| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EVERENCE ASSOCIATION INC3 Filed as: EVERENCE ASSOCIATION, INC | 1110 NORTH MAIN STREET PO BOX 483 GOSHEN, IN 46527 | MADISON NATIONAL LIFE INSURANCE COMPANY | $5K | $0 | $5K | 11.17% |
| NORTH AMERICAN BENEFITS COMPANY5 | 20 VALLEY STREAM PARKWAY SUITE 310 MALVERN, PA 19355 | MADISON NATIONAL LIFE INSURANCE COMPANY | $0 | $3K | $3K | 7.22% |
| BURT ADVISORY GROUP3 Filed as: BURT ADVISORY GROUP, INC | 307 S MAIN STREET SUITE 302 ELKHART, IN 46516 | MADISON NATIONAL LIFE INSURANCE COMPANY | $0 | $3K | $3K | 6.54% |
| BUKATY COMPANIES3 Filed as: BUKATY COMPANIES LLC | 4601 COLLEGE BLVD STE 100 LEAWOOD, KS 66211 | CONTINENTAL AMERICAN INSURANCE COMPANY | $10K | $0 | $10K | 29.19% |
| ADAM J STEIN3 | 12113 WESTGATE ST OVERLAND PARK, KS 66213 | CONTINENTAL AMERICAN INSURANCE COMPANY | $7K | $0 | $7K | 20.03% |
| KRISTEL L BONTRAGER3 | 16014 254TH RD WHITING, KS 66552 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | $0 | $2K | 4.59% |
| BUKATY COMPANIES3 | 4601 COLLEGE BLVD, STE 100 LEAWOOD, KS 662111664 | VISION SERVICE PLAN | $2K | $0 | $2K | 9.97% |
| BUKATY COMPANIES3 Filed as: BUKATY COMPANIES INC | 4601 COLLEGE BLVD SUITE 210 LEAWOOD, KS 66211 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $3K | $0 | $3K | 15.00% |
| TECHSOURCE INC3 | 9710 W. 145TH TERRACE LEAWOOD, KS 66211 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $627 | $0 | $627 | 3.00% |
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 | 170 | 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) | 170 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 120 | $22K |
| Life insurance(2 contracts, 2 carriers) | MADISON NATIONAL LIFE INSURANCE COMPANY | 155 | $64K |
| Short-term disability | MADISON NATIONAL LIFE INSURANCE COMPANY | 155 | $43K |
| Long-term disability | MADISON NATIONAL LIFE INSURANCE COMPANY | 155 | $43K |
| Other(3 contracts, 3 carriers) | MADISON NATIONAL LIFE INSURANCE COMPANY | 155 | $97K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 155 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.