| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| IMA, INC.3 Filed as: IMA INC. | 8200 E 32ND ST. N. WICHITA, KS 67226 | BLUE CROSS AND BLUE SHIELD OF KANSAS | $22K | — | $22K | 2.57% |
| IMA, INC.3 | 8200 E 32ND ST NORTH WICHITA, KS 67226 | BLUE CROSS AND BLUE SHIELD OF KANSAS | $7K | — | $7K | 2.39% |
| IMA, INC.3 Filed as: IMA INC | — | DELTA DENTAL OF KANSAS, INC. | $2K | — | $2K | 4.54% |
| IMA, INC.3 Filed as: IMA INC | 8200 E 32ND ST NORTH WICHITA, KS 67226 | HARTFORD LIFE AND ACCIDENT | $4K | — | $4K | 16.98% |
| IMA, INC.3 Filed as: IMA INC | 1705 17TH ST SUITE 100 DENVER, CO 80202 | TRUSTMARK LIFE INSURANCE COMPANY | $853 | — | $853 | 4.00% |
| IMA, INC.3 | PO BOX 2992 WICHITA, KS 672012992 | VISION SERVICE PLAN | $1K | — | $1K | 10.56% |
| IMA, INC.2 | 8200 E 32ND ST NORTH WICHITA, KS 67226 | HARTFORD LIFE AND ACCIDENT | $224 | — | $224 | 10.01% |
| IMA, INC.3 Filed as: IMA INC | 8200 E 32ND ST NORTH WICHITA, KS 67226 | HARTFORD LIFE AND ACCIDENT | $113 | — | $113 | 15.07% |
No Schedule C service providers reported on this filing.
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 | 320 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 320 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 320 | $1.2M |
| Dental | DELTA DENTAL OF KANSAS, INC. | 99 | $47K |
| Vision | VISION SERVICE PLAN | 63 | $10K |
| Life insurance | TRUSTMARK LIFE INSURANCE COMPANY | 216 | $21K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 72 | $26K |
| Prescription drug(2 contracts) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 320 | $1.2M |
| Other(3 contracts, 2 carriers) | TRUSTMARK LIFE INSURANCE COMPANY | 216 | $24K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 320 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.