| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE LLC | 245 N. WACO, SUITE 300 WICHITA, KS 67202 | BLUECROSS BLUESHIELD OF KANSAS | $48K | — | $48K | 3.40% |
| DIANA NICOLE STROUT3 Filed as: DIANA STROUT | 28059 US HIGHWAY 19 N, SUITE 201 CLEARWATER, FL 33761 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | — | $5K | 4.66% |
| USI INSURANCE SERVICES LLC3 Filed as: USI MIDWEST LLC | 245 N. WACO STREET, SUITE 300 WICHITA, KS 67202 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $24 | $2K | 1.68% |
| ROBERT E. MILLER INSURANCE AGENCY3 | 6363 COLLEGE BOULEVARD, SUITE 400 LEAWOOD, KS 66211 | METROPOLITAN LIFE INSURANCE COMPANY | $701 | $210 | $911 | 0.88% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $807 | — | $807 | 0.78% |
| USI INSURANCE SERVICES LLC3 Filed as: USI MIDWEST INC | P.O. BOX 3716 NORFOLK, VA 23514 | METROPOLITAN LIFE INSURANCE COMPANY | — | $716 | $716 | 0.69% |
| DIANA NICOLE STROUT3 Filed as: DIANA STROUT | 28059 US HIGHWAY 19 N, SUITE 201 CLEARWATER, FL 33761 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | — | $6K | 27.70% |
| USI INSURANCE SERVICES LLC3 Filed as: USI MIDWEST LLC | 245 N. WACO, SUITE 300 WICHITA, KS 67202 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $24 | $3K | 13.97% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $947 | — | $947 | 4.62% |
| USI INSURANCE SERVICES LLC3 Filed as: USI MIDWEST LLC | P.O. BOX 3716 NORFOLK, VA 23514 | METROPOLITAN LIFE INSURANCE COMPANY | — | $158 | $158 | 0.77% |
| DIANA NICOLE STROUT3 Filed as: DIANA STROUT | 28059 US HIGHWAY 19 N., SUITE 201 CLEARWATER, FL 33761 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | — | $3K | 20.06% |
| USI INSURANCE SERVICES LLC3 Filed as: USI MIDWEST LLC | 245 N. WACO, SUITE 300 WICHITA, KS 67202 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $24 | $2K | 10.19% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $498 | — | $498 | 3.35% |
| USI INSURANCE SERVICES LLC3 Filed as: USI MIDWEST INC | P.O. BOX 3716 NORFOLK, VA 23514 | METROPOLITAN LIFE INSURANCE COMPANY | — | $82 | $82 | 0.55% |
| USI INSURANCE SERVICES LLC3 Filed as: USI MIDWEST LLC | 245 N. WACO, SUITE 412 WICHITA, KS 67202 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 15.00% |
| USI INSURANCE SERVICES LLC3 Filed as: USI MIDWEST LLC | 245 N. WACO, SUITE 412 WICHITA, KS 67202 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $906 | — | $906 | 11.00% |
| USI INSURANCE SERVICES LLC3 Filed as: USI MIDWEST LLC | 245 N. WACO, SUITE 412 WICHITA, KS 67202 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $521 | — | $521 | 15.01% |
| USI INSURANCE SERVICES LLC3 Filed as: USI MIDWEST LLC | 245 N. WACO, SUITE 412 WICHITA, KS 67202 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $300 | — | $300 | 11.01% |
| USI INSURANCE SERVICES LLC3 Filed as: USI MIDWEST LLC | 245 N. WACO, SUTIE 412 WICHITA, KS 67202 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $49 | — | $49 | 14.94% |
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 | 250 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 9 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 259 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF KANSAS | 369 | $1.4M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 541 | $104K |
| Vision | RELIANCE STANDARD LIFE INSURANCE COMPANY | 74 | $42K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 323 | $8K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 56 | $3K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 306 | $13K |
| Prescription drug | BLUECROSS BLUESHIELD OF KANSAS | 369 | $1.4M |
| Other(5 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 364 | $47K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 541 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.