| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MELISSA S PARCHMAN LLC3 | 1914 W C ST. JENKS, OK 740372367 | BLUECROSS BLUESHIELD OF OKLAHOMA | $18K | — | $18K | 4.90% |
| MELISSA S PARCHMAN LLC3 Filed as: MELISSA S. PARCHMAN, LLC | 1419 S UTICA TULSA, OK 74104 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $8K | — | $8K | 6.97% |
| MICHAEL ARTHUR KIRK3 | 4150 S 100TH EAST AVE STE 101 TULSA, OK 74146 | AFLAC | $2K | $38 | $2K | 18.29% |
| MELISSA S PARCHMAN LLC3 | 1914 W C ST JENKS, OK 74037 | AFLAC | $937 | $0 | $937 | 8.15% |
| ASHLEY LOVELADY3 | 6608 E 578 LOCUST GROVE, OK 74352 | AFLAC | $165 | $49 | $214 | 1.86% |
| COREY MACINTYRE3 | 4408 W INDIANOLA ST BROKEN ARROW, OK 74012 | AFLAC | $103 | $5 | $108 | 0.94% |
| ALISA F HALL3 | 4989 S 72ND EAST AVE APT B TULSA, OK 74145 | AFLAC | $78 | $14 | $92 | 0.80% |
| TRAVIS D HURT3 | 18446 S 154TH EAST AVE BIXBY, OK 74008 | AFLAC | $74 | $11 | $85 | 0.74% |
| NANCY K BLOCKER3 Filed as: NANCY K MACKEY | 1919 E 35TH PL TULSA, OK 74105 | AFLAC | $57 | — | $57 | 0.50% |
| HAYS COMPANIES, INC.3 Filed as: CHRISTINE M HAYS | 5536 S BIRMINGHAM AVE TULSA, OK 74105 | AFLAC | $53 | — | $53 | 0.46% |
| MARK MCDANIEL3 | 11928 HIGHWAY 62 FORT GIBSON, OK 74434 | AFLAC | $41 | — | $41 | 0.36% |
| LANCE J MILLER3 | 17133 KNOLL DALE TRL CONROE, TX 77385 | AFLAC | $35 | — | $35 | 0.30% |
| LISA KAY HANNA3 | PO BOX 168 WARNER, OK 74469 | AFLAC | $33 | — | $33 | 0.29% |
| KELLY A JONES3 | 3114 DEBBIE LN BARTLESVILLE, OK 74006 | AFLAC | $23 | — | $23 | 0.20% |
| JOHN N KARR3 | 202 N ARMSTRONG ST BIXBY, OK 74008 | AFLAC | $19 | — | $19 | 0.17% |
| DAVID L DEARDORFF3 | 9083 E 138TH ST S BIXBY, OK 74008 | AFLAC | $18 | — | $18 | 0.16% |
| HAYS COMPANIES, INC.3 Filed as: MICHAEL P HAYS | 5536 S BIRMINGHAM AVE TULSA, OK 74105 | AFLAC | $17 | — | $17 | 0.15% |
| KELLY A JONES3 | 1512 MELMART DR BARTLESVILLE, OK 74006 | AFLAC | $17 | — | $17 | 0.15% |
| LARRY D DENNY3 | PO BOX 306 WETUMKA, OK 74883 | AFLAC | $11 | — | $11 | 0.10% |
| JOHN A WILLIAMS COMPANY INC3 | 20316N COUNTY ROAD 3240 PAULS VALLEY, OK 73075 | AFLAC | $9 | — | $9 | 0.08% |
| MOFFATT DESIGNS LLC3 | 1221 LAMPLIGHTER LN EDMOND, OK 73034 | AFLAC | $4 | — | $4 | 0.03% |
| SHANE M OWEN3 | 3000 UNITED FOUNDERS BLVD STE 100 OKLAHOMA CITY, OK 73112 | AFLAC | $3 | — | $3 | 0.03% |
| DARREN R WARREN3 | 13504 N 2320 RD GOTEBO, OK 73041 | AFLAC | $3 | — | $3 | 0.03% |
| JOSHUA C ROLAN3 | 704 SEMINOLE DR PAULS VALLEY, OK 73075 | AFLAC | $1 | — | $1 | 0.01% |
| PAUL B BROUCHOUD3 | 604 MARK DR DEL CITY, OK 73115 | AFLAC | $1 | — | $1 | 0.01% |
| JARRELL K PRENTICE3 | 1113 EAST DR EDMOND, OK 73034 | AFLAC | $1 | — | $1 | 0.01% |
| WILLIAM D STAEDKE3 | PO BOX 140803 BROKEN ARROW, OK 74014 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $582 | $350 | $932 | 8.69% |
| SHANNON MARIE BALDWIN3 | 10222 E 114TH ST S BIXBY, OK 74008 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $649 | $228 | $877 | 8.17% |
| INTERNATIONAL INSURNACE BROKERS LTD3 | P.O. BOX 35487 TULSA, OK 74153 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $378 | — | $378 | 3.52% |
| MELISSA S PARCHMAN LLC3 | 1914 WEST C STREET JENKS, OK 74037 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $314 | — | $314 | 2.93% |
| KELLY W PUGH3 | 7367 S 286TH EAST AVE BROKEN ARROW, OK 74014 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $195 | $105 | $300 | 2.80% |
| MELISSA S PARCHMAN LLC3 Filed as: MELISSA S PARCHMAN, LLC | 1914 W C ST. JENKS, OK 740372367 | UNITEDHEALTHCARE INSURANCE COMPANY | $0 | $4K | $4K | 485.83% |
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 | 162 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 163 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUECROSS BLUESHIELD OF OKLAHOMA | 214 | $378K |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 168 | $121K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 168 | $121K |
| Life insurance(2 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 168 | $132K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 34 | $22K |
| Other(3 contracts, 3 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 168 | $144K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 214 | — |
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.