| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INTER-AMERICAS INSURANCE CORP, INC3 | 1035 S 183RD ST WEST GODDARD, KS 67052 | HCC LIFE INSURANCE COMPANY | $57K | — | $57K | 10.00% |
| RISK & INSURANCE CONSULTING SERVICE3 | 5500 LILBURN STONE MOUNTAIN RD SUITE B STONE MOUNTAIN, GA 30087 | HCC LIFE INSURANCE COMPANY | $28K | — | $28K | 5.00% |
| OOSI3 | 1 NW OOIDA DRIVE GRAIN VALLEY, MO 64029 | AMERICAN UNDERWRITERS LIFE INSURANCE COMPANY | $1K | — | $1K | 19.70% |
| INTER-AMERICAS INSURANCE CORP, INC3 Filed as: INTER-AMERICAS INSURANCE CORP | 1035 S 183RD ST W GODDARD, KS 67052 | AMERICAN UNDERWRITERS LIFE INSURANCE COMPANY | $342 | — | $342 | 5.00% |
| WELCO, INC.3 | 146 N KARREN CT WICHITA, KS 67212 | AMERICAN UNDERWRITERS LIFE INSURANCE COMPANY | $137 | — | $137 | 2.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PREFERRED HEALTH PROFESSIONAL EIN 20-1665464 NONE | Direct payment from the plan Service code 50 | 8140 WARD PARKWAY STE 430 KANSAS CITY, MO 64114 | $786K |
| LEEHAR DISTRIBUTORS INC EIN 43-0912223 NONE | Direct payment from the plan Service code 50 | 701 EMERSON RD STE 301 CREVE COEUR, MO 63141 | $656K |
| UNIVERSITY OF KANSAS HOSPITAL AUTH EIN 48-1202402 NONE | Direct payment from the plan Service code 50 | PO BOX 955772 ST LOUIS, MO 631955772 | $581K |
| PRIME HEALTH CARE SERVICES EIN 47-2264005 NONE | Direct payment from the plan Service code 50 | 201 NW RD MIZE ROAD BLUE SPRINGS, MO 64014 | $304K |
| CENTERPOINT MEDICAL CENTER OF EIN 45-0503121 NONE | Direct payment from the plan Service code 50 | PO BOX 409786 ATLANTA, GA 30384 | $194K |
| CHILDRENS MERCY HOSPITAL EIN 44-0605373 NONE | Direct payment from the plan Service code 50 | 2401 GILLHAM ROAD KANSAS CITY, MO 64108 | $151K |
| MIDWEST DIVISION LSH LLC EIN 45-0503141 NONE | Direct payment from the plan Service code 50 | PO BOX 404917 ATLANTA, GA 303844917 | $115K |
| MIDWEST DIVISION-LRHC LLC EIN 48-1301817 NONE | Direct payment from the plan Service code 50 | PO BOX 404920 ATLANTA, GA 30384 | $92K |
| KANSAS UNIVERSITY PHYSICIANS EIN 48-1163756 NONE | Direct payment from the plan Service code 50 | 3901 RAINBOW BOULEVARD 4017 KANSAS CITY, KS 66160 | $90K |
| MIDWEST DIVISION RMC, LLC EIN 54-2092552 NONE | Direct payment from the plan Service code 50 | PO BOX 404193 ATLANTA, GA 30384 | $72K |
| LABONE INC EIN 43-1039532 NONE | Direct payment from the plan Service code 50 | 10101 RENNER BLVD LENEXA, KS 66219 | $50K |
| ST LUKES SURGICENTER EIN 47-0853481 NONE | Direct payment from the plan Service code 50 | PO BOX 419668 KANSAS CITY, MO 641416668 | $45K |
| UNITED CLAIM SOLUTIONS EIN 20-0908354 NONE | Direct payment from the plan Service code 50 | PO BOX 310481 PHOENIX, AZ 85027 | $43K |
| RM DENTAL GROUP EAST EIN 30-0963223 NONE | Direct payment from the plan Service code 50 | 655 RD MIZE ROAD GRAIN VALLEY, MO 64029 | $43K |
| SAINT LUKES HOSPITAL PHYSICIAN EIN 76-0820877 NONE | Direct payment from the plan Service code 50 | 4401 WORNALL RD KANSAS CITY, MO 64111 | $37K |
| NORTH KANSAS CITY HOSPITAL EIN 44-6005747 NONE | Direct payment from the plan Service code 50 | 2800 CLAY EDWARDS DRIVE N KANSAS CITY, MO 64116 | $34K |
| MIDWEST DIVISION - OPRMC, LLC EIN 45-0503116 NONE | Direct payment from the plan Service code 50 | PO BOX 404171 ATLANTA, GA 303844171 | $34K |
| NANTHEALTH, LLC EIN 27-3019889 NONE | Direct payment from the plan Service code 50 | PO BOX 748557 LOS ANGELES, CA 900748557 | $34K |
| EDC OF DENVER, LLC EIN 84-1595162 NONE | Direct payment from the plan Service code 50 | 4100 E MISSISSIPPI AVE STE 1300 DENVER, CO 80246 | $29K |
