| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BUKATY COMPANIES3 | 4601 COLLEGE BLVD LEAWOOD, KS 66211 | UNITED OF OMAHA | $4K | $7K | $11K | 9.68% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MERITAIN HEALTH EIN 16-1264154 MEDICAL PLAN TPA | Claims processing; Contract Administrator Service code 12 | — | $412K |
| BUKATY COMPANIES EIN 48-1224371 AGENT/BROKER | Insurance agents and brokers Service code 22 | — | $67K |
| LIVONGO HEALTH EIN 26-3542036 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $17K |
| HEALTHCARE BLUEBOOK, INC. EIN 46-4399706 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $11K |
| MUTUAL OF OMAHA EIN 47-0322111 STD CLAIMS TPA | Contract Administrator; Claims processing Service code 12 | — | $9K |
| RXBENEFITS EIN 63-1157085 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $7K |
| NUESYNERGY EIN 46-0553674 FSA & COBRA TPA | Contract Administrator; Claims processing Service code 12 | — | $6K |
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 | 494 | 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) | 494 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF KS | 422 | $266K |
| Vision | VISION SERVICE PLAN | 331 | $48K |
| Life insurance | UNITED OF OMAHA | 494 | $115K |
| Long-term disability | UNITED OF OMAHA | 494 | $115K |
| Stop-loss / reinsurancereinsurance | GERBER LIFE INSURANCE COMPANY | 409 | $451K |
| Other(2 contracts, 2 carriers) | UNITED OF OMAHA | 494 | $122K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 494 | — |
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.