| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF OKLAHOMA, INC. | 208 NORTH MILL STREET PRYOR, OK 74361 | COMMUNITY CARE | $18K | $0 | $18K | 3.45% |
| GALLAGHER BENEFIT SERVICES, INC.3 | PO BOX 3009 ARLINGTON HEIGHTS, IL 60006 | COMMUNITY CARE | $3K | $0 | $3K | 0.59% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF OKLAHOMA, INC. | 208 NORTH MILL STREET PRYOR, OK 74361 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $3K | $7K | 21.36% |
| PAYCOM PAYROLL LLC5 Filed as: PAYCOM PAYROLL, LLC | 7501 WEST MEMORIAL ROAD OKLAHOMA CITY, OK 73142 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $2K | $2K | 5.45% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2850 GOLF ROAD ROLLING MEADOWS, IL 60008 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $1K | $1K | 3.67% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 1300 SOUTH MAIN STREET TULSA, OK 74119 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $0 | $1K | 3.29% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF OKLAHOMA, INC. | 208 NORTH MILL STREET PRYOR, OK 74361 | AFLAC | $2K | $0 | $2K | 5.07% |
| SHEREE L. AMOS3 | 13937 TECHNOLOGY DRIVE, SUITE B OKLAHOMA CITY, OK 73134 | AFLAC | $1K | $77 | $1K | 4.74% |
| JOY JONES3 | 9913 JACK RABBIT ROAD YUKON, OK 73099 | AFLAC | $1K | $272 | $1K | 4.57% |
| HUNTER NIXON3 | 9913 JACK RABBIT ROAD YUKON, OK 73099 | AFLAC | $703 | $40 | $743 | 2.35% |
| MJ INSURANCE3 Filed as: BOBBY R. STEWART AND VARIOUS AGENTS | 3501 FRENCH PARK DRIVE, SUITE E EDMOND, OK 73034 | AFLAC | $507 | $0 | $507 | 1.60% |
| HALLENE HEATHER SUMPTER3 | 4816 HILLCREST LANE EDMOND, OK 73025 | AFLAC | $367 | $88 | $455 | 1.44% |
| SUSAN CRAFT3 | 4831 HOLLYCREST LANE EDMOND, OK 73025 | AFLAC | $345 | $46 | $391 | 1.24% |
| SHEREE L. AMOS3 | 13937 TECHNOLOGY DRIVE, SUITE B OKLAHOMA CITY, OK 73134 | AFLAC | $1K | $59 | $1K | 4.88% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF OKLAHOMA, INC. | 208 NORTH MILL STREET PRYOR, OK 74361 | AFLAC | $1K | $0 | $1K | 4.82% |
| JOY JONES3 | 9913 JACK RABBIT ROAD YUKON, OK 73099 | AFLAC | $951 | $158 | $1K | 4.00% |
| MJ INSURANCE3 Filed as: SUSAN CRAFT AND VARIOUS AGENTS | 4831 HOLLYCREST LANE EDMOND, OK 73025 | AFLAC | $654 | $121 | $775 | 2.80% |
| HUNTER NIXON3 | 9913 JACK RABBIT ROAD YUKON, OK 73099 | AFLAC | $438 | $0 | $438 | 1.58% |
| HALLENE HEATHER SUMPTER3 | 4816 HILLCREST LANE EDMOND, OK 73025 | AFLAC | $214 | $22 | $236 | 0.85% |
| TIMOTHY M CAMPBELL3 Filed as: TIMOTHY M. CAMPBELL | 9820 SOUTH 92ND EAST AVENUE TULSA, OK 74133 | AFLAC | $223 | $0 | $223 | 0.80% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF OKLAHOMA, INC. | 208 NORTH MILL STREET PRYOR, OK 74361 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $33 | $2K | 8.66% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 7030 SOUTH YALE AVENUE, SUITE 109 TULSA, OK 74136 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $41 | $41 | 0.20% |
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 | 93 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 93 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMMUNITY CARE | 85 | $510K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 138 | $21K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 138 | $21K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 93 | $33K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 93 | $33K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 93 | $33K |
| Prescription drug | COMMUNITY CARE | 85 | $510K |
| Other(3 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 93 | $92K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 138 | — |
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.