| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INSERVICES, LLC3 Filed as: INSERVICES INC | PO BOX 1669 ENID, OK 73702 | AETNA LIFE INSURANCE CO. | $10K | — | $10K | 9.11% |
| INSURICA, INC.3 Filed as: INSURICA INC. | 406 S BOULDER AVE SUITE 500 TULSA, OK 74103 | AETNA LIFE INSURANCE CO. | $7K | — | $7K | 6.24% |
| INSERVICES, LLC3 Filed as: INSERVICES LLC | DBA DILLINGHAM INSURANCE PO BOX 1669 ENID, OK 73702 | DELTA DENTAL | $5K | — | $5K | 6.57% |
| INSURICA, INC.3 Filed as: INSURICA INC | 5100 N CLASSEN BLVD STE 300 OKLAHOMA CITY, OK 73118 | DELTA DENTAL | $3K | — | $3K | 3.44% |
| INSURICA, INC.3 Filed as: INSURICA INC | 5100 N CLASSEN BLVD STE 300 OKLAHOMA CITY, OK 731185263 | VISION SERVICE PLAN | $690 | — | $690 | 2.70% |
| INSERVICES, LLC3 | PO BOX 1669 ENDI, OK 737021669 | VISION SERVICE PLAN | $582 | — | $582 | 2.28% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| INSERVICES INC BROKER | Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | PO BOX 1669 ENID, OK 73702 | $33K |
| INSURICA INC BROKER | Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | 406 S BOULDER AVE SUITE 500 TULSA, OK 74103 | $25K |
| INSERVICES INC. EIN 73-1396387 BROKER | Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | — | $0 |
| INSURICA INC. EIN 73-0687265 BROKER | Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $0 |
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 | 204 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 204 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO | 217 | $1.1M |
| Dental | DELTA DENTAL | 138 | $76K |
| Vision | VISION SERVICE PLAN | 116 | $26K |
| Life insurance | AETNA LIFE INSURANCE CO. | 204 | $112K |
| Short-term disability | AETNA LIFE INSURANCE CO. | 204 | $112K |
| Other | AETNA LIFE INSURANCE CO. | 204 | $112K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 217 | — |
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.