| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RELATION INSURANCE SERVICES OF CA Filed as: RELATION INSURANCE SERVICES, INC. | DBA PAN AMERICAN INS SERVICES 10425 S 82ND EAST AVENUE STE 110 TULSA, OK 741337097 | BLUE CROSS BLUE SHIELD OF OKLAHOMA | $20K | $1K | $21K | 5.31% |
| RELATION INSURANCE SERVICES OF CA3 Filed as: RELATION INSURANCE SERVICES INC. | PREMIUM CONSULTING PARTNERS 2290 HUNTINGTON DR STE 200 SAN MARINO, CA 911082639 | PRINCIPAL LIFE INSURANCE COMPANY | $12K | — | $12K | 16.48% |
| RANDALL E GRAVES | 9212 RAVEN AVENUE OKLAHOMA CITY, OK 73132 | NATIONAL UNION FIRE INSURANCE CO. OF PITTSBURGH, PA | $200 | — | $200 | 14.97% |
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 | 0 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS & BLUE SHIELD OF OKLAHOMA | 349 | $1.9M |
| Dental | BLUE CROSS BLUE SHIELD OF OKLAHOMA | 343 | $404K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 247 | $70K |
| Short-term disability(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 247 | $71K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 247 | $70K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 349 | — |
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."
No prospect flags tripped on this filing.