| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TRUSS, LLC3 | 4551 W. 107TH STREET SUITE 100 OVERLAND PARK, KS 66207 | HUMANA | $4K | — | $4K | 6.03% |
| POWER GROUP COMPANY LLC3 Filed as: POWER GROUP CO LLC | 4550 W 109TH STREET SUITE 300 OVERLAND PARK, KS 66211 | HUMANA | $485 | — | $485 | 0.66% |
| KELLY & ASSOCIATES INSURANCE GROUP3 Filed as: KELLY BENEFIT STRATEGIES | 301 INTERNATIONAL CIRICLE COCKEYSVILLE, MD 21030 | HUMANA | -$1K | — | -$1K | -1.82% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HUMANA DENTAL INSURANCE COMPANY EIN 39-0714280 NONE | Contract Administrator Service code 13 | — | $31K |
| TRUSS, LLC NONE | Insurance agents and brokers Service code 22 | 4551 W 107TH STREET, SUITE 100 OVERLAND PARK, KS 66207 | $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 | 0 | 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) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | HUMANA | 547 | $74K |
| Vision | HUMANA | 547 | $74K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 547 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.