| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFITS UNLIMITED INC3 Filed as: BENEFITS UNLIMITED, LLC | 8431 SOUTH COLLEGE AVENUE TULSA, OK 74137 | COMMUNITYCARE | $0 | $37K | $37K | 2.55% |
| BENEFITS UNLIMITED INC3 Filed as: BENEFITS UNLIMITED, LLC | 8431 SOUTH COLLEGE AVENUE TULSA, OK 74137 | PRINCIPAL LIFE INSURANCE COMPANY | $10K | $0 | $10K | 8.28% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GROUP, INC. | 7136 SOUTH YALE AVENUE SUITE 30030031 TULSA, OK 74136 | PRINCIPAL LIFE INSURANCE COMPANY | $6K | $0 | $6K | 4.90% |
| KELLI R CAROTHERS3 Filed as: KELLI R. CAROTHERS | 7310 EAST 76TH STREET TULSA, OK 74133 | AFLAC | $2K | $5 | $2K | 5.09% |
| TAMARA M BEAM3 Filed as: TAMARA M. BEAM | 14106 EAST 492 ROAD CLAREMORE, OK 74019 | AFLAC | $2K | $5 | $2K | 4.13% |
| JUSTIN W CARROLL3 Filed as: JUSTIN W. CARROLL AND OTHER AGENTS | 25415 SOUTH HARVARD PLACE APARTMENT B TULSA, OK 74114 | AFLAC | $1K | $2 | $1K | 2.74% |
| BENEFITS UNLIMITED INC3 Filed as: BENEFITS UNLIMITED, LLC | 8431 SOUTH COLLEGE AVENUE TULSA, OK 74137 | AFLAC | $1K | $0 | $1K | 2.65% |
| COREY MACINTYRE3 | 4334 SOUTH 173RD EAST AVENUE TULSA, OK 74134 | AFLAC | $609 | $0 | $609 | 1.53% |
| ZACHARY EVERETT3 | 300 RIVERWALK TERRACE, SUITE 260 JENKS, OK 74037 | AFLAC | $431 | $0 | $431 | 1.09% |
| RICK M MCKINNEY3 Filed as: RICK M. MCKINNEY | 2448 EAST 81ST STREET TULSA, OK 74137 | AFLAC | $290 | $2 | $292 | 0.74% |
| KELLI R CAROTHERS3 Filed as: KELLI R. CAROTHERS | 7310 EAST 76TH STREET TULSA, OK 74133 | AFLAC | $1K | $31 | $2K | 5.83% |
| TAMARA M BEAM3 Filed as: TAMARA M. BEAM | 14106 EAST 492 ROAD CLAREMORE, OK 74019 | AFLAC | $987 | $31 | $1K | 3.91% |
| RICK M MCKINNEY3 Filed as: RICK M. MCKINNEY AND OTHER AGENTS | 2448 EAST 81ST STREET TULSA, OK 74137 | AFLAC | $686 | $7 | $693 | 2.66% |
| BENEFITS UNLIMITED INC3 Filed as: BENEFITS UNLIMITED, LLC | 8431 SOUTH COLLEGE AVENUE TULSA, OK 74137 | AFLAC | $457 | $0 | $457 | 1.75% |
| COREY MACINTYRE3 | 4334 SOUTH 173RD EAST AVENUE TULSA, OK 74134 | AFLAC | $277 | $7 | $284 | 1.09% |
| FIRST UNITED INSURANCE SOLUTIONS3 | 1700 NORTH BROADWAY STREET, SUITE B MOORE, OK 73160 | AFLAC | $279 | $0 | $279 | 1.07% |
| ZACHARY EVERETT3 | 300 RIVERWALK TERRACE, SUITE 260 JENKS, OK 74037 | AFLAC | $226 | $15 | $241 | 0.93% |
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 | 173 | 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) | 173 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMMUNITYCARE | 216 | $1.5M |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 276 | $118K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 276 | $118K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 276 | $118K |
| Short-term disability(2 contracts) | AFLAC | 43 | $66K |
| Prescription drug | COMMUNITYCARE | 216 | $1.5M |
| Other(3 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 276 | $183K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 276 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.