| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 | 6100 S TALE AVE STE 1900 TULSA, OK 72233 | UNITED HEALTHCARE INSURANCE COMPANY | $0 | $52K | $52K | 2.53% |
| JACK LENHART CLU3 Filed as: JACK R LENHART CLU | 9315 S TOLEDO AVE STE A TULSA, OK 71386 | UNITED HEALTHCARE INSURANCE COMPANY | $0 | $28K | $28K | 1.37% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL PBA | 6100 S YALE AVE STE 1900 TULSA, OK 74136 | DELTA DENTAL | $7K | — | $7K | 5.20% |
| JACK LENHART CLU3 Filed as: JACK LENHART | 9315 S TOLEDO AVE STE A TULSA, OK 74137 | DELTA DENTAL | $4K | — | $4K | 2.80% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MID-AMERICA | 425 WEST CAPITOL AVENUE SUITE 3550 LITTLE ROCK, AR 72201 | GUARDIAN | $8K | $2K | $10K | 12.16% |
| JACK LENHART CLU3 Filed as: JACK R LENHART | 6257 S. KNOXVILLE TULSA, OK 74136 | GUARDIAN | $3K | — | $3K | 3.81% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LIM | 6100 S YALE AVE STE 1900 TULSA, OK 74136 | VSP VISION | $829 | — | $829 | 3.55% |
| JACK LENHART CLU3 Filed as: JACK R LENHARD CLU | 9315 S TOLEDO AVE STE A TULSA, OK 74137 | VSP VISION | $446 | — | $446 | 1.91% |
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 | 166 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 166 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED HEALTHCARE INSURANCE COMPANY | 327 | $2.1M |
| Dental | DELTA DENTAL | 137 | $135K |
| Vision | VSP VISION | 131 | $23K |
| Life insurance | GUARDIAN | 152 | $84K |
| Long-term disability | GUARDIAN | 152 | $84K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 327 | — |
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.