| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BUKATY COMPANIES3 | 4601 COLLEGE BLVD LEAWOOD, KS 66211 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $786K | $137K | $923K | 20.76% |
| PLANSOURCE BENEFITS ADMINISTRATION5 Filed as: PLANSOURCE | P O BOX 1313 ORLANDO, FL 32802 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $137K | $137K | 3.09% |
| FMLASOURCE INC5 Filed as: FMLASOURCE INC. | 455 N CITYFRONT PLZ DR 13TH FLOOR CHICAGO, IL 60611 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $46K | $46K | 1.03% |
| BUKATY COMPANIES3 | 4601 COLLEGE BLVD LEAWOOD, KS 66211 | BLUECROSS BLUESHIELD OF SC | $501K | $162K | $663K | 34.18% |
| BUKATY COMPANIES3 | 4601 COLLEGE BLVD LEAWOOD, KS 66211 | SURENCY LIFE | $17K | $0 | $17K | 4.99% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUECROSS BLUESHIELD OF SC EIN 57-0287419 MEDICAL PLAN TPA | Claims processing; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $2.4M |
| LIVONGO HEALTH EIN 26-3542036 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $122K |
| DELTA DENTAL OF KS EIN 48-0793267 DENTAL PLAN TPA | Claims processing; Contract Administrator Service code 12 | — | $111K |
| PLANSOURCE BEN ADMINISTRATION CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | P O BOX 1313 ORLANDO, FL 32802 | $67K |
| NUESYNERGY EIN 46-0553674 FSA PLAN ADMINISTRATOR | Contract Administrator; Claims processing Service code 12 | — | $15K |
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 | 3,714 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 10 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,724 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | SURENCY LIFE | 3,382 | $335K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 4,655 | $4.4M |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 4,655 | $4.4M |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 4,655 | $4.4M |
| Stop-loss / reinsurancereinsurance | BLUECROSS BLUESHIELD OF SC | 3,724 | $1.9M |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 4,655 | $4.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,655 | — |
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.