| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RELATION INSURANCE SERVICES OF CA3 Filed as: RELATION INSURANCE SERVICE INC | 10425 SOUTH 82ND EAST AVENUE SUITE 110 TULSA, OK 74133 | COMMUNITYCARE HMO | $9K | — | $9K | 4.97% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MID-AMERICA | 6100 SOUTH YALE AVENUE SUITE 1900 TULSA, OK 74136 | COMMUNITYCARE HMO | $4K | — | $4K | 2.04% |
| RELATION INSURANCE SERVICES OF CA3 Filed as: RELATION INSURANCE SERVICE INC | 10425 SOUTH 82ND EAST AVENUE SUITE 110 ATTN KIM FULPS TULSA, OK 74133 | DELTA DENTAL | $3K | — | $3K | 7.41% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL CFR | 6100 SOUTH YALE AVENUE SUITE 1900 ATTN GAIL HARRIS TULSA, OK 74136 | DELTA DENTAL | $935 | — | $935 | 2.60% |
| RELATION INSURANCE SERVICES OF CA3 Filed as: RELATION INSURANCE SERVICE INC. | 10425 SOUTH 82ND EAST AVENUE SUITE 110 TULSA, OK 74133 | SUN LIFE ASSURANCE COMPANY OF CANADA | $501 | — | $501 | 6.85% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 6100 SOUTH YALE AVENUE SUITE 1900 TULSA, OK 74136 | SUN LIFE ASSURANCE COMPANY OF CANADA | $370 | — | $370 | 5.06% |
| CENTRO BENEFITS RESEARCH LLC3 | 325 NORTH KIRKWOOD ROAD SUITE 300 KIRKWOOD, MO 63122 | SUN LIFE ASSURANCE COMPANY OF CANADA | $277 | — | $277 | 3.79% |
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 | 105 | 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) | 105 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMMUNITYCARE HMO | 32 | $190K |
| Dental | DELTA DENTAL | 59 | $36K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 105 | $7K |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 105 | $7K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 105 | — |
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.