| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WATKO BENEFIT GROUP | 7301 W 129TH ST SUITE 155 OVERLAND PARK, KS 66213 | BLUE CROSS AND BLUE SHIELD OF KANSAS | $8K | — | $8K | 0.63% |
| MIKE VANDYKE3 | 2930 SW WANAMAKER DR STE 4 TOPEKA, KS 66614 | BLUE CROSS AND BLUE SHIELD OF KANSAS | $6K | — | $6K | 0.47% |
| MIKE VANDYKE3 | 2930 SW WANAMAKER DR STE 4 TOPEKA, KS 66614 | VISION SERVICE PLAN | $886 | — | $886 | 2.80% |
| ROBERT WATKINS | 7301 W 129TH ST STE 155 OVERLAND PARK, KS 66213 | VISION SERVICE PLAN | $557 | — | $557 | 1.76% |
| DWIGHT D MENKE3 | PO BOX 1556 TOPEKA, KS 66601 | LINCOLN FINANCIAL GROUP | $5K | — | $5K | 15.00% |
| DWIGHT D MENKE3 | PO BOX 1556 TOPEKA, KS 66601 | LINCOLN FINANCIAL GROUP | $4K | — | $4K | 15.00% |
| DWIGHT D MENKE3 | PO BOX 1556 TOPEKA, KS 66601 | LINCOLN FINANCIAL GROUP | $3K | — | $3K | 15.00% |
| ROBERT GREG WATKINS Filed as: ROBERT G WATKINS | 7301 W 129TH ST STE 155 OVERLAND PARK, KS 66213 | ADVANCE INSURANCE COMPANY OF KANSAS | $810 | — | $810 | 8.36% |
| MIKE VANDYKE3 | 2930 SW WANAMAKER DR STE 4 TOPEKA, KS 66614 | ADVANCE INSURANCE COMPANY OF KANSAS | $625 | — | $625 | 6.45% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF KANSAS EIN 48-0952857 NONE | Insurance agents and brokers Service code 22 | 1133 SW TOPEKA BLVD TOPEKA, KS 66629 | $0 |
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 | 411 | 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) | 411 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 411 | $1.3M |
| Dental | BLUE CROSS AND BLUE SHIELD OF KANSAS | 411 | $1.3M |
| Vision | VISION SERVICE PLAN | 163 | $32K |
| Life insurance(2 contracts, 2 carriers) | LINCOLN FINANCIAL GROUP | 229 | $40K |
| Short-term disability(2 contracts, 2 carriers) | LINCOLN FINANCIAL GROUP | 229 | $36K |
| Long-term disability(2 contracts, 2 carriers) | LINCOLN FINANCIAL GROUP | 229 | $32K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF KANSAS | 411 | $1.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 411 | — |
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.