEX, INC.3 | 8516 EAST 101ST STREET SUITE H TULSA, OK 74133 | METROPOLITAN LIFE INSURANCE COMPANY-LTD | $4K | — | $4K | 15.05% |
| BENEX, INC.3 | 8516 EAST 101ST STREET SUITE H TULSA, OK 74133 | METROPOLITAN LIFE INSURANCE COMPANY-STD | $2K | — | $2K | 8.85% |
| BENEX, INC.3 | 8516 EAST 101ST STREET SUITE H TULSA, OK 74133 | METROPOLITAN LIFE INSURANCE COMPANY-ADD | $541 | — | $541 | 15.10% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTHCARE SOLUTIONS GROUP, INC. EIN 73-1478844 PLAN SUPERVISOR | Other services Service code 49 | PO BOX 1309 MUSKOGEE, OK 74402 | $19K |
| PREMIER HEALTHCARE EXCHANGE EIN 86-1040704 PPO NETWORK | Other services Service code 49 | 2 CROSSROADS DRIVE BEDMINSTER, NJ 07921 | $4K |
| HSG CONSOLIDATED EIN 73-1478844 UTILIZATION REVIEW SERVIC | Other services Service code 49 | PO BOX 1309 MUSKOGEE, OK 74402 | $2K |
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 | 202 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | COMMUNITY CARE | 447 | $1.4M |
| Dental | DELTA DENTAL OF OKLAHOMA | 187 | $118K |
| Vision | TRU-SERVICES | 205 | $131K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY-LIFE | 403 | $59K |
| Short-term disability(2 contracts, 2 carriers) | TRU-SERVICES | 403 | $148K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY-LTD | 403 | $26K |
| Prescription drug(2 contracts, 2 carriers) | COMMUNITY CARE | 447 | $1.4M |
| Stop-loss / reinsurancereinsurance | TRU-SERVICES | 205 | $131K |
| Other(2 contracts, 2 carriers) | TRU-SERVICES | 403 | $135K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 447 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.