| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| VHA MID AMERICA INS SVCS3 Filed as: VHA MID-AMERICA INS SERVICES LLC | PO BOX 842167 DALLAS, TX 75284 | HARTFORD LIFE AND ACCIDENT | $13K | $0 | $13K | 10.49% |
| VIZIENT INSURANCE SERVICES LLC3 | PO BOX 842167 DALLAS, TX 75284 | HARTFORD LIFE AND ACCIDENT | $0 | $7K | $7K | 5.69% |
| LOCKTON COMPANIES, LLC3 | 8110 EAST UNION AVENUE, SUITE 700 DENVER, CO 80237 | CONTINENTAL AMERICAN INSURANCE COMPANY | $10K | $0 | $10K | 9.63% |
| JORDAN J SHARP3 Filed as: JORDAN J. SHARP | 125 WEST 6TH COLBY, KS 67701 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4K | $0 | $4K | 4.10% |
| RUSTY J HELIN3 Filed as: RUSTY J. HELIN | 125 WEST 6TH STREET COLBY, KS 67701 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4K | $0 | $4K | 3.48% |
| ANTHONY ELDEE CONNER3 Filed as: ANTHONY E. CONNER | 1001 1/2 STATE STREET PHILLIPSBURG, KS 67661 | CONTINENTAL AMERICAN INSURANCE COMPANY | $577 | $0 | $577 | 0.54% |
| TRENT R. SCHNEIDER3 | PO BOX 305 WAKEENY, KS 67672 | CONTINENTAL AMERICAN INSURANCE COMPANY | $26 | $0 | $26 | 0.02% |
| KENNETH R STARK3 Filed as: KENNETH D. MORRIS | 5410 PLYMOUTH DRIVE LAWRENCE, KS 66049 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2 | $0 | $2 | 0.00% |
| MJ INSURANCE3 Filed as: DENNIS FOSTER AND VARIOUS AGENTS | 20069 16 ROAD MEADE, KS 67864 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2 | $0 | $2 | 0.00% |
| VIZIENT INSURANCE SERVICES LLC3 Filed as: VIZIENT, INC. | PO BOX 842167 DALLAS, TX 75284 | VCP SERVICES, INC. | $7K | $0 | $7K | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENEFIT MANAGEMENT LLC EIN 48-1168746 PLAN ADMINISTRATOR | Plan Administrator Service code 14 | — | $71K |
| ZELLIS CLAIMS INTEGRITY, LLC EIN 86-1040704 CLAIMS | Claims processing Service code 12 | PO BOX 412162 BOSTON, MA 02241 | $51K |
| VIZIENT, INC. EIN 38-2182248 OTHER SERVICES | Other services Service code 49 | — | $35K |
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 | 343 | 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) | 343 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VCP SERVICES, INC. | 606 | $70K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 343 | $128K |
| Short-term disability | CONTINENTAL AMERICAN INSURANCE COMPANY | 118 | $108K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 343 | $128K |
| Stop-loss / reinsurancereinsurance | AMERICAN FIDELITY ASSURANCE COMPANY | 343 | $662K |
| Other(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 343 | $236K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 606 | — |
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.