| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INSURICA, INC.3 | PO BOX 25928 OKLAHOMA CITY, OK 73125 | BLUE CROSS BLUE SHIELD OF OKLAHOMA | $43K | $1 | $43K | 2.00% |
| EMPLOYER ADVOCATES LLC3 Filed as: EMPLOYER ADVOCATES | PO BOX 269031 OKLAHOMA CITY, OK 73126 | BLUE CROSS BLUE SHIELD OF OKLAHOMA | $43K | $0 | $43K | 2.00% |
| THE PROFESSIONAL BASKETBALL CLUB0 | 208 THUNDER DRIVE OKLAHOMA CITY, OK 731022002 | BLUE CROSS BLUE SHIELD OF OKLAHOMA | $0 | $1 | $1 | 0.00% |
| INSURICA, INC.3 | 5100 CLASSEN BLVD., SUITE 300 OKLAHOMA CITY, OK 73118 | DELTA DENTAL | $4K | $0 | $4K | 2.00% |
| INSURICA, INC.3 | 5100 N CLASSEN BLVD. SUITE 300 OKLAHOMA CITY, OK 73118 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $6K | $277 | $6K | 7.87% |
| EMPLOYER ADVOCATES LLC3 Filed as: EMPLOYER ADVOCATES, LLC | PO BOX 269031 OKLAHOMA CITY, OK 73126 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | $0 | $4K | 4.99% |
| EMPLOYER ADVOCATES LLC3 Filed as: EMPLOYER ADVOCATES, LLC | 3030 NW EXPY, SUITE 200 OKLAHOMA CITY, OK 73112 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | $11 | $5K | 9.98% |
| INSURICA, INC.3 | PO BOX 25928 OKLAHOMA CITY, OK 731250928 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | $0 | $5K | 9.96% |
| INSURICA, INC.3 | 5100 N CLASSEN BLVD., SUITE 300 OKLAHOMA CITY, OK 731185263 | VISION SERVICE PLAN | $811 | $0 | $811 | 2.09% |
| EMPLOYER ADVOCATES LLC3 Filed as: EMPLOYER ADVOCATES, LLC | PO BOX 269031 OKLAHOMA CITY, OK 731269031 | VISION SERVICE PLAN | $811 | $0 | $811 | 2.09% |
| NORTH AMERICAN INS. AGENCY, INC.3 | INSURICA, INS. MANAGEMENT NETWORK 5100 N. CLASSEN BLVD., SUITE 300 OKLAHOMA CITY, OK 73118 | GERBER LIFE INSURANCE COMPANY | $466 | $0 | $466 | 7.50% |
| EMPLOYER ADVOCATES LLC3 Filed as: EMPLOYER ADVOCATES, LLC | 100 PARK AVENUE SUITE 700 OKLAHOMA CITY, OK 73102 | GERBER LIFE INSURANCE COMPANY | $466 | $0 | $466 | 7.50% |
| NORTH AMERICAN INSURANCE AGENCY3 Filed as: NORTH AMERICAN INSURANCE AGENCY INC | PO BOX 25928 OKLAHOMA CITY, OK 73125 | MHN SERVICES, LLC | $111 | $0 | $111 | 2.51% |
| PREMIER SOURCE LLC3 Filed as: PREMIER SOURCE | 211 N ROBINSON AVE SUITE 1250 OKLAHOMA CITY, OK 73102 | MHN SERVICES, LLC | $110 | $0 | $110 | 2.49% |
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 | 208 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 9 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 217 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF OKLAHOMA | 448 | $2.2M |
| Dental | DELTA DENTAL | 208 | $186K |
| Vision | VISION SERVICE PLAN | 209 | $39K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 218 | $46K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 219 | $74K |
| Other(3 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 220 | $56K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 448 | — |
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.