| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HEALTHCARE SOLUTIONS GROUP, INC.4 Filed as: HEALTHCARE SOLUTIONS GROUP | 325 NORTH MAIN MUSKOGEE, OK 74401 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $265 | $0 | $265 | 0.12% |
| KEVIN S. RIBERA | 3101 BLADES CIRCLE DURANT, OK 74701 | AFLAC | $2K | $121 | $2K | 5.86% |
| REBECCA K BOXFORD Filed as: REBECCA K. BOXFORD | 5205 DUSTY LANE GRANITE FALLS, NC 28630 | AFLAC | $858 | $49 | $907 | 2.55% |
| JOSHUA WORTHY | 2929 W MAIN STREET DURANT, OK 74701 | AFLAC | $802 | $18 | $820 | 2.30% |
| TIMOTHY W WORTHY JR | 2929 W MAIN STREET DURANT, OK 74701 | AFLAC | $528 | $22 | $550 | 1.54% |
| GREGORY E DECCIO Filed as: GREGORY DECCIO | 6704 OLIVER DRIVE YAKIMA, WA 98901 | AFLAC | $342 | $0 | $342 | 0.96% |
| CHAVA REID | 2410 A N BAKER AVE EAST W ENATCHEE, WA 98802 | AFLAC | $291 | $32 | $323 | 0.91% |
| LOYTALIA RIBERA | 3101 BLADES CIRCLE DURANT, OK 74701 | AFLAC | $155 | $0 | $155 | 0.43% |
| GERALD INGRAHAM | 6 S 2ND STREET STE 718 YAKIMA, WA 98901 | AFLAC | $147 | $6 | $153 | 0.43% |
| EVAN ELDRIDGE | 3202 W UNIVERSITY BLVD DURANT, OK 74701 | AFLAC | $136 | $0 | $136 | 0.38% |
| MICHAEL A MAYER Filed as: MICHAEL MAYER | PO BOX 5625 PASCO, WA 99302 | AFLAC | $110 | $6 | $116 | 0.33% |
| RICHARD L. HARWOOD AND OTHER AGENTS Filed as: RICHARD HARWOOD | PO BOX 333 HUDSON, NC 28638 | AFLAC | $107 | $0 | $107 | 0.30% |
| JOHN MCDONNELL Filed as: JOHN WILLIAMS COMPANY INC | 20316 N COUNTY ROAD 3240 PAULS VALLEY, OK 73075 | AFLAC | $90 | $0 | $90 | 0.25% |
| GWEN NICHOLS BUTLER | 1090 13TH AVE NW HICKORY, NC 28601 | AFLAC | $80 | $8 | $88 | 0.25% |
| DALE YOUNG | 1350 S BOULDER AVE STE 300 TULSA, OK 74119 | AFLAC | $81 | $0 | $81 | 0.23% |
| CALEB TAYLOR | 5212 MARTIN CIRCLE DURANT, OK 74701 | AFLAC | $59 | $0 | $59 | 0.17% |
| CLINT HARDISON | PO BOX 480 ATOKA, OK 74525 | AFLAC | $44 | $0 | $44 | 0.12% |
| LARRY D DENNY Filed as: LARRY DENNY | PO BOX 306 WETUMKA, OK 74883 | AFLAC | $43 | $0 | $43 | 0.12% |
| TRICIA CHARLES | 615 S 48TH AVENUE STE B YAKIMA, WA 98908 | AFLAC | $37 | $0 | $37 | 0.10% |
| TERESA L SELLS Filed as: TERESA SELLS | PO BOX 84 WEST JEFFERSON, NC 28694 | AFLAC | $32 | $0 | $32 | 0.09% |
| SUMMIT FINANCIAL GROUP INC. Filed as: SUMMIT FINANCIAL GROUP INC | 1350 S BOULDER AVENUE STE 300 TULSA, OK 74119 | AFLAC | $25 | $0 | $25 | 0.07% |
| MOFFATT DESIGNS LLC | 1221 LAMPLIGHTER LANE EDMOND, OK 73034 | AFLAC | $21 | $0 | $21 | 0.06% |
| AIMIE ELLEN SHERIFF | 9588 TEXOMA PARK ROAD KINGSTON, OK 73439 | AFLAC | $21 | $0 | $21 | 0.06% |
| JOSHUA C ROLAN Filed as: JOSHUA ROLAN | 704 SEMINOLE DRIVE PAULS VALLEY, OK 73075 | AFLAC | $15 | $0 | $15 | 0.04% |
