| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MID AMERICA | 6100 S YALE AVE STE 1900 TULSA, OK 74136 | BLUE CROSS AND BLUE SHIELD OF KANSAS | $32K | — | $32K | 1.05% |
| IMA, INC.3 | 1100 E 1ST ST. WICHITA, KS 67202 | BLUE CROSS AND BLUE SHIELD OF KANSAS | $32K | — | $32K | 1.05% |
| IMA, INC.3 | 1705 17TH ST STE 100 DENVER, CO 80202 | DELTA DENTAL OF KANSAS INC | $7K | — | $7K | 3.94% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: GBS/HUB INTERNATIONAL MIDWEST | 9200 WARD PKWY STE 500 KANSAS CITY, MO 64114 | DELTA DENTAL OF KANSAS INC | $3K | — | $3K | 2.06% |
| PAYCOM PAYROLL LLC3 Filed as: PAYCOM PAYROLL HOLDINGS LLC | 7501 W MEMORIAL RD OKLAHOMA CITY, OK 73142 | STANDARD INSURANCE COMPANY | — | $4K | $4K | 3.50% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 6100 S YALE AVE STE 1900 TULSA, OK 74136 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 2.28% |
| IMA, INC.3 | 1705 17TH ST STE 100 DENVER, CO 80202 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 1.70% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NE LIMITED | 1095 AVE OF THE AMERICAS NEW YORK, NY 10018 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 0.92% |
| PAYCOM PAYROLL LLC3 Filed as: PAYCOM PAYROLL HOLDINGS LLC | 7501 W MEMORIAL RD OKLAHOMA CITY, OK 73142 | STANDARD INSURANCE COMPANY | — | $2K | $2K | 3.50% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 6100 S YALE AVE STE 1900 TULSA, OK 74136 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 3.22% |
| IMA, INC.3 | 1705 17TH ST STE 100 DENVER, CO 80202 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 3.13% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NE LIMITED | 1065 AVE OF THE AMERICAS NEW YORK, NY 10018 | STANDARD INSURANCE COMPANY | $371 | — | $371 | 0.80% |
| IMA, INC.3 | PO BOX 2992 WICHITA, KS 67201 | SURENCY LIFE AND HEALTH | $3K | — | $3K | 6.56% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: GBS HUB INTERNATIONAL MIDWEST | 7331 W 33RD ST NORTH SUITE 100 WICHITA, KS 67205 | SURENCY LIFE AND HEALTH | $1K | — | $1K | 3.44% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 6100 S YALE AVE STE 1900 TULSA, OK 74136 | STANDARD INSURANCE COMPANY | $6K | — | $6K | 18.32% |
| IMA, INC.3 | 1705 17TH ST STE 100 DENVER, CO 80202 | STANDARD INSURANCE COMPANY | $744 | — | $744 | 2.35% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NE LIMITED | 1065 AVE OF THE AMERICAS NEW YORK, NY 10018 | STANDARD INSURANCE COMPANY | $357 | — | $357 | 1.13% |
| IMA, INC.3 | 1705 17TH ST STE 100 DENVER, CO 80202 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 7.11% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 6100 S YALE AVE STE 1900 TULSA, OK 74136 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 5.41% |
| PAYCOM PAYROLL LLC3 Filed as: PAYCOM PAYROLL HOLDINGS LLC | 7501 W MEMORIAL RD OKLAHOMA CITY, OK 73142 | STANDARD INSURANCE COMPANY | — | $1K | $1K | 3.50% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NE LIMITED | 1065 AVE OF THE AMERICAS NEW YORK, NY 10018 | STANDARD INSURANCE COMPANY | $208 | — | $208 | 0.71% |
| B&C AGENCE INC4 | 7867 SE 197TH TER LATHAM, KS 67072 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $2K | — | $2K | 16.13% |
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 | 435 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 440 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 403 | $3.1M |
| Dental(2 contracts) | DELTA DENTAL OF KANSAS INC | 286 | $170K |
| Vision(2 contracts) | SURENCY LIFE AND HEALTH | 209 | $41K |
| Life insurance | STANDARD INSURANCE COMPANY | 435 | $112K |
| Short-term disability | STANDARD INSURANCE COMPANY | 137 | $47K |
| Long-term disability | STANDARD INSURANCE COMPANY | 68 | $29K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF KANSAS | 403 | $3.1M |
| Other(4 contracts, 3 carriers) | STANDARD INSURANCE COMPANY | 488 | $165K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 488 | — |
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.