| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DARRELL PHILLIPS INC3 | 215 SOUTHWIND PL, SUITE 1B MANHATTAN, KS 66503 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | — | $3K | 13.73% |
| DARRELL PHILLIPS INC3 | 215 SOUTHWIND PL, SUITE 1B MANHATTAN, KS 66503 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | $555 | $3K | 16.79% |
| DARRELL PHILLIPS INC3 | 215 SOUTHWIND PL, SUITE 1B MANHATTAN, KS 66503 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 21.49% |
| DARRELL PHILLIPS INC3 | 215 SOUTHWIND PL, SUITE 1B MANHATTAN, KS 66503 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 9.57% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFITS SVCS INC | PO BOX 40948 INDIANAPOLIS, IN 462400948 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $192 | — | $192 | 1.44% |
| DARRELL PHILLIPS INC3 | 215 SOUTHWIND PL, SUITE 1B MANHATTAN, KS 66503 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | $388 | $2K | 14.26% |
| DARRELL PHILLIPS INC3 | 215 SOUTHWIND PL, SUITE 1B MANHATTAN, KS 66503 | AMERICAN GENERAL LIFE INSURANCE COMPANY | $527 | — | $527 | 12.50% |
| ERWIN J. COON3 | 10990 NW TOWNER DRIVE GRIMES, IA 50111 | AMERICAN GENERAL LIFE INSURANCE COMPANY | $214 | — | $214 | 5.08% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF KANSAS EIN 48-0952857 NONE | Contract Administrator; Insurance services Service code 13 | 1133 SW TOPEKA BOULEVARD TOPEKA, KS 666290001 | $76K |
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 | 168 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 168 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 28 | $18K |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 139 | $13K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 214 | $24K |
| Life insurance(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 168 | $17K |
| Short-term disability(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 168 | $17K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 154 | $19K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS AND BLUE SHIELD OF KANSAS | 167 | $281K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 214 | — |
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.