| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 245 NORTH WACO STREET, SUITE 412 WICHATA, KS 67202 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $11K | $3K | $14K | 2.51% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 245 NORTH WACO STREET, SUITE 412 WICHITA, KS 67202 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $5K | $1K | $6K | 1.17% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 245 NORTH WACO STREET, SUITE 412 WICHATA, KS 67202 | DELTA DENTAL OF KANSAS | $11K | $0 | $11K | 2.25% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 245 NORTH WACO STREET, SUITE 412 WICHATA, KS 67202 | SURENCY LIFE AND HEALTH | $5K | $0 | $5K | 10.00% |
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 | 905 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 911 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF KANSAS | 764 | $502K |
| Vision | SURENCY LIFE AND HEALTH | 295 | $52K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 905 | $549K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 905 | $549K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 905 | $549K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 905 | $549K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 905 | — |
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."
No prospect flags tripped on this filing.