Form 5500 · Employee benefit plan · BROKEN ARROW, OK
ELITE SUPPLY & AFFILIATES
The filing calls this plan ELITE SUPPLY PARTNERS & AFFILIATES HEALTH AND WELFARE BENEFIT PLAN.
ELITE SUPPLY & AFFILIATES of BROKEN ARROW, OK insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is INSERVICES, LLC. Coverage is written through BLUECROSS BLUESHIELD OF OKLAHOMA and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 26-3015872 · plan 508 · plan year 2024, filed Jun 12, 2026
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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
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
Benefits declared on this filing
Also declared: other welfare.
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 11 insured contracts covering health, dental, vision, life and disability; the largest, with BLUECROSS BLUESHIELD OF OKLAHOMA, covers 617 people.
Reported premium across the insured contracts is $4,522,436, with $286,487 in disclosed broker commissions — about 6.3% 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.
INSERVICES, LLC is the broker of record on 8 of the 11 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including BLUECROSS BLUESHIELD OF OKLAHOMA, DELTA DENTAL, RELIANCE STANDARD LIFE INSURANCE COMPANY and VISION SERVICE PLAN. BLUECROSS BLUESHIELD OF OKLAHOMA writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUECROSS BLUESHIELD OF OKLAHOMA | Health | 617 | Jan 1, 2025 | $3,927,240 | $212,805 |
| DELTA DENTAL | Dental | 261 | Jan 1, 2025 | $155,125 | $15,513 |
| DELTA DENTAL | Dental | 261 | Jan 1, 2025 | $155,125 | $15,513 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Life | 258 | Jan 1, 2025 | $55,368 | $8,305 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Disability | 208 | Jan 1, 2025 | $46,212 | $6,932 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Disability | 258 | Jan 1, 2025 | $37,763 | $5,664 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Life | 121 | Jan 1, 2025 | $56,147 | $5,615 |
| VISION SERVICE PLAN | Vision | 226 | Jan 1, 2025 | $35,310 | $5,311 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 58 | Jan 1, 2025 | $21,735 | $4,347 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 96 | Jan 1, 2025 | $20,667 | $4,133 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 91 | Jan 1, 2025 | $11,744 | $2,349 |
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.
Reported to OSHA
Reported to OSHA for 2025: 195 employees, 3 recordable cases, 0 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
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Renewal calendar
536 other employer plans in Oklahoma are January 1 renewals (policy year ends December).
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