| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFITS SERVICES, INC. | 2345 GRAND BLVD, SUITE 400 KANSAS CITY, MO 64108 | BLUE CROSS AND BLUE SHIELD OF KANSAS | $77K | — | $77K | 4.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES-WICHITA | 8110 E. 32ND STREET N., SUITE 100 WICHITA, KS 67226 | DELTA DENTAL OF KANSAS, INC. | $4K | — | $4K | 9.02% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES-WICHITA | 8110 E. 32ND STREET N., SUITE 100 WICHITA, KS 67226 | DELTA DENTAL OF KANSAS, INC. | $1K | — | $1K | 3.27% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES-WICHITA | 8110 E. 32ND STREET N., SUITE 100 WICHITA, KS 67226 | DELTA DENTAL OF KANSAS, INC. | $1K | — | $1K | 6.73% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES-WICHITA | 8110 E. 32ND STREET N., SUITE 100 WICHITA, KS 67226 | SURENCY LIFE AND HEALTH | $1K | — | $1K | 10.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES-WICHITA | 8110 E. 32ND STREET N., SUITE 100 WICHITA, KS 67226 | DELTA DENTAL OF KANSAS, INC. | $218 | — | $218 | 1.94% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES-WICHITA | 8110 E. 32ND STREET N., SUITE 100 WICHITA, KS 67226 | SURENCY LIFE AND HEALTH | $785 | — | $785 | 10.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES-WICHITA | 8110 E. 32ND STREET N., SUITE 100 WICHITA, KS 67226 | DELTA DENTAL OF KANSAS, INC. | $269 | — | $269 | 6.34% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES-WICHITA | 8110 E. 32ND STREET N., SUITE 100 WICHITA, KS 67226 | SURENCY LIFE AND HEALTH | $337 | — | $337 | 10.01% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES-WICHITA | 8110 E. 32ND STREET N., SUITE 100 WICHITA, KS 67226 | SURENCY LIFE AND HEALTH | $114 | — | $114 | 10.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES-WICHITA | 8110 E. 32ND STREET N., SUITE 100 WICHITA, KS 67226 | SURENCY LIFE AND HEALTH | $58 | — | $58 | 9.98% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 8110 E. 32ND STREET N. SUITE 100 WICHITA, KS 67226 | SURENCY LIFE AND HEALTH | $14 | — | $14 | 9.72% |
No Schedule C service providers reported on this filing.
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 | 360 | 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) | 360 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 360 | $1.9M |
| Dental(6 contracts) | DELTA DENTAL OF KANSAS, INC. | 78 | $112K |
| Vision(6 contracts) | SURENCY LIFE AND HEALTH | 82 | $25K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 360 | — |
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.