Form 5500 · Employee benefit plan · TULSA, OK
COMMUNITYCARE HMO, INC.
The filing calls this plan COMMUNITYCARE HMO, INC. WELFARE BENEFITS PLAN.
COMMUNITYCARE HMO, INC. of TULSA, OK is a 471-participant finance and insurance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is GALLAGHER BENEFIT SERVICES, INC.. Coverage is written through UNUM LIFE INSURANCE COMPANY OF AMERICA and 1 other carrier. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 73-1433979 · plan 503 · plan year 2024, filed Oct 13, 2025
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536 other employer plans in Oklahoma have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
Benefits declared on this filing
Also declared: death benefits.
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
Schedule A lists 3 insured contracts covering vision, life and disability; the largest, with UNUM LIFE INSURANCE COMPANY OF AMERICA, covers 482 people.
Reported premium across the insured contracts is $533,880, with $37,884 in disclosed broker commissions — about 7.1% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
GALLAGHER BENEFIT SERVICES, INC. is the broker of record on all 3 contracts.
Two carriers split the book: UNUM LIFE INSURANCE COMPANY OF AMERICA and METROPOLITAN LIFE INSURANCE COMPANY.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life | 345 | Jan 1, 2025 | $132,665 | $19,900 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 482 | Jan 1, 2025 | $323,192 | $10,182 |
| METROPOLITAN LIFE INSURANCE COMPANY | Vision, Life | 1,154 | Jan 1, 2025 | $78,023 | $7,802 |
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Other plans filed by this employer
How this plan compares
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Renewal calendar
536 other employer plans in Oklahoma are January 1 renewals (policy year ends December).
Their policy years end in December, like this plan’s, so most renew January 1. The calendar lists every insured group by renewal date and state, with broker of record, carrier and disclosed commission. You can preview the five largest in each month for free.
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