| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BANCFIRST INSURANCE SERVICES, INC.3 Filed as: BANCFIRST INSURANCE SERVICES INC | 5591 SOUTH LEWIS ST TULSA, OK 741050000 | UNITED OF OMAHA LIFE INSURANCE CO | $71K | $8K | $79K | 16.58% |
| BANCFIRST INSURANCE SERVICES, INC.3 | 5591 S LEWIS AVE TULSA, OK 741057132 | VISION SERVICE PLAN | $8K | — | $8K | 5.00% |
| BANCFIRST INSURANCE SERVICES, INC.3 Filed as: BANCFIRST INSURANCE SERVICES INC | 5591 SOUTH LEWIS ST TULSA, OK 741050000 | UNITED OF OMAHA LIFE INSURANCE CO | $24K | $5K | $29K | 18.02% |
| BANCFIRST INS SERVICES INC3 | 5591 S LEWIS AVE TULSA, OK 74105 | AMERICAN FIDELITY ASSURANCE COMPANY | $23K | — | $23K | 15.01% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY | -$790 | — | -$790 | -0.51% |
| BANCFIRST INS SERVICES INC3 | 55891 S LEWIS AVE TULSA, OK 74105 | AMERICAN FIDELITY INSURANCE COMPANY | $14K | — | $14K | 10.00% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY INSURANCE COMPANY | -$401 | — | -$401 | -0.29% |
| BANCFIRST INSURANCE SERVICES, INC.3 Filed as: BANCFIRST INSURANCE SERVICES INC | 5591 SOUTH LEWIS ST TULSA, OK 741050000 | UNITED OF OMAHA LIFE INSURANCE CO. | $16K | $3K | $19K | 15.88% |
| BANCFIRST INS SERVICES INC3 | 5591 S LEWIS AVE TULSA, OK 74105 | AMERICAN FIDELITY ASSURANCE COMPANY | $4K | — | $4K | 10.00% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY | -$1K | — | -$1K | -3.43% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| COMMERCIAL GROUP INTERMEDIARIES INC NONE | Insurance services Service code 23 | 16 EXECUTIVE CT. STE 4 SOUTH BARRINGTON, IL 60010 | $262K |
| KEMPTON GROUP ADMINISTRATORS INC NONE | Consulting (general) Service code 16 | 13431 N. BROADWAY EST STE 130 OKLAHOMA CITY, OK 73114 | $157K |
| MCQUEARY HENRY BOWLES & TROY EIN 27-3931488 NONE | Consulting (general) Service code 16 | 8144 WALMUT HILL LN FLOOR 16 DALLAS, TX 75231 | $48K |
| FINLEY & COOK, PLLC EIN 73-0604334 NONE | Accounting (including auditing) Service code 10 | 1421 E. 45TH STREET SHAWNEE, OK 74804 | $12K |
| BANCFIRST EIN 73-1221379 TRUST DEPARTMENT | Investment advisory (participants) Service code 26 | PO BOX 26788 OKLAHOMA CITY, OK 73126 | $5K |
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 | 1,327 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 12 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 5 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,344 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD | 2,581 | $10.4M |
| Dental | BLUE CROSS BLUE SHIELD | 2,581 | $10.4M |
| Vision | VISION SERVICE PLAN | 1,151 | $163K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE CO | 1,401 | $595K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE CO | 1,413 | $161K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD | 2,581 | $10.4M |
| Other(4 contracts, 3 carriers) | AMERICAN FIDELITY ASSURANCE COMPANY | 1,401 | $450K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,581 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.