| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INSURICA, INC.3 Filed as: INSURICA INSURANCE SERVICES, LLC | 5100 N CLASSEN BLVD STE 300 OKLAHOMA CITY, OK 73118 | BLUE CROSS BLUE SHIELD OF OKLAHOMA | $73K | $3K | $76K | 5.20% |
| AIMIE ELLEN SHERIFF3 | 9588 TEXOMA PARK RD KINGSTON, OK 73439 | AFLAC | $8K | $258 | $8K | 8.88% |
| KEVIN SCOTT RIBERA3 | 2830 HAVEN BLVD APT 2202 DURANT, OK 74701 | AFLAC | $5K | $57 | $5K | 5.45% |
| ZACHARY GENE HOLDEN3 | 804 E MAIN ST BOKCHITO, OK 74726 | AFLAC | $2K | — | $2K | 2.20% |
| GW NEWMAN INSURANCE, INC3 Filed as: GW NEWMAN INSURANCE INC | 15629 COUNTY ROAD 1510 ADA, OK 74820 | AFLAC | $1K | $153 | $2K | 1.79% |
| JOSHUA I WORTHY3 | 3700 N CLASSEN BLVD STE 220 OKLAHOMA CITY, OK 73118 | AFLAC | $865 | — | $865 | 0.99% |
| RICHARD PARKER3 | 5715 CHURCH RD MEAD, OK 73449 | AFLAC | $759 | — | $759 | 0.87% |
| TIMOTHY W WORTHY JR3 | 2929 W MAIN ST DURANT, OK 74701 | AFLAC | $396 | — | $396 | 0.45% |
| LOYTALIA RIBERA3 Filed as: LOYTALIA E RIBERA | PO BOX 502 BOKCHITO, OK 74726 | AFLAC | $243 | — | $243 | 0.28% |
| JOHN A WILLIAMS COMPANY INC3 | 20316 N COUNTY ROAD 3240 PAULS VALLEY, OK 73075 | AFLAC | $133 | — | $133 | 0.15% |
| LARRY D DENNY3 | PO BOX 306 WETUMKA, OK 74883 | AFLAC | $50 | — | $50 | 0.06% |
| TIFFANY WALLACE3 | 11385 LEAVENWORTH TRL MEAD, OK 73449 | AFLAC | $40 | — | $40 | 0.05% |
| DAVID E. ESTEP3 Filed as: DAVID E ESTEP | PO BOX 1017 HUGO, OK 74743 | AFLAC | $30 | — | $30 | 0.03% |
| HAL W MOFFATT3 | 1221 LAMPLIGHTER LN EDMOND, OK 73034 | AFLAC | $22 | — | $22 | 0.03% |
| DAVID GORDON WALKER3 | 500 COUNTY ROAD 2111 HOOKS, TX 75561 | AFLAC | $19 | — | $19 | 0.02% |
| CARL WILLIAM SILLIMAN3 | 5412 ROCKY CREEK RD TEXARKANA, AR 71854 | AFLAC | $17 | — | $17 | 0.02% |
| KAITLYN FAITH RIBERA3 | 1809 E DAVIS RD DURANT, OK 74701 | AFLAC | $16 | — | $16 | 0.02% |
| CHRISTOPHER ALAN HOOD SR3 | 160 COUNTY ROAD 4553 WINNSBORO, TX 75494 | AFLAC | $13 | — | $13 | 0.01% |
| BRIAN K EVERETT3 | 2160 SANDPIPER DR BLANCHARD, OK 73010 | AFLAC | $12 | — | $12 | 0.01% |
| CHARLES PEYTON HENRY3 Filed as: CHARLES LARUE | 1460 W KEELING AVE SAPULPA, OK 74066 | AFLAC | $11 | — | $11 | 0.01% |
| SHANE M OWEN3 | 8413 NW 106TH ST OKLAHOMA CITY, OK 73162 | AFLAC | $8 | — | $8 | 0.01% |
| JAMES D DUDLEY3 | 1355 LYNNFIELD RD STE 259 MEMPHIS, TN 38119 | AFLAC | $3 | — | $3 | 0.00% |
| CAROLYN S LEE3 | 1412 MAIN ST STE 504 TEXARKANA, TX 75501 | AFLAC | $1 | — | $1 | 0.00% |
| INSURICA, INC.3 Filed as: INSURICA INC | PO BOX 25928 OKLAHOMA CITY, OK 73125 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | — | $2K | 3.97% |
| INSURICA, INC.3 Filed as: INSURICA INSURANCE SERVICES, LLC | 5100 N CLASSEN BLVD STE 300 OKLAHOMA CITY, OK 73118 | METROPOLITAN LIFE INSURANCE COMPANY | $325 | — | $325 | 0.53% |
| INSURICA, INC.3 Filed as: INSURICA INC | 5100 N CLASSEN BLVD STE 300 OKLAHOMA CITY, OK 73118 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $4K | — | $4K | 10.00% |
| INSURICA, INC.3 Filed as: INSURICA INC | 5100 N CLASSEN BLVD STE 300 OKLAHOMA CITY, OK 73118 | VISION SERVICE PLAN | $915 | — | $915 | 6.26% |
| KEVIN SCOTT RIBERA3 | 2929 W MAIN ST DURANT, OK 74701 | LEADERS LIFE INSURANCE COMPANY | $1K | — | $1K | 11.45% |
| AIMIE ELLEN SHERIFF3 | 9588 TEXOMA PARK RD KINGSTON, OK 73439 | LEADERS LIFE INSURANCE COMPANY | $407 | — | $407 | 3.73% |
| JAMES D GRACE3 Filed as: JAMES DAVID GRACE | 4401 HIGHLAND HILLS DR NORMAN, OK 73026 | LEADERS LIFE INSURANCE COMPANY | $268 | — | $268 | 2.46% |
| SHANE M OWEN3 Filed as: SHANE OWEN | 8413 NW 106TH ST OKLAHOMA CITY, OK 73162 | LEADERS LIFE INSURANCE COMPANY | $85 | — | $85 | 0.78% |
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 | 122 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 122 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF OKLAHOMA | 209 | $1.5M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 305 | $61K |
| Vision | VISION SERVICE PLAN | 60 | $15K |
| Life insurance(2 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 130 | $46K |
| Short-term disability | AFLAC | 71 | $88K |
| Other | AFLAC | 71 | $88K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 305 | — |
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.