| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 8110 E. 32ND ST N., SUITE 100 WICHITA, KS 67226 | BLUE CROSS BLUE SHIELD OF KANSAS | $71K | — | $71K | 3.02% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS - WICHITA | 8110 E. 32ND ST N., SUITE 100 WICHITA, KS 67226 | DELTA DENTAL OF KANSAS, INC. | $15K | — | $15K | 8.09% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 8110 E. 32ND ST N., SUITE 100 WICHITA, KS 67226 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | — | $4K | 6.52% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 777 108TH AVE NE STE 200 BELLEVUE, WA 98004 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 3.10% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 8110 E. 32ND ST N., SUITE 100 WICHITA, KS 67226 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | — | $4K | 6.23% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 777 108TH AVE NE STE 200 BELLEVUE, WA 98004 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 3.14% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 8110 E. 32ND ST N., SUITE 100 WICHITA, KS 67226 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $7K | — | $7K | 11.09% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 777 108TH AVE NE STE 200 BELLEVUE, WA 98004 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 3.25% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 8110 E. 32ND ST N., SUITE 100 WICHITA, KS 67226 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | — | $5K | 8.23% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 777 108TH AVE NE STE 200 BELLEVUE, WA 98004 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 3.12% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS - WICHITA | 8110 E. 32ND ST N., SUITE 100 WICHITA, KS 67226 | SURENCY LIFE AND HEALTH | $4K | — | $4K | 10.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 8110 E. 32ND ST N., SUITE 100 WICHITA, KS 67226 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $336 | — | $336 | 6.80% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 777 108TH AVE NE STE 200 BELLEVUE, WA 98004 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $155 | $155 | 3.14% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS - WICHITA | 8110 E. 32ND ST N., SUITE 100 WICHITA, KS 67226 | SURENCY LIFE AND HEALTH | $150 | — | $150 | 9.99% |
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 | 321 | 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) | 321 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF KANSAS | 417 | $2.3M |
| Dental | DELTA DENTAL OF KANSAS, INC. | 240 | $181K |
| Vision(2 contracts) | SURENCY LIFE AND HEALTH | 233 | $40K |
| Life insurance(3 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 321 | $138K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 321 | $68K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 321 | $55K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF KANSAS | 417 | $2.3M |
| Other(4 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 321 | $138K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 417 | — |
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."
No prospect flags tripped on this filing.