| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SUMMIT FINANCIAL GROUP INC.3 | 1350 S BOULDER SUITE 300 TULSA, OK 74119 | BLUE CROSS BLUE SHIELD OF OKLAHOMA | $20K | $17 | $20K | 0.53% |
| IMPERIAL GROUP, INC.3 Filed as: IMPERIAL, LLC | 2020 NORTH MINGO ROAD TULSA, OK 74116 | BLUE CROSS BLUE SHIELD OF OKLAHOMA | $0 | $13 | $13 | 0.00% |
| SUMMIT FINANCIAL GROUP INC.3 Filed as: SUMMIT FINANCIAL GROUP | 1350 S BOULDER AVE SUITE 300 TULSA, OK 74119 | DEARBORN LIFE INSURANCE COMPANY | $30K | $0 | $30K | 13.83% |
| COREY MACINTYRE3 | 4334 S 173RD EAST AVE. TULSA, OK 74134 | AFLAC | $7K | $397 | $7K | 10.66% |
| ZACHARY EVERETT3 | 300 RIVERWALK TER. STE 260 JENKS, OK 74037 | AFLAC | $539 | $119 | $658 | 0.99% |
| TRAVIS D HURT3 | 18446 S 154TH EAST AVE BIXBY, OK 74008 | AFLAC | $615 | $0 | $615 | 0.93% |
| HANNAH BRIGHT3 | 7703 S YALE AVE. APT 711 TULSA, OK 74136 | AFLAC | $215 | $60 | $275 | 0.41% |
| DIANNA L YINGST3 | 8721 S 200TH EAST AVE. BROKEN ARROW, OK 74014 | AFLAC | $188 | $57 | $245 | 0.37% |
| JANET ROSS3 | 320 N FENWAY AVE. BARTLESVILLE, OK 74006 | AFLAC | $144 | $0 | $144 | 0.22% |
| RONALD C BAXTER3 | 315 BELLE LN SAPULPA, OK 74066 | AFLAC | $142 | $0 | $142 | 0.21% |
| MONIKA MACINTYRE3 | 4334 S 173RD EAST AVE. TULSA, OK 74134 | AFLAC | $122 | $12 | $134 | 0.20% |
| NOEL MALAN3 | 11655 S 75TH EAST AVE. BIXBY, OK 74008 | AFLAC | $82 | $0 | $82 | 0.12% |
| SHERON HARP3 Filed as: SHERON K HARP | 2816 N THOMPSON ST. SPRINGDALE, AR 72764 | AFLAC | $53 | $0 | $53 | 0.08% |
| TINA MARIE CUNNINGHAM3 | 725 E 3RD ST CHERRYVALE, KS 67335 | AFLAC | $51 | $0 | $51 | 0.08% |
| CAROL A BAXTER3 | 315 BELLE LN SAPULPA, OK 74066 | AFLAC | $39 | $0 | $39 | 0.06% |
| KIMBERLY DEWINTER3 Filed as: KIMBERLY A DEWITTE | 2514 62ND AVE W MILAN, IL 61264 | AFLAC | $37 | $0 | $37 | 0.06% |
| JO LYNN STANDROD3 | 12 W MAPLE ST. FAYETTEVILLE, AR 72701 | AFLAC | $34 | $0 | $34 | 0.05% |
| JOSHUA C LAWHORN3 | 3717 19TH AVE. MOLINE, IL 61265 | AFLAC | $33 | $0 | $33 | 0.05% |
| KELLY A JONES3 Filed as: KELLY A JONES MORRIS | 1512 MELMART DR. BARTLESVILLE, OK 74006 | AFLAC | $33 | $0 | $33 | 0.05% |
| TINA M LASSUY3 | 5312 11TH AVE. A MOLINE, IL 61265 | AFLAC | $24 | $0 | $24 | 0.04% |
| CAMMIE HARP SCOTT3 | 2816 N THOMPSON ST. SPRINGDALE, AR 72764 | AFLAC | $21 | $0 | $21 | 0.03% |
| LARRY D DENNY3 | PO BOX 306 WETUMKA, OK 74883 | AFLAC | $20 | $0 | $20 | 0.03% |
| DARREN R WARREN3 | 13504 N 2320 RD. GOTEBO, OK 73041 | AFLAC | $19 | $0 | $19 | 0.03% |
| MICHAEL J SKOFF3 | 815 N CHURCH ST. ROCKFORD, IL 61103 | AFLAC | $15 | $0 | $15 | 0.02% |
| MICHAEL STANDROD3 Filed as: MICHAEL L STANDROD | PO BOX 731 FAYETTEVILLE, AR 72702 | AFLAC | $14 | $0 | $14 | 0.02% |
| JULIAN DUARTE3 | 412 N MYRTLE ST. EUREKA, KS 67045 | AFLAC | $13 | $0 | $13 | 0.02% |
| BILLY DALE ELKINS3 | 1024 BOURLAND RD. KELLER, TX 76248 | AFLAC | $11 | $0 | $11 | 0.02% |
| JOHN ROBERT DE LARIOS3 | 119 TAMARACK CV HOLLY LAKE RANCH, TX 75765 | AFLAC | $10 | $0 | $10 | 0.02% |
| PAMELA KAY EASTER3 | 25195 SUMAC RD. ORONOGO, MO 64855 | AFLAC | $6 | $0 | $6 | 0.01% |
| JOHN A WILLIAMS COMPANY INC3 Filed as: JOHN A WILLIAMS | 20316 N COUNTY ROAD 3240 PAULS VALLEY, OK 73075 | AFLAC | $5 | $0 | $5 | 0.01% |
| WILLIAM D WENBERG3 | 13024 STACY LANE LITTLE ROCK, AR 72211 | AFLAC | $5 | $0 | $5 | 0.01% |
| JOHN A WILLIAMS COMPANY INC3 Filed as: JOHN A WILLIAMS COMPANY INC. | 20316 N COUNTY RD. 3240 PAULS VALLEY, OK 73075 | AFLAC | $3 | $0 | $3 | 0.00% |
| HAL W MOFFATT3 | 1221 LAMPLIGHTER LN. EDMOND, OK 73034 | AFLAC | $3 | $0 | $3 | 0.00% |
| JOSHUA C ROLAN3 | 704 SEMINOLE DR. PAULS VALLEY, OK 73075 | AFLAC | $2 | $0 | $2 | 0.00% |
| PAUL B BROUCHOUD3 | 604 MARK DR. DEL CITY, OK 73115 | AFLAC | $2 | $0 | $2 | 0.00% |
| SHANE M OWEN3 | 8413 NW 106TH ST. OKLAHOMA CITY, OK 73162 | AFLAC | $1 | $0 | $1 | 0.00% |
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 | 418 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 420 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF OKLAHOMA | 611 | $3.7M |
| Dental | BLUE CROSS BLUE SHIELD OF OKLAHOMA | 611 | $3.7M |
| Vision | DEARBORN LIFE INSURANCE COMPANY | 792 | $217K |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 792 | $217K |
| Short-term disability | DEARBORN LIFE INSURANCE COMPANY | 792 | $217K |
| Long-term disability | DEARBORN LIFE INSURANCE COMPANY | 792 | $217K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF OKLAHOMA | 611 | $3.7M |
| Other(2 contracts, 2 carriers) | DEARBORN LIFE INSURANCE COMPANY | 792 | $284K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 792 | — |
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.