| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RIDGE CONSULTING GROUP INC3 Filed as: RIDGE CONSULTING GROUP, INC. | P.O. BOX 9488 WICHITA, KS 67277 | BLUE CROSS AND BLUE SHIELD OF KANSAS | $725 | — | $725 | 3.26% |
| RIDGE CONSULTING GROUP INC3 Filed as: RIDGE CONSULTING GROUP, INC. | P.O. BOX 9488 WICHITA, KS 67277 | DELTA DENTAL OF KANSAS, INC | $228 | — | $228 | 5.01% |
| RIDGE CONSULTING GROUP INC3 | P.O. BOX 9488 WICHITA, KS 67277 | HARTFORD LIFE AND ACCIDENT | $317 | — | $317 | 9.99% |
| RIDGE CONSULTING GROUP INC3 Filed as: RIDGE CONSULTING GROUP, INC. | P.O. BOX 9488 WICHITA, KS 672770488 | VISION SERVICE PLAN | $78 | — | $78 | 9.99% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS AND BLUE SHIELD OF KS EIN 48-0952857 TPA | Contract Administrator Service code 13 | 1133 SW TOPEKA BLVD TOPEKA, KS 66629 | $7K |
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 | 211 | 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) | 211 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF KANSAS, INC | 118 | $5K |
| Vision | VISION SERVICE PLAN | 63 | $781 |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 172 | $3K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 172 | $3K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 172 | $3K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS AND BLUE SHIELD OF KANSAS | 211 | $22K |
| Other | HARTFORD LIFE AND ACCIDENT | 172 | $3K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 211 | — |
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.