| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DPI BENEFITS3 | 215 SOUTHWIND, SUITE 201 MANHATTAN, KS 66503 | COMPANION LIFE - SUMMIT REINSURANCE | $127K | — | $127K | 1.07% |
| DARRELL PHILLIPS INC3 | 215 SOUTHWIND SUITE 201 MANHATTAN, KS 66503 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $38K | — | $38K | 13.40% |
| DARRELL PHILLIPS INC3 | 215 SOUTHWIND SUITE 201 MANHATTAN, KS 66503 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $40K | — | $40K | 16.70% |
| DARRELL PHILLIPS INC3 | 215 SOUTHWIND SUITE 201 MANHATTAN, KS 66503 | UNUM LIFE INSURANCE COMPANY NOF AMERICA | $35K | — | $35K | 15.26% |
| DARRELL PHILLIPS INC3 | 215 SOUTHWIND SUITE 201 MANHATTAN, KS 66503 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $23K | — | $23K | 17.00% |
| DARRELL PHILLIPS INC3 | 215 SOUTHWIND SUITE 201 MANHATTAN, KS 66503 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $18K | — | $18K | 14.20% |
| DARRELL PHILLIPS INC3 | 215 SOUTHWIND PLACE SUITE 1B MANHATTAN, KS 665033173 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | — | $6K | 14.57% |
| DARRELL PHILLIPS INC3 | 215 SOUTHWIND SUITE 201 MANHATTAN, KS 66503 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 16.99% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENEFIT MANAGEMENT INC CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | PO BOX 1090 GREAT BEND, KS 67530 | $270K |
| GPHA PLAN ADMINIST RATOR | Plan Administrator Service code 14 | 250 N ROCK ROAD #160 WICHITA, KS 67206 | $75K |
| WPPA CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 1102 SOUTH HILLSIDE WICHITA, KS 67211 | $65K |
| KANSAS INSURANCE DEPARTMENT INSURANCE PROVIDER | Insurance services Service code 23 | 420 SW 9TH STREET TOPEKA, KS 66612 | $50K |
| POLSINELLI, PC LEGAL | Legal Service code 29 | 900 W 48TH PLACE SUITE 900 KANSAS CITY, MO 64112 | $25K |
| FIRST HEALTH CONTRACT ADMI NISTRATOR | Contract Administrator Service code 13 | 23291 NETWORK PLACE CHICAGO, IL 606731232 | $22K |
| MEDWATCH LLC CONTRACT ADMI NISTRATOR | Contract Administrator Service code 13 | 120 INTERNATIONAL PKWY, SUITE 220 LAKE MARY, FL 32746 | $20K |
| DARRELL PHILLIPS INC CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 215 SOUTHWIND SUITE 201 MANHATTAN, KS 66503 | $17K |
| MIDLANDS CHOICE CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 8420 W DODGE ROAD SUITE 210 OMAHA, NE 681143492 | $14K |
| PREMIER HEALTHCARE EXCHANGE CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 2 CROSSROADS DRIVE BEDMINISTER, NJ 07921 | $7K |
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 | 1,289 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,290 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 545 | $43K |
| Life insurance(3 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,380 | $436K |
| Short-term disability(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,380 | $302K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,217 | $237K |
| Stop-loss / reinsurancereinsurance | COMPANION LIFE - SUMMIT REINSURANCE | 1,308 | $11.8M |
| Other(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY NOF AMERICA | 1,225 | $356K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,380 | — |
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.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.