| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF OKLAHOMA INC. | 211 N ROBINSON AVENUE SUITE S700 OKLAHOMA CITY, OK 73102 | UNITED HEALTH CARE INSURANCE COMPANY | — | $39K | $39K | 4.20% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF OKLAHOMA INC | TWO LEADERSHIP SQUARE OKLAHOMA CITY, OK 73102 | DELTA DENTAL | $9K | — | $9K | 10.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF OKLAHOMA INC. | 211 N ROBINSON AVE. SUITE 700 OKLAHOMA CITY, OK 73102 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 15.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SERVICES OF CA INC | PO BOX 101162 PASADENA, CA 91189 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $90 | — | $90 | 0.39% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 60603 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $55 | $55 | 0.24% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF OKLAHOMA | 62892 COLLECTIONS CENTER DRIVE CHICAGO, IL 60693 | VISION BENEFITS OF AMERICA | $563 | — | $563 | 5.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF OKLAHOMA INC. | 211 N ROBINSON AVENUE SUITE 700 OKLAHOMA CITY, OK 73102 | SUN LIFE ASSURANCE COMPANY OF CANADA | -$2 | — | -$2 | -0.73% |
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 | 151 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 2 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 155 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED HEALTH CARE INSURANCE COMPANY | 171 | $922K |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL | 123 | $93K |
| Vision | VISION BENEFITS OF AMERICA | 76 | $11K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 154 | $23K |
| Other | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 154 | $23K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 171 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.