| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HOLMES MURPHY & ASSOCIATES3 | PO BOX 441 DES MOINES, IA 50302 | UNITEDHEALTHCARE INSURANCE COMPANY | — | $13K | $13K | 1.74% |
| IMA, INC.3 Filed as: IMA INC | 430 EAST DOUGLAS AVENUE, SUITE 400 WICHITA, KS 67202 | UNITEDHEALTHCARE INSURANCE COMPANY | -$899 | $13K | $12K | 1.57% |
| HOLMES MURPHY & ASSOCIATES3 | PO BOX 441 DES MOINES, IA 50302 | DELTA DENTAL OF KANSAS, INC. | $6K | — | $6K | 6.49% |
| IMA, INC.3 Filed as: IMA INC | PO BOX 2992 WICHITA, KS 67201 | HARTFORD LIFE AND ACCIDENT | $3K | $497 | $3K | 7.39% |
| HOLMES MURPHY & ASSOCIATES3 | PO BOX 441 DES MOINES, IA 50302 | HARTFORD LIFE AND ACCIDENT | $2K | — | $2K | 4.56% |
| IMA, INC.3 Filed as: IMA | PO BOX 2992 WICHITA, KS 67201 | EYEMED VISION CARE | $715 | — | $715 | 6.48% |
| HOLMES MURPHY & ASSOCIATES3 | PO BOX 441 DES MOINES, IA 50302 | EYEMED VISION CARE | $556 | — | $556 | 5.04% |
| ASSUREX GLOBAL CORPORATION3 | 175 SOUTH THIRD STREET, SUITE 800 COLUMBUS, OH 43215 | EYEMED VISION CARE | $23 | — | $23 | 0.21% |
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 | 133 | 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) | 133 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 200 | $764K |
| Dental | DELTA DENTAL OF KANSAS, INC. | 109 | $90K |
| Vision | EYEMED VISION CARE | 156 | $11K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 170 | $47K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 170 | $47K |
| Other | HARTFORD LIFE AND ACCIDENT | 170 | $47K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 200 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.