| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BUKATY COMPANIES3 | 11221 ROE AVENUE LEAWOOD, KS 66211 | BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA | $213K | $64K | $277K | 18.39% |
| BUKATY COMPANIES3 | 11221 ROE AVENUE LEAWOOD, KS 66211 | SUN LIFE ASSURANCE COMPANY OF CANADA | $285K | $0 | $285K | 19.82% |
| BUKATY COMPANIES3 | 11221 ROE AVENUE LEAWOOD, KS 66211 | HUMANA | $41K | $0 | $41K | 14.10% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF SC EIN 57-0287419 THIRD PARTY ADMINISTRATOR | Contract Administrator; Claims processing Service code 12 | — | $1.7M |
| DELTA DENTAL OF KS EIN 48-0793267 THIRD PARTY ADMINISTRATOR | Contract Administrator; Claims processing Service code 12 | — | $72K |
| UMB, N.A. DBA HEALTHCARE SERVICES EIN 44-0194180 THIRD PARTY ADMINISTRATOR | Contract Administrator Service code 13 | — | $50K |
| NUESYNERGY EIN 46-0553674 THIRD PARTY ADMINISTRATOR | Contract Administrator Service code 13 | — | $16K |
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 | 2,930 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 21 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 2,951 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | HUMANA | 2,458 | $289K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 3,950 | $1.4M |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 3,950 | $1.4M |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 3,950 | $1.4M |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA | 2,951 | $1.5M |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 3,950 | $1.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,950 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.