| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BUKATY COMPANIES3 Filed as: THE BUKATY AGENCY INC. | 4601 COLLEGE BLVD, STE 100 LEAWOOD, KS 66211 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | $346 | $3K | 18.16% |
| BUKATY COMPANIES3 | 4601 COLLEGE BLVD, STE 100 LEAWOOD, KS 662111664 | VISION SERVICE PLAN | $979 | $0 | $979 | 5.88% |
| BUKATY COMPANIES3 Filed as: THE BUKATY AGENCY INC. | 4601 COLLEGE BLVD, STE 100 LEAWOOD, KS 662111664 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $283 | $2K | 12.50% |
| INTEGRITY MIDWEST INSURANCE LLC3 | 3301 CLINTON PARKWAY CT. LAWRENCE, KS 66047 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $748 | $0 | $748 | 13.55% |
| BUKATY COMPANIES3 Filed as: THE BUKATY AGENCY INC. | 4601 COLLEGE BLVD, STE 100 LEAWOOD, KS 66211 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $80 | $0 | $80 | 1.45% |
| BUKATY COMPANIES3 Filed as: THE BUKATY AGENCY INC. | 4601 COLLEGE BLVD, STE 100 LEAWOOD, KS 66211 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $390 | — | $390 | 15.02% |
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 | 143 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 145 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 197 | $756K |
| Dental | BLUE CROSS AND BLUE SHIELD OF KANSAS | 197 | $756K |
| Vision | VISION SERVICE PLAN | 100 | $17K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 138 | $15K |
| Short-term disability | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | 13 | $6K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF KANSAS | 197 | $756K |
| Other(3 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 138 | $36K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 197 | — |
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.