Form 5500 · Employee benefit plan · TULSA, OK
BLUE SKY BANK
BLUE SKY BANK of TULSA, OK files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is SCOUT BENEFITS GROUP LLC. Coverage is written through BLUECROSS BLUESHIELD OF OKLAHOMA and 3 other carriers. The plan's most recent policy period ended in July.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 73-0368670 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 7 insured contracts covering health, dental, vision, life and disability; the largest, with BLUECROSS BLUESHIELD OF OKLAHOMA, covers 242 people.
Reported premium across the insured contracts is $1,624,905, with $58,352 in disclosed broker commissions — about 3.6% of premium.
The most recent policy period ended in July, and the plan year ends July 31. Group contracts typically renew on that annual cycle.
SCOUT BENEFITS GROUP LLC is the broker of record on all 7 contracts.
4 carriers appear on the filing — BLUECROSS BLUESHIELD OF OKLAHOMA, DELTA DENTAL, UNITED OF OMAHA LIFE INSURANCE COMPANY and VISION SERVICE PLAN — with BLUECROSS BLUESHIELD OF OKLAHOMA writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUECROSS BLUESHIELD OF OKLAHOMA | Health | 242 | July | $1,334,241 | $40,027 |
| DELTA DENTAL | Dental | 144 | July | $137,856 | $6,892 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 164 | July | $63,917 | $5,114 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 94 | July | $29,657 | $2,373 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 164 | July | $22,182 | $1,775 |
| VISION SERVICE PLAN | Vision | 152 | July | $28,280 | $1,469 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 165 | July | $8,772 | $702 |
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