| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PREMIER SOURCE LLC3 | 211 N. ROBINSON AVE., SUITE 1250 OKLAHOMA CITY, OH 73102 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $16K | $16K | 0.86% |
| SEE ATTACHMENT3 | — | CONTINENTAL AMERICAN INSURANCE COMPANY | $308K | — | $308K | 19.47% |
| EMPLOYEE BENEFIT SPECIALISTS3 Filed as: EMPLOYEE BENEFIT SPECIALISTS PA | 169A LAMEUSE ST BILOXI, MS 395303810 | AMERITAS LIFE INSURANCE CORP. | $126K | — | $126K | 15.00% |
| PREMIER SOURCE LLC3 | 211 N. ROBINSON AVE., SUITE 1250 OKLAHOMA CITY, OK 73102 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $24K | $2K | $26K | 7.32% |
| EMPLOYER ADVOCATES LLC3 | 100 PARK AVE., SUITE 700 OKLAHOMA CITY, OK 73130 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $9K | — | $9K | 2.47% |
| PREMIERSOURCE LLC3 | 211 N. ROBINSON AVE., SUITE 1250 OKLAHOMA CITY, OK 73102 | VISION SERVICE PLAN | $19K | — | $19K | 7.04% |
| EMPLOYER ADVOCATES LLC3 Filed as: EMPLOYER ADVOCATES | 100 PARK AVENUE, SUITE 700 OKLAHOMA CITY, OK 73102 | VISION SERVICE PLAN | $9K | — | $9K | 3.26% |
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 | 7,324 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 11 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 7,335 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CONTINENTAL AMERICAN INSURANCE COMPANY | 3,949 | $1.6M |
| Dental | AMERITAS LIFE INSURANCE CORP. | 1,769 | $841K |
| Vision | VISION SERVICE PLAN | 2,751 | $266K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 7,324 | $2.2M |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 7,324 | $1.9M |
| Other(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 7,324 | $2.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 7,324 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.