| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GROUP BENEFIT SPECIALISTS INC3 Filed as: GROUP BENEFIT SPECIALISTS | 7331 W 33RD ST N STE 100 WICHITA, KS 67205 | BLUE CROSS AND BLUE SHIELD OF KANSAS | $40K | — | $40K | 3.58% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF OKLAHOMA INC. | 211 N. ROBINSON SUITE 700S OKLAHOMA CITY, OK 73102 | DELTA DENTAL OF KANSAS, INC. | $7K | — | $7K | 7.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON | 211 N ROBINSON STE 700 SOUTH OKLAHMOA CITY, OK 73102 | KANSAS CITY LIFE INSURANCE COMPANY | $10K | — | $10K | 14.53% |
| GROUP BENEFIT SPECIALISTS INC3 Filed as: GROUP BENEFIT SPECIALISTS | 7331 W 33RD ST N SUITE 100 WICHITA, KS 67205 | VISION SERVICE PLAN | $2K | — | $2K | 10.00% |
| GROUP BENEFIT SPECIALISTS INC3 | 7331 W 33RD ST N WICHITA, KS 67205 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 11.41% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 5314 S. YALE AVE TULSA, OK 74135 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $332 | $27 | $359 | 2.78% |
| THOMAS A BRYON3 | PO BOX 2628 SHAWNEE MISSION, KS 66201 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $240 | — | $240 | 1.86% |
| RON BOWLING3 | 8575 W 110TH ST OVERLAND PARK, KS 66210 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $60 | — | $60 | 0.46% |
| SAMUEL A MCFALL3 | 609 NORTH BROADWAY WICHITA, KS 67214 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $21 | $7 | $28 | 0.22% |
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 | 136 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 137 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 340 | $1.1M |
| Dental | DELTA DENTAL OF KANSAS, INC. | 123 | $106K |
| Vision | VISION SERVICE PLAN | 71 | $22K |
| Life insurance | KANSAS CITY LIFE INSURANCE COMPANY | 139 | $70K |
| Short-term disability | KANSAS CITY LIFE INSURANCE COMPANY | 139 | $70K |
| Long-term disability | KANSAS CITY LIFE INSURANCE COMPANY | 139 | $70K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF KANSAS | 340 | $1.1M |
| Other(2 contracts, 2 carriers) | KANSAS CITY LIFE INSURANCE COMPANY | 139 | $83K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 340 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.