| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFITS SERVICES, INC. | 2345 GRAND BLVD, SUITE 400 KANSAS CITY, MO 64108 | BLUE CROSS AND BLUE SHIELD OF KANSAS | $33K | — | $33K | 3.60% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 10333 E 21ST ST N, SUITE 104 WICHITA, KS 67206 | METROPOLITAN LIFE INSURANCE COMPANY | $7K | $293 | $7K | 12.98% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS - WICHITA | 8110 E. 32ND STREET N., SUITE 100 WICHITA, KS 67226 | DELTA DENTAL OF KANSAS, INC. | $2K | — | $2K | 7.30% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS - WICHITA | 8110 E. 32ND STREET N., SUITE 100 WICHITA, KS 67226 | DELTA DENTAL OF KANSAS, INC. | $2K | — | $2K | 7.30% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS - WICHITA | 8110 E. 32ND STREET N., SUITE 100 WICHITA, KS 67226 | SURENCY LIFE AND HEALTH | $1K | — | $1K | 10.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 10333 E 21ST ST N, SUITE 104 WICHITA, KS 67206 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $54 | $1K | 17.59% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 7777 BONHOMME AVE SUITE 2100 ST LOUIS, MO 63105 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $44 | $1K | 17.28% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 7777 BONHOMME AVE SUITE 2100 ST LOUIS, MO 63105 | METROPOLITAN LIFE INSURANCE COMPANY | $580 | $29 | $609 | 17.27% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS - WICHITA | 8110 E. 32ND STREET N., SUITE 100 WICHITA, KS 67226 | SURENCY LIFE AND HEALTH | $195 | — | $195 | 9.99% |
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 | 161 | 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) | 161 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 161 | $927K |
| Dental(2 contracts) | DELTA DENTAL OF KANSAS, INC. | 66 | $53K |
| Vision(2 contracts) | SURENCY LIFE AND HEALTH | 86 | $13K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 151 | $57K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 151 | $57K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 151 | $57K |
| Other(4 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 151 | $76K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 161 | — |
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.