| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 10333 E 21ST ST NORTH WICHITA, KS 67206 | DELTA DENTAL OF KANSAS, INC. | $3K | — | $3K | 5.19% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 10333 E 21ST ST NORTH SUITE 104 WICHITA, KS 67206 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $9K | $1K | $10K | 22.53% |
| B & C AGENCY INC4 | 7867 SE 197TH TER LATHAM, KS 67072 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $2K | — | $2K | 11.14% |
| MILES HARVEY4 | 2774 SE 12TH ELDORADO, KS 67042 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $36 | — | $36 | 0.22% |
| JOHN E WETIG4 | 103 S ROUPP ST HESSTON, KS 67062 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $33 | — | $33 | 0.21% |
| SURENCY LIFE & HEALTH INSURANCE3 Filed as: SURENCY LIFE AND HEALTH | 1619 N WATERFRONT PARKWAY WIICHITA, KS 67278 | SURENCY LIFE AND HEALTH | $1K | — | $1K | 10.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 10333 E 21ST ST NORTH SUITE 104 WICHITA, KS 67206 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 18.36% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 10333 E 21ST ST NORTH SUITE 104 WICHITA, KS 67206 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $266 | $2K | 20.81% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 10333 E 21ST ST NORTH SUITE 104 WICHITA, KS 67206 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 18.34% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 10333 E 21ST ST NORTH SUITE 104 WICHITA, KS 67206 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $887 | $153 | $1K | 18.75% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 10333 E 21ST ST NORTH SUITE 104 WICHITA, KS 67206 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | — | $1K | 18.33% |
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 | 135 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 135 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE COMPANY AND AFFILIATES | 120 | $678K |
| Dental | DELTA DENTAL OF KANSAS, INC. | 83 | $54K |
| Vision | SURENCY LIFE AND HEALTH | 71 | $13K |
| Life insurance(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 145 | $52K |
| Short-term disability(3 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 61 | $33K |
| Other(2 contracts, 2 carriers) | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | 54 | $22K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 145 | — |
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."
No prospect flags tripped on this filing.