| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS LLC | 4435 MAIN ST 4TH FLOOR KANSAS CITY, MO 64111 | BLUE CROSS AND BLUE SHIELD OF KANSAS | $121K | — | $121K | 3.00% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF ARIZONA LLC | 4435 MAIN STREET 4TH FLOOR KANSAS CITY, MO 64111 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $21K | — | $21K | 8.50% |
| AXA ASSISTANCE, USA3 | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IA 60603 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $184 | $184 | 0.07% |
| ECK INC3 Filed as: ECK AGENCY | PO BOX 377 ATTICA, KS 67009 | CENTRAL UNITED LIFE INSURANCE COMPANY | $54K | — | $54K | 31.25% |
| LOUIS BARBER3 | 8592 CORDES CIRCLE GERMANTOWN, TN 38139 | CENTRAL UNITED LIFE INSURANCE COMPANY | $9K | — | $9K | 5.06% |
| WILDWOOD INSURANCE3 | 2474 TAYLOR RD WILDWOOD, MO 63040 | CENTRAL UNITED LIFE INSURANCE COMPANY | $208 | — | $208 | 0.12% |
| SRA INSURANCE AGENCY LLC3 | 5201 JOHNSON DRIVE SUITE 500 MISSION, KS 66205 | DELTA DENTAL OF KANSAS, INC. | $2K | — | $2K | 1.40% |
| SRA INSURANCE AGENCY LLC3 | 4436 MAIN STREET 4TH FLOOR KANSAS CITY, MO 64111 | VISION SERVICE PLAN | $3K | — | $3K | 2.79% |
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 | 584 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 11 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 15 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 610 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 980 | $4.2M |
| Dental | DELTA DENTAL OF KANSAS, INC. | 429 | $168K |
| Vision | VISION SERVICE PLAN | 416 | $91K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 584 | $247K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 584 | $247K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF KANSAS | 980 | $4.0M |
| Other | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 584 | $247K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 980 | — |
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.