| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| IMA, INC.3 | 8200 E 32ND ST NORTH WICHITA, KS 67226 | BLUE CROSS AND BLUE SHIELD OF KANSAS | $28K | — | $28K | 2.11% |
| IMA, INC.3 Filed as: IMA INC | — | DELTA DENTAL OF KANSAS, INC. | $4K | — | $4K | 4.69% |
| IMA, INC.3 Filed as: IMA INC | 1705 17TH ST SUITE 100 DENVER, CO 80202 | TRUSTMARK LIFE INSURANCE COMPANY | $881 | — | $881 | 4.00% |
| IMA, INC.3 Filed as: IMA INC | PO BOX 2992 WICHITA, KS 67201 | HARTFORD LIFE AND ACCIDENT | $3K | $252 | $3K | 17.40% |
| IMA, INC.3 | 8200 E 32ND ST N WICHITA, KS 672262606 | VISION SERVICE PLAN | $768 | — | $768 | 7.31% |
| IMA, INC.3 | 8200 E 32ND ST NORTH WICHITA, KS 67226 | HARTFORD LIFE AND ACCIDENT | $226 | $27 | $253 | 11.21% |
| IMA, INC.3 Filed as: IMA INC | 8200 E 32ND ST NORTH WICHITA, KS 67226 | HARTFORD LIFE AND ACCIDENT | $113 | $10 | $123 | 16.40% |
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 | 300 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 300 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 300 | $1.3M |
| Dental | DELTA DENTAL OF KANSAS, INC. | 139 | $83K |
| Vision | VISION SERVICE PLAN | 68 | $10K |
| Life insurance | TRUSTMARK LIFE INSURANCE COMPANY | 224 | $22K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 53 | $18K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF KANSAS | 300 | $1.3M |
| Other(3 contracts, 2 carriers) | TRUSTMARK LIFE INSURANCE COMPANY | 235 | $25K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 300 | — |
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.