Form 5500 · Employee benefit plan · TULSA, OK
COMMUNITYCARE HMO, INC
COMMUNITYCARE HMO, INC of TULSA, OK files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is GALLAGHER BENEFIT SERVICES, INC.. Coverage is written through COMMUNITYCARE HMO, INC. 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 501 · as of Aug 2026
Plan brief
Schedule A lists 2 insured contracts covering health and dental; the largest, with COMMUNITYCARE HMO, INC., covers 950 people.
Reported premium across the insured contracts is $7,376,833, with $20,285 in disclosed broker commissions — about 0.3% 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 1 of the 2 contracts; the rest name a different broker or none.
Two carriers split the book: COMMUNITYCARE HMO, INC. and DELTA DENTAL PLAN OF OKLAHOMA.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| DELTA DENTAL PLAN OF OKLAHOMA | Dental | 471 | December | $507,124 | $20,285 |
| COMMUNITYCARE HMO, INC. | Health | 950 | December | $6,869,709 | $0 |
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