| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PETRICH BENEFIT PLAN SERVICES, INC.3 Filed as: PETRICH BENEFIT PLAN SERVICES INC | 345 N RIVERVIEW STE 600 WICHITA, KS 67203 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $11K | — | $11K | 13.00% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVE SUITE 1100 CHICAGO, IL 606036115 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $116 | $116 | 0.14% |
| JAMES R PETRICH3 | PETRICH BENEFIT PLAN SVCS 345 N RIVERVEIW SUITE 600 WICHITA, KS 67203 | HARTFORD LIFE AND ACCIDENT | $7K | — | $7K | 14.21% |
| HARRINGTON HEALTH3 Filed as: HARRINGTON HEALTH SVCS INC. | 780 BROOKSEDGE PLAZA DR WESTERVILLE, OH 43081 | HARTFORD LIFE AND ACCIDENT | $620 | $163 | $783 | 1.58% |
| PETRICH BENEFIT PLAN SERVICES, INC.3 Filed as: PETRICH BENEFIT PLAN SERVICES | 345 N RIVERVIEW STE 600 WICHITA, KS 67203 | UNUM LIFE INSURANCE COMPANY | $4K | — | $4K | 13.81% |
| HARRINGTON BENEFIT SERVICES, INC. | PO BOX 3 WICHITA, KS 67201 | UNUM LIFE INSURANCE COMPANY | $142 | — | $142 | 0.50% |
| PETRICH BENEFIT PLAN SERVICES, INC.3 | 345 N. RIVERVIEW, SUITE 600 WICHITA, KS 67203 | ZURICH AMERICAN INSURANCE COMPANY | $470 | — | $470 | 14.99% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ALLEN, GIBBS & HOULIK, LC EIN 48-1032601 AUDITOR | Accounting (including auditing) Service code 10 | 301 NORTH MAIN STE 1700 WICHITA, KS 67202 | $0 |
| BENEFIT MANAGEMENT LLC EIN 48-1168746 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 2118 N TYLER RD, STE 101C WICHITA, KS 67212 | $0 |
| HARRINGTON BENEFIT SERVICES, INC. EIN 41-1982309 CONTRACT ADMINSTRATOR | Contract Administrator Service code 13 | 780 BROOKSEDGE PLAZA WESTERVILLE, OH 43081 | $0 |
| PETRICH BENEFIT SERVICES INC EIN 27-1197779 BROKER | Insurance agents and brokers Service code 22 | 345 N RIVERVIEW STE 600 WICHITA, KS 67203 | $0 |
| WPPA INC DBA PROVIDERS CARE NETWORK PPO PROVIDER NETWORK | Insurance services Service code 23 | 1102 S. HILLSIDE WICHITA, KS 67211 | $0 |
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 | 244 | 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) | 244 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 337 | $84K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 70 | $50K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 70 | $50K |
| Stop-loss / reinsurancereinsurance | AMERICAN FIDELITY | 244 | $244K |
| Other(3 contracts, 3 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 337 | $116K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 337 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.