| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SCOUT BENEFITS GROUP LLC3 | 103 DEAN A MCGEE STE 500 OKLAHOMA CITY, OK 73102 | BLUECROSS BLUESHIELD OF OKLAHOMA | $60K | $1K | $61K | 3.43% |
| SCOUT BENEFITS GROUP LLC3 | 103 DEAN A MCGEE STE 500 OKLAHOMA CITY, OK 73102 | DEARBORN LIFE INSURANCE COMPANY | $4K | — | $4K | 11.31% |
| LARRY D BACON3 | 906 S CANADIAN AVE PURCELL, OK 73080 | AFLAC | $344 | $15 | $359 | 3.92% |
| DAVID D SIMPSON3 Filed as: DAVID N SMITH | 8515 BOULEVARD 26 APT 512 NORTH RICHLAND HILLS, TX 76180 | AFLAC | $150 | — | $150 | 1.64% |
| CHER A. BUMPS & ASSOCIATES, INC.3 Filed as: CHER A BUMPS AND ASSOC | 2601 NW EXPRESSWAY STE 1000W OKLAHOMA CITY, OK 73102 | AFLAC | $127 | — | $127 | 1.39% |
| DAVID A. MASCHINO3 Filed as: DAVID A MASCHINO | 4811 GAILLARDIA PKWY STE 300 OKLAHOMA CITY, OK 73142 | AFLAC | $98 | — | $98 | 1.07% |
| JOHN A WILLIAMS COMPANY INC3 | 20316 N COUNTY ROAD 3240 PAULS VALLEY, OK 73075 | AFLAC | $89 | — | $89 | 0.97% |
| SCOUT BENEFITS GROUP LLC3 Filed as: SCOUT BENEFITS GROUP | 414 NW 4TH STE 120 OKLAHOMA CITY, OK 73102 | AFLAC | $66 | — | $66 | 0.72% |
| CHARLES M ROBERTS3 | 51776 E COUNTY ROAD 1520 STRATFORD, OK 74872 | AFLAC | $45 | — | $45 | 0.49% |
| LARRY D DENNY3 | PO BOX 306 WETUMKA, OK 74883 | AFLAC | $43 | — | $43 | 0.47% |
| BRAD N WOOD3 | 12512 N COUNTY ROAD 3232 PAOLI, OK 73074 | AFLAC | $40 | — | $40 | 0.44% |
| LUCRETIA M. JONES3 Filed as: LUCRETIA M JONES | 32795 E COUNTY ROAD 1545 PAULS VALLEY, OK 73075 | AFLAC | $30 | — | $30 | 0.33% |
| STEPHEN WHITE3 | 12901 N MACARTHUR BLVD APT 13 OKLAHOMA CITY, OK 73142 | AFLAC | $23 | $4 | $27 | 0.30% |
| CALEB CRAIG SCOTT3 | 201 RENNIE RD PAULS VALLEY, OK 73075 | AFLAC | $20 | — | $20 | 0.22% |
| BRIAN K EVERETT3 | 2160 SANDPIPER DR BLANCHARD, OK 73010 | AFLAC | $15 | $4 | $19 | 0.21% |
| HAL W MOFFATT3 | 1221 LAMPLIGHTER LN EDMOND, OK 73034 | AFLAC | $8 | — | $8 | 0.09% |
| BRANDY A KEENOM3 | 254 S FARMERSVILLE BLVD FARMERSVILLE, CA 93223 | AFLAC | $2 | — | $2 | 0.02% |
| EDWARD A HALL JR3 | 2224 WOODMARSH CIR AUBURN, GA 30011 | AFLAC | $2 | — | $2 | 0.02% |
| JARRELL K PRENTICE3 | 1113 EAST DR EDMOND, OK 73034 | AFLAC | $2 | — | $2 | 0.02% |
| JOSHUA C ROLAN3 | 704 SEMINOLE DR PAULS VALLEY, OK 73075 | AFLAC | $1 | — | $1 | 0.01% |
| PAUL B BROUCHOUD3 | 604 MARK DR DEL CITY, OK 73115 | AFLAC | $1 | — | $1 | 0.01% |
| SHANE M OWEN3 | 8413 NW 106TH ST OKLAHOMA CITY, OK 73162 | AFLAC | $1 | — | $1 | 0.01% |
| JAMES D DUDLEY3 | 1355 LYNNFIELD RD STE 259 MEMPHIS, TN 38119 | AFLAC | $1 | — | $1 | 0.01% |
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 | 207 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 8 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 216 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF OKLAHOMA | 362 | $1.8M |
| Dental | BLUECROSS BLUESHIELD OF OKLAHOMA | 362 | $1.8M |
| Vision | DEARBORN LIFE INSURANCE COMPANY | 238 | $33K |
| Life insurance(2 contracts, 2 carriers) | DEARBORN LIFE INSURANCE COMPANY | 238 | $42K |
| Short-term disability | AFLAC | 9 | $9K |
| Other(2 contracts, 2 carriers) | DEARBORN LIFE INSURANCE COMPANY | 238 | $42K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 362 | — |
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.