| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| IMA, INC.3 | 430 EAST DOUGLAS STREET WICHITA, KS 67202 | BLUE CROSS AND BLUE SHIELD OF KANSAS | $43K | — | $43K | 1.57% |
| IMA, INC.3 Filed as: IMA INC. | P.O. BOX 2992 WICHITA, KS 67201 | DELTA DENTAL OF KANSAS, INC. | $7K | — | $7K | 6.33% |
| IMA, INC.3 | 430 EAST DOUGLAS STREET SUITE 400 WICHITA, KS 67202 | HARTFORD LIFE AND ACCIDENT | $9K | — | $9K | 9.12% |
| JAMES R NELLIGAN & ASSOCIATES LLC3 Filed as: JAMES R. NELLIGAN & ASSOCIATES, LLC | 1933 STATE ROUTE 35 SUITE 368 WALL, NJ 07719 | HARTFORD LIFE AND ACCIDENT | $0 | $5K | $5K | 5.63% |
| IMA, INC.3 | 136 EAST SOUTH TEMPLE STREET SUITE 2300 SALT LAKE CITY, UT 84111 | HARTFORD LIFE AND ACCIDENT | $0 | $5K | $5K | 5.58% |
| IMA, INC.3 | PO BOX 2992 WICHITA, KS 67201 | DELTA DENTAL OF KANSAS, INC. | $4K | — | $4K | 6.60% |
| IMA, INC.3 Filed as: IMA INC | P.O. BOX 2992 WICHITA, KS 67201 | SURENCY LIFE AND HEALTH | $3K | — | $3K | 10.00% |
| IMA, INC.3 | 430 EAST DOUGLAS STREET SUITE 400 WICHITA, KS 67202 | HARTFORD LIFE AND ACCIDENT | $3K | — | $3K | 14.41% |
| IMA, INC.3 | 136 EAST SOUTH TEMPLE STREET SUITE 2300 SALT LAKE CITY, UT 84111 | HARTFORD LIFE AND ACCIDENT | $0 | $1K | $1K | 5.30% |
| JAMES R NELLIGAN & ASSOCIATES LLC3 Filed as: JAMES R. NELLIGAN & ASSOCIATES, LLC | 1933 STATE ROUTE 35 SUITE 368 WALL, NJ 07719 | HARTFORD LIFE AND ACCIDENT | $0 | $987 | $987 | 5.22% |
| IMA, INC.3 | PO BOX 2992 WICHITA, KS 67201 | SURENCY LIFE AND HEALTH | $1K | — | $1K | 10.00% |
| IMA, INC.3 | 430 EAST DOUGLAS STREET SUITE 400 WICHITA, KS 67202 | HARTFORD LIFE AND ACCIDENT | $1K | — | $1K | 15.73% |
| JAMES R NELLIGAN & ASSOCIATES LLC3 Filed as: JAMES R. NELLIGAN & ASSOCIATES, LLC | 1933 STATE ROUTE 35 SUITE 368 WALL, NJ 07719 | HARTFORD LIFE AND ACCIDENT | $0 | $497 | $497 | 5.24% |
| IMA, INC.3 | 136 EAST SOUTH TEMPLE STREET SUITE 2300 SALT LAKE CITY, UT 84111 | HARTFORD LIFE AND ACCIDENT | $0 | $346 | $346 | 3.65% |
| IMA, INC.3 | 430 EAST DOUGLAS STREET SUITE 400 WICHITA, KS 67202 | HARTFORD LIFE AND ACCIDENT | $1K | — | $1K | 15.36% |
| JAMES R NELLIGAN & ASSOCIATES LLC3 Filed as: JAMES R. NELLIGAN & ASSOCIATES, LLC | 1933 STATE ROUTE 35 SUITE 368 WALL, NJ 07719 | HARTFORD LIFE AND ACCIDENT | $0 | $357 | $357 | 5.13% |
| IMA, INC.3 | 136 EAST SOUTH TEMPLE STREET SUITE 2300 SALT LAKE CITY, UT 84111 | HARTFORD LIFE AND ACCIDENT | $0 | $317 | $317 | 4.55% |
| IMA, INC.3 | 430 EAST DOUGLAS STREET SUITE 400 WICHITA, KS 67202 | HARTFORD LIFE AND ACCIDENT | $595 | — | $595 | 15.63% |
| JAMES R NELLIGAN & ASSOCIATES LLC3 Filed as: JAMES R. NELLIGAN & ASSOCIATES, LLC | 1933 STATE ROUTE 35 SUITE 368 WALL, NJ 07719 | HARTFORD LIFE AND ACCIDENT | $0 | $198 | $198 | 5.20% |
| IMA, INC.3 | 136 EAST SOUTH TEMPLE STREET SUITE 2300 SALT LAKE CITY, UT 84111 | HARTFORD LIFE AND ACCIDENT | $0 | $136 | $136 | 3.57% |
| IMA, INC.3 | 430 EAST DOUGLAS STREET SUITE 400 WICHITA, KS 67202 | HARTFORD LIFE AND ACCIDENT | $440 | — | $440 | 15.94% |
| JAMES R NELLIGAN & ASSOCIATES LLC3 Filed as: JAMES R. NELLIGAN & ASSOCIATES, LLC | 1933 STATE ROUTE 35 SUITE 368 WALL, NJ 07719 | HARTFORD LIFE AND ACCIDENT | $0 | $147 | $147 | 5.33% |
| IMA, INC.3 | 136 EAST SOUTH TEMPLE STREET SUITE 2300 SALT LAKE CITY, UT 84111 | HARTFORD LIFE AND ACCIDENT | $0 | $94 | $94 | 3.41% |
| IMA, INC.3 Filed as: IMA INC. | P.O. BOX 2992 WICHITA, KS 67201 | DELTA DENTAL OF KANSAS, INC. | $19 | — | $19 | 6.51% |
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 | 265 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 266 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 359 | $2.7M |
| Dental(4 contracts) | DELTA DENTAL OF KANSAS, INC. | 162 | $172K |
| Vision(3 contracts) | SURENCY LIFE AND HEALTH | 136 | $36K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 661 | $95K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 19 | $9K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 57 | $19K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF KANSAS | 359 | $2.7M |
| Other(4 contracts) | HARTFORD LIFE AND ACCIDENT | 342 | $22K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 661 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.