| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BUKATY COMPANIES3 | 4601 COLLEGE BLVD. LEAWOOD, KS 66211 | UNITED OF OMAHA | $791K | $117K | $908K | 22.76% |
| PLANSOURCE BENEFIT ADMINISTRATION5 Filed as: PLANSOURCE BEN ADMIN | P O BOX 1313 ORLANDO, FL 32802 | UNITED OF OMAHA | $0 | $137K | $137K | 3.44% |
| FMLASOURCE INC5 Filed as: FMLASOURCE, INC. | 455 N CITYFRONT PLAZ DR CHICAGO, IL 60611 | UNITED OF OMAHA | $0 | $61K | $61K | 1.53% |
| BUKATY COMPANIES3 | 4601 COLLEGE BLVD. LEAWOOD, KS 66211 | BLUECROSS BLUESHIELD SC | $58K | $87K | $145K | 8.45% |
| BUKATY COMPANIES3 | 4601 COLLEGE BLVD. LEAWOOD, KS 66211 | HUMANA | $32K | $5K | $37K | 10.47% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUECROSS BLUESHIELD SC EIN 57-0287419 MEDICAL PLAN TPA | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing Service code 12 | — | $2.4M |
| DELTA DENTAL OF KANSAS EIN 48-0793267 DENTAL PLAN ADMINISTRATOR | Claims processing; Contract Administrator Service code 12 | — | $112K |
| PLANSOURCE EIN 59-3707284 COBRA PLAN ADMINISTRATOR | Claims processing; Contract Administrator Service code 12 | — | $45K |
| UMB, NA EIN 44-0194180 HSA PLAN ADMINISTRATOR | Contract Administrator; Claims processing Service code 12 | — | $26K |
| NUESYNERGY EIN 46-0553674 FSA PLAN ADMINISTRATOR | Claims processing; Contract Administrator 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 | 3,626 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 11 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,637 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | HUMANA | 3,210 | $350K |
| Life insurance | UNITED OF OMAHA | 4,616 | $4.0M |
| Short-term disability | UNITED OF OMAHA | 4,616 | $4.0M |
| Long-term disability | UNITED OF OMAHA | 4,616 | $4.0M |
| Stop-loss / reinsurancereinsurance | BLUECROSS BLUESHIELD SC | 3,637 | $1.7M |
| Other | UNITED OF OMAHA | 4,616 | $4.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,616 | — |
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.