| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERITAIN HEALTH3 | 300 CORPORATE PARKWAY BUFFALO, NY 14226 | MERITAIN HEALTH | — | $503K | $503K | — |
| ACRISURE LLC4 Filed as: ACRISURE DBA BEN HEATLH ADV-CO | 2000 N. CLASSEN BLVD OKLAHOMA CITY, OK 73034 | DELTA DENTAL OF KANSAS, INC. | $772 | — | $772 | — |
| ACRISURE LLC4 Filed as: ACRISURE DBA BEN HEATLH ADV-CO | 2000 N. CLASSEN BLVD OKLAHOMA CITY, OK 73034 | DELTA DENTAL OF KANSAS, INC. | $153 | — | $153 | — |
| ACRISURE LLC4 Filed as: ACRISURE DBA BEN HEATLH ADV-CO | 2000 N. CLASSEN BLVD OKLAHOMA CITY, OK 73034 | DELTA DENTAL OF KANSAS, INC. | $0 | — | $0 | — |
| ACRISURE LLC4 Filed as: ACRISURE DBA BEN HEATLH ADV-CO | 2000 N. CLASSEN BLVD OKLAHOMA CITY, OK 73034 | DELTA DENTAL OF KANSAS, INC. | $4 | — | $4 | — |
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 | 687 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 687 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | MERITAIN HEALTH | 687 | $0 |
| Dental(5 contracts, 2 carriers) | MERITAIN HEALTH | 687 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 687 | — |
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.