| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROBERT E. MILLER INSURANCE AGENCY | 636 COLLEGE BLVD STE 400 OVERLAND PARK, KS 66211 | DELTA DENTAL OF KANSAS, INC. | $24K | — | $24K | 7.96% |
| ROBERT E. MILLER INSURANCE AGENCY | 636 COLLEGE BLVD STE 400 OVERLAND PARK, KS 66211 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $9K | — | $9K | 8.56% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| COVENTRY HEALTH CARE OF KANSAS EIN 48-0840330 NONE | Claims processing Service code 12 | 750 PRIDES CROSSING, SUITE 200 NEWARK, DE 19713 | $258K |
| ROBERT E. MILLER INSURANCE AGENCY EIN 43-0902269 NONE | Insurance agents and brokers Service code 22 | 373 W. 101ST TERRACE, SUITE 200 KANSAS CITY, KS 64114 | $107K |
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 | 1,049 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,049 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF KANSAS, INC. | 754 | $304K |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 1,213 | $103K |
| Stop-loss / reinsurancereinsurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 753 | $1.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,213 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.