| PAUL B BROUCHOUD Filed as: PAUL BROUCHOUD | 604 MARK DRIVE DEL CITY, OK 73115 | AFLAC | $15 | $0 | $15 | 0.04% |
| MICHAEL PETTERSON | PO BOX 3 MOXEE, WA 98936 | AFLAC | $14 | $0 | $14 | 0.04% |
| HUB INTERNATIONAL MIDWEST LIMITED Filed as: HUB INTERNATIONAL NORTHWEST LLC | 415 N 2ND STREET STE A YAKIMA, WA 98901 | AFLAC | $14 | $0 | $14 | 0.04% |
| SHANE M OWEN Filed as: SHANE OWEN | 3000 UNITED FOUNDERS BLVD STE 100 OKLAHOMA CITY, OK 73112 | AFLAC | $14 | $0 | $14 | 0.04% |
| MELISSA PAUL | PO BOX 8010 YAKIMA, WA 98908 | AFLAC | $12 | $0 | $12 | 0.03% |
| LINDA F CRAIG Filed as: LINDA CRAIG | 1374 UPLAND DRIVE SUNNYSIDE, WA 98944 | AFLAC | $11 | $0 | $11 | 0.03% |
| BRIAN W. BALMES Filed as: BRIAN BALMES | 302 S 1ST STREET YAKIMA, WA 98901 | AFLAC | $11 | $0 | $11 | 0.03% |
| SEAN F HARRINGTON Filed as: SEAN HARRINGTON | 11151 MIERAS ROAD YAKIMA, WA 98901 | AFLAC | $10 | $0 | $10 | 0.03% |
| C HARVEY KING | 931 S MAIN STREET STE B # 206 KERNERSVILLE, NC 27284 | AFLAC | $6 | $0 | $6 | 0.02% |
| J MICHAEL BUTLER | 1090 13TH AVE NW HICKORY, NC 28601 | AFLAC | $3 | $0 | $3 | 0.01% |
| KRISTEN SUE PLAISANCE | 11315 E 12TH AVENUE SPOKANE VALLEY, WA 99206 | AFLAC | $2 | $0 | $2 | 0.01% |
| CLIFF HARRISON BARROWS | 5716 S FERRALL STREET SPOKANE, WA 99223 | AFLAC | $2 | $0 | $2 | 0.01% |
| DIXIE D SIMON Filed as: DIXIE SIMON | 509 N SHAMROCK ROAD SPOKANE VALLEY, WA 99037 | AFLAC | $2 | $0 | $2 | 0.01% |
| JOHN A WILLIAMS COMPANY INC Filed as: JOHN A WILLIAMS | 20316 N COUNTY ROAD 3240 PAULS VALLEY, OK 73705 | AFLAC | $2 | $0 | $2 | 0.01% |
| MEGHAN MILLER | 6631 FOX RIDGE CIRCLE DAVIDSON, NC 28036 | AFLAC | $1 | $0 | $1 | 0.00% |
| ERIC MILLER | 6631 FOX RIDGE CIRCLE DAVIDSON, NC 28036 | AFLAC | $1 | $0 | $1 | 0.00% |
| KATRINA D AIKEN | 2511 JUDITH STREET LYNCHBURG, VA 24501 | AFLAC | $1 | $0 | $1 | 0.00% |
| DEBORAH A WITHEY | 2149 6TH STREET NW HICKORY, NC 28601 | AFLAC | $1 | $0 | $1 | 0.00% |
| HEALTHCARE SOLUTIONS GROUP, INC.4 Filed as: HEALTHCARE SOLUTIONS GROUP | 325 NORTH MAIN MUSKOGEE, OK 74401 | OPTUM HEALTH CARE SOLUTIONS | $920 | — | $920 | 5.27% |
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 | 197 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 199 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 214 | $220K |
| Life insurance | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 214 | $220K |
| Short-term disability | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 214 | $220K |
| Long-term disability | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 214 | $220K |
| Other(3 contracts, 3 carriers) | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 214 | $273K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 214 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.