| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DWIGHT D MENKE3 Filed as: DWIGHT MENKE | PO BOX 1556 TOPEKA, KS 66601 | BLUE CROSS AND BLUE SHIELD OF KANSAS | $6K | — | $6K | 0.49% |
| PRIOR AGENCY3 | — | DELTA DENTAL OF KANSAS, INC. | $2K | — | $2K | 2.12% |
| THE BRENNAN AGENCY, INC.3 Filed as: THE BRENNAN AGENCY INC | — | DELTA DENTAL OF KANSAS, INC. | $483 | — | $483 | 0.52% |
| DWIGHT D MENKE3 | PO BOX 1556 TOPEKA, KS 66601 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 11.32% |
| JOHN KEVIN BRENNAN3 | 7500 COLLEDGE BOULEVARD SUITE 750 OVERLAND PARK, KS 66210 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $120 | — | $120 | 0.40% |
| DWIGHT D MENKE3 | PO BOX 1556 TOPEKA, KS 66601 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 13.81% |
| JOHN KEVIN BRENNAN3 | 7500 COLLEDGE BOULEVARD SUITE 750 OVERLAND PARK, KS 66210 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $301 | — | $301 | 1.19% |
| DWIGHT D MENKE3 | PO BOX 1556 TOPEKA, KS 66601 | VISION SERVICE PLAN | $810 | — | $810 | 5.12% |
| THE BRENNAN AGENCY, INC.3 | 7500 COLLEGE BOULEVARD SUITE 750 OVERLAND PARK, KS 66210 | VISION SERVICE PLAN | $148 | — | $148 | 0.93% |
| DWIGHT D MENKE3 | PO BOX 1556 TOPEKA, KS 66601 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 9.17% |
| JOHN KEVIN BRENNAN3 | 7500 COLLEDGE BOULEVARD SUITE 750 OVERLAND PARK, KS 66210 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $109 | — | $109 | 0.83% |
| D. MENKE INS.3 | PO BOX 1556 TOPEKA, KS 66601 | VCP SERVIVES, INC | $555 | — | $555 | 7.51% |
| THE BRENNAN AGENCY, INC.3 | 7500 COLLEGE BOULEVARD SUITE 750 OVERLAND PARK, KS 66210 | VCP SERVIVES, INC | $184 | — | $184 | 2.49% |
| DWIGHT D MENKE3 | PO BOX 1556 TOPEKA, KS 66601 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $525 | — | $525 | 9.11% |
| JOHN KEVIN BRENNAN3 | 7500 COLLEDGE BOULEVARD SUITE 750 OVERLAND PARK, KS 66210 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $51 | — | $51 | 0.88% |
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 | 195 | 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) | 195 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 216 | $1.2M |
| Dental | DELTA DENTAL OF KANSAS, INC. | 144 | $92K |
| Vision(2 contracts, 2 carriers) | VISION SERVICE PLAN | 97 | $23K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 186 | $31K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 71 | $13K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 83 | $30K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF KANSAS | 216 | $1.2M |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 186 | $31K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 216 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.