| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EMPLOYEE BENEFITS ADVANTAGE LLC3 | 1605 S EUCALYPTUS AVE STE 105 BROKEN ARROW, OK 740125996 | BLUE CROSS BLUE SHIELD OF OKLAHOMA | $71K | — | $71K | 4.99% |
| EMPLOYEE BENEFITS ADVANTAGE LLC3 Filed as: EMPLOYEE BENEFITS ADVANTAGE | 1605 S EUCALYPTUS AVE STE 105 BROKEN ARROW, OK 740125996 | VISION SERVICE PLAN | $2K | — | $2K | 4.14% |
| EMPLOYEE BENEFITS ADVANTAGE LLC3 | 1605 S EUCALYPTUS AVE STE 105 BROKEN ARROW, OK 74012 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $56 | $5K | 15.18% |
| EMPLOYEE BENEFITS ADVANTAGE LLC3 | 1605 S EUCALYPTUS SUITE 105 BROKEN ARROW, OK 74012 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $871 | — | $871 | 13.81% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 606036115 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $50 | $50 | 0.79% |
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 | 135 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 137 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF OKLAHOMA | 320 | $1.4M |
| Vision | VISION SERVICE PLAN | 132 | $39K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 139 | $6K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 137 | $30K |
| Other | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 139 | $6K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 320 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.