| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CYNTHIA PRINCE3 | 200 PALO PINTO WEATHERFORD, TX 76086 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | — | $4K | 9.99% |
| NYLIFE SECURITIES LLC3 | 51 MADISON AVE ROOM 606 NEW YORK, NY 10010 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $259 | $259 | 0.69% |
| CYNTHIA PRINCE3 | 200 PALO PINTO WEATHERFORD, TX 76086 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 7.50% |
| GOODEN AGENCY LLC3 | 1501 HALL JOHNSON ROAD # 2051 COLLEYVILLE, TX 760342382 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 5.00% |
| CYNTHIA PRINCE3 | 200 PALO PINTO WEATHERFORD, TX 76086 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 13.69% |
| NY LIFE SECURITIES LLC3 | 51 MADISON AVE ROOM 606 NEW YORK, NY 10010 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $136 | $136 | 0.75% |
| KIMBERLY BAKER3 | 9673 N 2130 RD BUTLER, OK 73625 | AFLAC | $783 | $87 | $870 | 8.88% |
| DONNA CDEBACA STEWART3 | 3501 FRENCH PARK DR EDMOND, OK 73034 | AFLAC | $269 | $17 | $286 | 2.92% |
| BOBBY STEWART3 | 3501 FRENCH PARK DR EDMOND, OK 73034 | AFLAC | $126 | $17 | $143 | 1.46% |
| JOHN D WALLER3 | 221 SUNSET CREST CT APOLLO BEACH, FL 33572 | AFLAC | $70 | — | $70 | 0.71% |
| EUGENIA JENKS-WHITSITT3 Filed as: EUGENIA J JENKS-WHITSITT | 1210 CANSLER DR ENID, OK 73703 | AFLAC | $43 | — | $43 | 0.44% |
| BRENDA MEACHAM3 Filed as: BRENDA L MEACHAM | 200 E GARY BLVD CLINTON, OK 73601 | AFLAC | $35 | — | $35 | 0.36% |
| PHYLLIS RUTH WESTFAHL3 | PO BOX 763 OKEENE, OK 73763 | AFLAC | $30 | — | $30 | 0.31% |
| LARRY D DENNY3 | PO BOX 306 WETUMKA, OK 74883 | AFLAC | $30 | — | $30 | 0.31% |
| BOBBY R STEWART3 | 3501 FRENCH PARK DRIVE SUITE E EDMOND, OK 73034 | AFLAC | $23 | — | $23 | 0.23% |
| STEPHEN W SIMPSON3 | 541 CONQUISTADOR CT EDMOND, OK 73025 | AFLAC | $19 | — | $19 | 0.19% |
| SUSAN BALES3 | PO BOX 129 FOSS, OK 73647 | AFLAC | $9 | — | $9 | 0.09% |
| JOHN MCDONNELL3 Filed as: JOHN WILLIAMS COMPANY INC | 20316 N COUNTY ROAD 3240 PAULS VALLEY, OK 73075 | AFLAC | $4 | — | $4 | 0.04% |
| MOFFATT DESIGNS LLC3 | 1221 LAMPLIGHTER LN EDMOND, OK 73034 | AFLAC | $3 | — | $3 | 0.03% |
| JARRELL K PRENTICE3 | 1113 EAST DR EDMOND, OK 73034 | AFLAC | $2 | — | $2 | 0.02% |
| LESTER RAY BLACKSHEAR3 | 9192 SE 168TH COOK PL THE VILLAGES, FL 32162 | AFLAC | $2 | — | $2 | 0.02% |
| PAUL B BROUCHOUD3 | 604 MARK DR DEL CITY, OK 73115 | AFLAC | $1 | — | $1 | 0.01% |
| JOHN ROBERT DE LARIOS3 | 119 TAMAROCK HOLLY LAKE RANCH, TX 75765 | AFLAC | $1 | — | $1 | 0.01% |
| CYNTHIA PRINCE3 | 200 PALO PINTO WEATHERFORD, TX 76086 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 14.99% |
| NYLIFE SECURITIES LLC3 Filed as: NYLIFE SECURITIES LL | 51 MADISON AVE ROOM 606 NEW YORK, NY 10010 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $64 | $64 | 0.75% |
| CYNTHIA PRINCE3 | 200 PALO PINTO WEATHERFORD, TX 76086 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $768 | — | $768 | 14.98% |
| NYLIFE SECURITIES LLC3 | 51 MADISON AVE ROOM 606 NEW YORK, NY 10010 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $38 | $38 | 0.74% |
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 | 197 | 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) | 197 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AMERITAS LIFE INSURANCE CORP. | 162 | $52K |
| Vision | AMERITAS LIFE INSURANCE CORP. | 162 | $52K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 202 | $27K |
| Long-term disability(4 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 126 | $69K |
| Other | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 202 | $27K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 202 | — |
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.