| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROBERT E. MILLER INSURANCE AGENCY Filed as: ROBERT E MILLER INSURANCE AGENCY | 6363 COLLEGE BLVD STE 400 OVERLAND PARK, KS 66211 | DELTA DENTAL OF KANSAS, INC. | $26K | — | $26K | 8.87% |
| ROBERT E. MILLER INSURANCE AGENCY Filed as: ROBERT E MILLER INSURANCE AGENCY | 6363 COLLEGE BLVD STE 400 OVERLAND PARK, KS 66211 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $11K | — | $11K | 11.74% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 CLAIMS ADMINISTRATION | Contract Administrator; Direct payment from the plan; Other services; Participant communication; Claims processing; Non-monetary compensation; Named fiduciary; Float revenue Service code 12 | 900 COTTAGE GROVE ROAD BLOOMFIELD, CT 06002 | $441K |
| ROBERT E. MILLER INSURANCE AGENCY EIN 43-0902269 NONE | Insurance agents and brokers Service code 22 | 6363 COLLEGE BLVD STE 400 OVERLAND PARK, KS 66211 | $103K |
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 | 833 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 833 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF KANSAS, INC. | 681 | $297K |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 1,185 | $95K |
| Stop-loss / reinsurancereinsurance | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 1,077 | $777K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,185 | — |
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."
No prospect flags tripped on this filing.