| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CORESOURCE, INC.3 Filed as: FMH CORESOURCE, INC | P.O. BOX 25946 OVERLAND PARK, KS 66225 | BERKLEY LIFE AND HEALTH INSURANCE CO. | $34K | $8K | $42K | 10.32% |
| BOVARD INSURANCE GROUP3 | — | BERKLEY LIFE AND HEALTH INSURANCE CO. | -$30 | — | -$30 | -0.01% |
| SUNSTAR INSURANCE GROUP LLC3 Filed as: SUNSTAR INS GROUP DBA BOVARD INS | 6950 SQUIBB ROAD STE 200 MISSION, KS 66202 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $8K | — | $8K | 3.78% |
| SUNSTAR INSURANCE GROUP LLC3 Filed as: SUNSTAR INS GROUP DBA BOVARD INS | 6950 SQUIBB ROAD STE 500 MISSION, KS 66202 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 0.49% |
| SUNSTAR INSURANCE GROUP LLC3 Filed as: SUNSTAR INS GROUP DBA BOVARD INS | 6950 SQUIBB ROAD STE 200 MISSION, KS 66202 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $17K | — | $17K | 9.77% |
| SUNSTAR INSURANCE GROUP LLC3 Filed as: SUNSTAR INS GROUP DBA BOVARD INS | 6950 SQUIBB ROAD STE 500 MISSION, KS 66202 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $9K | — | $9K | 5.23% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CORESOURCE, INC. EIN 35-1846036 NONE | Other services; Plan Administrator; Claims processing Service code 12 | P.O. BOX 25946 OVERLAND PARK, KS 66225 | $197K |
| AETNA PPO EIN 06-6033492 NONE | Other services Service code 49 | 151 FARMINGTON AVENUE HARTFORD, CT 06156 | $132K |
| MULTIPLAN EIN 13-3068979 NONE | Other services; Plan Administrator Service code 14 | 115 FIFTH AVENUE NEW YORK, NY 10003 | $58K |
| SUNSTAR INSURANCE GROUP EIN 46-0800597 NONE | Insurance agents and brokers; Consulting (general) Service code 16 | 6950 SQUIBB STE 200 MISSION, KS 66202 | $17K |
| CHANGE HEALTHCARE EIN 20-5716594 NONE | Other services; Claims processing Service code 12 | — | $14K |
| KCOE ISOM, LLP EIN 48-0567703 NONE | Accounting (including auditing) Service code 10 | 3030 CORTLAND CIRCLE SALINA, KS 67401 | $12K |
| MEDTRAK SERVICES, LLC EIN 36-4221427 NONE | Claims processing Service code 12 | 7101 COLLEGE BLVD, STE 1000 OVERLAND PARK, KS 66210 | $11K |
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 | 683 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 683 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 784 | $388K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 784 | $212K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 784 | $212K |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | BERKLEY LIFE AND HEALTH INSURANCE CO. | 683 | $442K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 784 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.