| THE REHABILITATION INSTITUTE EIN 44-0552045 NONE | Direct payment from the plan Service code 50 | 3011 BALTIMORE AVE KANSAS CITY, MO 64108 | $28K |
| MIDWEST DIVISION - MMC, LLC EIN 48-1301826 NONE | Direct payment from the plan Service code 50 | 5721 W 119TH ST OVERLAND PARK, KS 662093722 | $27K |
| ST MARYS SURGICAL CENTER EIN 20-1685516 NONE | Direct payment from the plan Service code 50 | 203 NW RD MIZE RD STE 21 BLUE SPRINGS, MO 64014 | $25K |
| SHAWNEE MISSION SURGERY CENTER EIN 48-1243914 NONE | Direct payment from the plan Service code 50 | 9100 W 74TH STREET SHAWNEE MISSION, KS 66204 | $21K |
| ALLIANCE RADIOLOGY, PA EIN 48-1200790 NONE | Direct payment from the plan Service code 50 | PO BOX 804451 KANSAS CITY, MO 64180 | $21K |
| ANESTHESIA ASSOC OF KC, PC EIN 43-0975680 NONE | Direct payment from the plan Service code 50 | PO BOX 801185 KANSAS CITY, MO 641801185 | $21K |
| SAINT LUKES SOUTH EIN 48-1203262 NONE | Direct payment from the plan Service code 50 | PO BOX 503820 ST LOUIS, MO 63150 | $20K |
| SURGICENTER OF KANSAS CITY EIN 43-1828920 NONE | Direct payment from the plan Service code 50 | 1800 EAST MEYER BLVD KANSAS CITY, MO 641312521 | $20K |
| SURGERY CENTER OF INDEPENDENCE EIN 20-0670748 NONE | Direct payment from the plan Service code 50 | 19550 EAST 39TH STREET STE 100 INDEPENDENCE, MO 64057 | $19K |
| SAINT LUKES MEDICAL GP LEES SUMMIT EIN 43-1598353 NONE | Direct payment from the plan Service code 50 | PO BOX 504938 ST LOUIS, MO 63150 | $18K |
| TRUMAN MED CENTER INC EIN 44-0661018 NONE | Direct payment from the plan Service code 50 | PO BOX 957973 ST LOUIS, MO 63195 | $18K |
| VA HEARTLAND WEST VISN 15 EIN 43-6173947 NONE | Direct payment from the plan Service code 50 | 4801 LINWOOD BLVD KANSAS CITY, MO 64128 | $17K |
| DIAGNOSTICS IMAGING CENTER PA EIN 43-0913846 NONE | Direct payment from the plan Service code 50 | 7101 COLLEGE BLVD STE 1200 OVERLAND PARK, KS 66210 | $17K |
| PRIME HEALTHCARE KANSAS CITY EIN 47-2538324 NONE | Direct payment from the plan Service code 50 | 801 NW ST MARYS DR STE 220 BLUE SPRINGS, MO 640142508 | $15K |
| CONTIMIUM GROUP EIN 52-1874471 NONE | Direct payment from the plan Service code 50 | 9841 BROKEN LAND PARKWAY 315 COLUMBIA, MD 21046 | $15K |
| JULIE LOECKER DDS EIN 20-0264284 NONE | Direct payment from the plan Service code 50 | 1424 SW EAGLES PARK WAY GRAIN VALLEY, MO 64029 | $15K |
| SHAWNEE MISSION MEDICAL CENTER EIN 48-0637331 NONE | Direct payment from the plan Service code 50 | 9100 W 74TH ST SHAWNEE MISSION, KS 66204 | $15K |
| BALANCED BODY CHIROPRACTIC CTR PC EIN 43-1717240 NONE | Direct payment from the plan Service code 50 | 19301 US 40 HWY E STE B INDEPENDENCE, MO 64055 | $14K |
| CURATORS OF THE UNIV OF MISSOURI EIN 90-0294051 NONE | Direct payment from the plan Service code 50 | PO BOX 7687 COLUMBIA, MO 65205 | $14K |
| HANNEMAN & WARD DDS EIN 43-1765278 NONE | Direct payment from the plan Service code 50 | 655 RD MIZE RD GRAIN VALLEY, MO 64029 | $14K |
| SIGNATURE MEDICAL GROUP EIN 45-3074284 NONE | Direct payment from the plan Service code 50 | 12639 OLD TESSON RD STE 100 ST LOUIS, MO 63128 | $13K |
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 | 309 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 312 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | AMERICAN UNDERWRITERS LIFE INSURANCE COMPANY | 324 | $7K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 312 | $569K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 324 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.