| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFITS UNLIMITED, LLC3 | 8431 SOUTH COLLEGE AVENUE TULSA, OK 74137 | COMMUNITYCARE | $37K | $0 | $37K | 2.35% |
| BENEFITS UNLIMITED, LLC3 | 8431 SOUTH COLLEGE AVENUE TULSA, OK 74137 | PRINCIPAL LIFE INSURANCE COMPANY | $11K | $0 | $11K | 8.18% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS, LLC | 7136 SOUTH YALE AVENUE SUITE 30030031 TULSA, OK 74136 | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $5K | $5K | 3.91% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GROUP, INC. | 7136 SOUTH YALE AVENUE SUITE 30030031 TULSA, OK 74136 | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $1K | $1K | 0.92% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS, LLC | 1787 SENTRY PARKWAY WEST BLUE BELL, PA 19422 | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $683 | $683 | 0.49% |
| KELLI R CAROTHERS3 Filed as: KELLI R. CAROTHERS | 7310 EAST 76TH STREET TULSA, OK 74133 | AFLAC | $2K | $128 | $2K | 4.98% |
| TAMARA M BEAM3 Filed as: TAMARA M. BEAM | 14106 EAST 492 ROAD CLAREMORE, OK 74019 | AFLAC | $2K | $128 | $2K | 3.56% |
| BENEFITS UNLIMITED, LLC3 | 8431 SOUTH COLLEGE AVENUE TULSA, OK 74137 | AFLAC | $1K | $0 | $1K | 3.01% |
| COREY MACINTYRE3 | 4334 SOUTH 173RD EAST AVENUE TULSA, OK 74134 | AFLAC | $975 | $54 | $1K | 2.08% |
| RICK M MCKINNEY3 Filed as: RICK M. MCKINNEY AND OTHER AGENTS | 2448 EAST 81ST STREET TULSA, OK 74137 | AFLAC | $1K | $0 | $1K | 2.03% |
| ZACHARY EVERETT3 | 300 RIVERWALK TERRACE, SUITE 260 JENKS, OK 74037 | AFLAC | $728 | $54 | $782 | 1.58% |
| JUSTIN W. CARROL3 | 25415 SOUTH HARVARD PLACE APARTMENT B TULSA, OK 74114 | AFLAC | $213 | $0 | $213 | 0.43% |
| KELLI R CAROTHERS3 Filed as: KELLI R. CAROTHERS | 7310 EAST 76TH STREET TULSA, OK 74133 | AFLAC | $2K | $62 | $2K | 5.45% |
| TAMARA M BEAM3 Filed as: TAMARA M. BEAM | 14106 EAST 492 ROAD CLAREMORE, OK 74019 | AFLAC | $1K | $62 | $1K | 3.62% |
| BENEFITS UNLIMITED, LLC3 | 8431 SOUTH COLLEGE AVENUE TULSA, OK 74137 | AFLAC | $808 | $0 | $808 | 2.38% |
| RICK M MCKINNEY3 Filed as: RICK M. MCKINNEY AND OTHER AGENTS | 2448 EAST 81ST STREET TULSA, OK 74137 | AFLAC | $653 | $0 | $653 | 1.93% |
| COREY MACINTYRE3 | 4334 SOUTH 173RD EAST AVENUE TULSA, OK 74134 | AFLAC | $537 | $29 | $566 | 1.67% |
| ZACHARY EVERETT3 | 300 RIVERWALK TERRACE, SUITE 260 JENKS, OK 74037 | AFLAC | $405 | $29 | $434 | 1.28% |
| FIRST UNITED INSURANCE SOLUTIONS3 | 1700 NORTH BROADWAY STREET, SUITE B MOORE, OK 73160 | AFLAC | $169 | $0 | $169 | 0.50% |
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 | 169 | 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) | 169 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMMUNITYCARE | 212 | $1.6M |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 284 | $139K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 284 | $139K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 284 | $139K |
| Short-term disability(2 contracts) | AFLAC | 38 | $83K |
| Prescription drug | COMMUNITYCARE | 212 | $1.6M |
| Other(3 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 284 | $223K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 284 | — |
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.