| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | — | AMERICAN FIDELITY ASSURANCE COMPANY | $8K | — | $8K | 4.44% |
| BENEFIT RESOURCES, INC.3 | 4775 E. 91ST STREET SUITE 100 TULSA, OK 74137 | AMERICAN FIDELITY ASSURANCE COMPANY | $7K | — | $7K | 3.84% |
| OKLA AUTOMOBILE DEALERS3 | C/O MR. STEVE RANKIN PRESIDENT OKLAHOMA CITY, OK 73105 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $1K | $1K | 0.59% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 6100 SOUTH YALE AVENUE, SUITE 1900 TULSA, OK 74136 | SUN LIFE ASSURANCE COMPANY OF CANADA | $9K | $1K | $10K | 6.21% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY | $4K | — | $4K | 9.22% |
| BENEFIT RESOURCES, INC.3 | 4775 E. 91ST STREET, SUITE 100 TULSA, OK 74137 | AMERICAN FIDELITY ASSURANCE COMPANY | $2K | — | $2K | 4.38% |
| OKLA AUTOMOBILE DEALERS3 | C/O MR. STEVE RANKIN, PRESIDENT OKLAHOMA CITY, OK 73105 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $359 | $359 | 0.85% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 6100 SOUTH YALE AVENUE, SUITE 1900 TULSA, OK 74136 | SUN LIFE ASSURANCE COMPANY OF CANADA | $4K | $566 | $4K | 10.52% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY | $2K | — | $2K | 6.25% |
| BENEFIT RESOURCES, INC.3 | 4775 E. 91ST STREET, SUITE 100 TULSA, OK 74137 | AMERICAN FIDELITY ASSURANCE COMPANY | $1K | — | $1K | 4.43% |
| OKLA AUTOMOBILE DEALERS3 | MR. STEVE RANKIN, PRESIDENT OKLAHOMA CITY, OK 73105 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $285 | $285 | 1.14% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 6100 SOUTH YALE AVENUE, SUITE 1900 TULSA, OK 74136 | SUN LIFE ASSURANCE COMPANY OF CANADA | $1K | $213 | $2K | 9.93% |
| BENEFIT RESOURCES, INC.3 | 4775 E. 91ST STREET, STE 100 TULSA, OK 74137 | AMERICAN FIDELITY ASSURANCE COMPANY | $594 | — | $594 | 4.57% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY | $472 | — | $472 | 3.63% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY | $355 | — | $355 | 11.50% |
| BENEFIT RESOURCES, INC.3 | 4775 E. 91ST STREET, STE 100 TULSA, OK 74137 | AMERICAN FIDELITY ASSURANCE COMPANY | $62 | — | $62 | 2.01% |
| OKLAHOMA AUTOMOBILE DEALERS3 | C/O MR. STEVE RANKIN, PRESIDENT OKLAHOMA CITY, OK 73105 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $26 | $26 | 0.84% |
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 | 469 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 469 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | SIRIUS AMERICA INSURANCE COMPANY | 301 | $511K |
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 469 | $158K |
| Vision | SUN LIFE ASSURANCE COMPANY OF CANADA | 469 | $41K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 469 | $16K |
| Short-term disability | AMERICAN FIDELITY ASSURANCE COMPANY | 18 | $13K |
| Long-term disability | AMERICAN FIDELITY ASSURANCE COMPANY | 159 | $185K |
| Other(3 contracts, 2 carriers) | AMERICAN FIDELITY ASSURANCE COMPANY | 469 | $83K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 469 | — |
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."
No prospect flags tripped on this filing.