| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES INC | 1200 MAIN STREET SUITE 2310 KANSAS CITY, MO 64105 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $4K | $0 | $4K | 2.06% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES INC | 1200 MAIN STREET SUITE 2310 KANSAS CITY, MO 64105 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $5K | $0 | $5K | 4.25% |
| VARIOUS2 | 1932 WYNNTON ROAD COLUMBUS, GA 31999 | AFLAC | $6K | $31 | $6K | 5.02% |
| JODY HIPP3 Filed as: JODY K HIPP | PO BOX 1587 HAYS, KS 67601 | AFLAC | $5K | $283 | $6K | 4.79% |
| MARTHA P BUESS3 | 2948 E RAY AVE SALINA, KS 67401 | AFLAC | $878 | $0 | $878 | 0.74% |
| CRAIG ALLEN HENRY PFAFF3 | 9672 ELMIRA CIR SACRAMENTO, CA 95827 | AFLAC | $639 | $0 | $639 | 0.54% |
| FLIKKEMA INSURANCE INC3 Filed as: FLIKKEMA INSURANCE INC. | 6095 CENTURY DR. MANHATTAN, MT 59741 | AFLAC | $604 | $0 | $604 | 0.51% |
| SHAWN D SYVERSON3 Filed as: SHAWN SYVERSON | 1283 N 14TH AVE STE. 103 BOZEMAN, MT 59715 | AFLAC | $586 | $0 | $586 | 0.49% |
| PHILIP FLIKKEMA3 | 6095 CENTURY DR. MANHATTAN, MT 59741 | AFLAC | $543 | $0 | $543 | 0.46% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES INC | 1200 MAIN STREET SUITE 2310 KANSAS CITY, MO 64105 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $13K | $0 | $13K | 15.00% |
| HAYS COMPANIES, INC.3 Filed as: HAYES BENEFITS GROUP OF WI, LLC | 1200 N MAYFAIR RD. STE, 100 MILWAUKEE, WI 53226 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $694 | $694 | 0.80% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES INC | 1200 MAIN STREET SUITE 2310 KANSAS CITY, MO 64105 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $810 | $0 | $810 | 14.99% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF KANSAS EIN 48-0952857 NONE | Claims processing Service code 12 | — | $427K |
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 | 450 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 455 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts) | DELTA DENTAL | 302 | $0 |
| Life insurance(3 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 677 | $294K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 11 | $5K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 668 | $123K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF KANSAS | 789 | $1.1M |
| Other(4 contracts, 3 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 677 | $413K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 789 | — |
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."
No prospect flags tripped on this filing.