| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC 4000 | MIDLANTIC AVE SUITE 300 MT LAUREL, NJ 08054 | AETNA LIFE INSURANCE CO. | $5K | $5K | $10K | 0.63% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS-WICHITA | 8110 E 32ND ST N STE 100 WICHITA, KS 672262616 | DELTA DENTAL OF KANSAS, INC. | $9K | — | $9K | 8.17% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFITS SERVICES INC | 2850 GOLF RD ROLLING MEADOWS, IL 600084050 | CONTINENTAL AMERICAN INSURANCE CO. | $2K | — | $2K | 7.99% |
| MICHAEL D CHRISMAN1 Filed as: MICHAEL CHRISMAN | 515 S MAIN ST STE 105 WICHITA, KS 672023752 | CONTINENTAL AMERICAN INSURANCE CO. | $2K | — | $2K | 5.22% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 8110 E 32ND ST N STE 100 WICHITA, KS 672262616 | CONTINENTAL AMERICAN INSURANCE CO. | $1K | — | $1K | 3.96% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2345 GRAND BLVD STE 200 KANSAS CITY, MO 641082625 | CONTINENTAL AMERICAN INSURANCE CO. | $604 | — | $604 | 2.01% |
| JUSTIN C CARSON3 | 7701 E KELLOGG DR STE 680 WICHITA, KS 672071725 | CONTINENTAL AMERICAN INSURANCE CO. | $376 | — | $376 | 1.25% |
| CALEB GILMOUR3 | 515 S MAIN ST STE 501 WICHITA, KS 672023717 | CONTINENTAL AMERICAN INSURANCE CO. | $223 | — | $223 | 0.74% |
| KATHY WIEDEMANN3 | 229 E WILLIAM ST STE 501 WICHITA, KS 672024022 | CONTINENTAL AMERICAN INSURANCE CO. | $108 | — | $108 | 0.36% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| GALLAGHER BENEFIT SERVICES INC NONE | Claims processing Service code 12 | 4000 MIDLANTIC AVE STE 300 MT LAUREL, NJ 080541558 | $58K |
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 | 222 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 2 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 226 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 343 | $1.6M |
| Dental | DELTA DENTAL OF KANSAS, INC. | 187 | $107K |
| Other | CONTINENTAL AMERICAN INSURANCE CO. | 96 | $30K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 343 | — |
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.