| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT MANAGEMENT, INC.3 Filed as: BENEFIT MANAGEMENT INC | PO BOX 1090 2015 - 16TH STREET GREAT BEND, KS 67530 | HM LIFE INSURANCE CO | $802 | — | $802 | 0.13% |
| DELTA DENTAL OF KANSAS3 | 119 N WATERFRONT PARKWAY PO BOX 789769 WICHITA, KS 672789769 | DELTA DENTAL OF KANSAS | — | $34K | $34K | 6.67% |
| FEE INSURANCE GROUP3 Filed as: FEE INSURANCE GROUP INC | SARA SAMPSON PO BOX 976 HUTCHINSON, KS 67504 | VCP SERVICES, INC. DBA VISION CARE DIRECT | $14K | — | $14K | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENEFIT MANAGEMENT, INC. EIN 48-1168746 NONE | Contract Administrator Service code 13 | — | $201K |
| WPPA EIN 48-0959093 NONE | Contract Administrator Service code 13 | — | $66K |
| AMERICAN HERITAGE LIFE INS EIN 59-0781901 NONE | Contract Administrator Service code 13 | — | $29K |
| MEDTRAK SERVICES EIN 36-4221427 NONE | Contract Administrator Service code 13 | — | $22K |
| MEDWATCH EIN 16-1662117 NONE | Contract Administrator Service code 13 | — | $14K |
| PAYFLEX SYSTEMS USA, INC EIN 91-1774434 NONE | Contract Administrator Service code 13 | — | $12K |
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 | 1,025 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,029 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF KANSAS | 790 | $505K |
| Vision | VCP SERVICES, INC. DBA VISION CARE DIRECT | 1,029 | $144K |
| Stop-loss / reinsurancereinsurance | HM LIFE INSURANCE CO | 791 | $641K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,029 | — |
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.