| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| IMA, INC.3 | P.O. BOX 2992 WICHITA, KS 672012992 | AETNA LIFE INSURANCE CO. | $0 | $3K | $3K | 0.20% |
| IMA, INC.3 | P.O. BOX 2992 WICHITA, KS 67201 | DELTA DENTAL OF KANSAS, INC. | $2K | — | $2K | 3.96% |
| IMA, INC.3 | P.O. BOX 2992 WICHITA, KS 67201 | DELTA DENTAL OF KANSAS, INC. | $1K | — | $1K | 4.89% |
| IMA, INC.3 | 430 EAST DOUGLAS AVENUE SUITE 400 WICHITA, KS 67202 | HARTFORD LIFE AND ACCIDENT | $4K | — | $4K | 16.00% |
| IMA, INC.3 | 136 EAST SOUTH TEMPLE STREET SUITE 2300 SALT LAKE CITY, UT 84111 | HARTFORD LIFE AND ACCIDENT | $0 | $358 | $358 | 1.59% |
| IMA, INC.3 | 1705 17TH STREET SUITE 100 DENVER, CO 80202 | TRUSTMARK LIFE INSURANCE COMPANY | $819 | — | $819 | 4.00% |
| IMA, INC.3 | P.O. BOX 733835 DALLAS, TX 75373 | VISION SERVICE PLAN | $954 | — | $954 | 6.00% |
| IMA, INC.3 | 430 EAST DOUGLAS AVENUE SUITE 400 WICHITA, KS 67202 | HARTFORD LIFE AND ACCIDENT | $2K | — | $2K | 16.85% |
| IMA, INC.3 | 136 EAST SOUTH TEMPLE STREET SUITE 2300 SALT LAKE CITY, UT 84111 | HARTFORD LIFE AND ACCIDENT | $0 | $1K | $1K | 8.30% |
| IMA, INC.3 | 430 EAST DOUGLAS AVENUE SUITE 400 WICHITA, KS 67202 | HARTFORD LIFE AND ACCIDENT | $2K | — | $2K | 15.00% |
| IMA, INC.3 | 136 EAST SOUTH TEMPLE STREET SUITE 2300 SALT LAKE CITY, UT 84111 | HARTFORD LIFE AND ACCIDENT | $0 | $790 | $790 | 7.33% |
| IMA, INC.3 | 8200 EAST 32ND STREET NORTH WICHITA, KS 67226 | HARTFORD LIFE AND ACCIDENT | $113 | $11 | $124 | 16.53% |
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 | 158 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 67 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 225 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 228 | $1.2M |
| Dental(2 contracts) | DELTA DENTAL OF KANSAS, INC. | 65 | $83K |
| Vision | VISION SERVICE PLAN | 84 | $16K |
| Life insurance(2 contracts, 2 carriers) | TRUSTMARK LIFE INSURANCE COMPANY | 198 | $33K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 19 | $11K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 19 | $23K |
| Other(5 contracts, 3 carriers) | TRUSTMARK LIFE INSURANCE COMPANY | 198 | $39K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 228 | — |
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.