| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| IMA, INC.3 | PO BOX 2992 WICHITA, KS 67201 | AETNA LIFE INSURANCE CO. | — | $5K | $5K | 0.20% |
| IMA, INC.3 Filed as: IMA INC | 1422 DALLAS PKWY, SUITE 700 DALLAS, TX 75254 | SUN LIFE ASSURANCE COMPANY OF CANADA | $15K | — | $15K | 11.84% |
| IMA, INC.3 Filed as: IMA INC | 1705 17TH ST, STE 100 DENVER, CO 80202 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $9K | $9K | 7.32% |
| IMA, INC.3 Filed as: IMA INC | PO BOX 2992 WICHITA, KS 672012992 | DELTA DENTAL OF KANSAS, INC. | $6K | — | $6K | 6.64% |
| IMA, INC.3 Filed as: IMA - OVERLAND PARK, KS | PO BOX 2992 WICHITA, KS 672012992 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $2K | — | $2K | 11.26% |
| IMA, INC.3 Filed as: IMA INC | 1705 17TH ST SUITE 100 DENVER, CO 80202 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $745 | — | $745 | 9.99% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 2000 S COLORADO BLVD TOWER 2, SUITE 150 DENVER, CO 80222 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $114 | — | $114 | 1.53% |
| WELLS HOUSTON LLC3 | 6940 OLDE ATLANTA PKWY SUWANEE, GA 30024 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $58 | — | $58 | 0.78% |
| QUINCY LEGACY GROUP LLC3 | 5406 HERRON DR SW ATLANTA, GA 30349 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $24 | — | $24 | 0.32% |
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 | 246 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 246 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 294 | $2.4M |
| Dental(2 contracts) | DELTA DENTAL OF KANSAS, INC. | 128 | $96K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 249 | $18K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 246 | $124K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 246 | $124K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 246 | $124K |
| Other(3 contracts, 3 carriers) | AETNA LIFE INSURANCE CO. | 294 | $2.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 294 | — |
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.