| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RIDGE CONSULTING GROUP INC3 Filed as: RIDGE CONSULTING GROUP INC. | P.O. BOX 9488 WICHITA, KS 67277 | DELTA DENTAL OF KANSAS, INC. | $8K | — | $8K | 5.35% |
| RIDGE CONSULTING GROUP INC3 | PO BOX 9488 WICHITA, KS 67277 | HARTFORD LIFE AND ACCIDENT | $8K | — | $8K | 12.23% |
| HARRINGTON BENEFIT SERVICES, INC.3 Filed as: HARRINGTON BENEFIT SERVICES INC | 780 BROOKSEDGE PLAZA DR WESTERVILLE, OH 43081 | ALLSTATE | $5K | — | $5K | 9.44% |
| RIDGE CONSULTING GROUP INC3 Filed as: RIDGE CONSULTING GROUP, INC. | P.O. BOX 9488 WICHITA, KS 67277 | ALLSTATE | $1K | — | $1K | 1.83% |
| RIDGE CONSULTING GROUP INC3 Filed as: RIDGE CONSULTING GROUP INC. | P.O. BOX 9488 WICHITA, KS 67277 | VISION CARE DIRECT | $2K | — | $2K | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF KANSAS EIN 48-0952857 PPO PROVIDER NETWORK | Insurance services; Insurance brokerage commissions and fees; Claims processing Service code 12 | 1010 SW TYLER ST TOPEKA, KS 66612 | $98K |
| SURENCY LIFE AND HEALTH EIN 26-1969006 PLAN ADMINISTRATOR | Plan Administrator Service code 14 | 1619 N. WATERFRONT PRKWY WICHITA, KS 67278 | $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 |
|---|---|---|---|
| Health (medical) | ALLSTATE | 143 | $56K |
| Dental | DELTA DENTAL OF KANSAS, INC. | 158 | $141K |
| Vision | VISION CARE DIRECT | 221 | $20K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 36 | $64K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 36 | $64K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF KANSAS | 406 | $323K |
| Other | HARTFORD LIFE AND ACCIDENT | 36 | $64K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 406 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.