| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 | 2345 GRAND BLVD, SUITE 400 KANSAS CITY, MO 64108 | BLUE CROSS AND BLUE SHIELD OF KANSAS | $36K | — | $36K | 3.20% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2850 GOLF ROAD ROLLING MEADOWS, IL 60008 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $6K | $951 | $7K | 15.21% |
| BUKATY COMPANIES3 | 4601 COLLEGE BLVD, SUITE 100 LEAWOOD, KS 66211 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | — | $3K | 6.40% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2850 GOLF ROAD ROLLING HILLS, IL 60008 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $556 | $3K | 12.90% |
| BUKATY COMPANIES3 | 4601 COLLEGE BLVD, SUITE 100 LEAWOOD, KS 66211 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | — | $1K | 5.24% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC. | 8110 E. 32ND ST. NORTH, SUITE 100 WICHITA, KS 67226 | SURENCY LIFE AND HEALTH | $1K | — | $1K | 8.41% |
| BUKATY COMPANIES3 | 4601 COLLEGE BLVD, SUITE 100 LEAWOOD, KS 66211 | SURENCY LIFE AND HEALTH | $268 | — | $268 | 1.59% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2850 GOLF ROAD ROLLING MEADOWS, IL 60008 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $239 | $42 | $281 | 15.71% |
| BUKATY COMPANIES3 | 4601 COLLEGE BLVD, SUITE 100 LEAWOOD, KS 66211 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $119 | — | $119 | 6.65% |
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 | 126 | 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) | 126 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 252 | $1.1M |
| Dental | BLUE CROSS AND BLUE SHIELD OF KANSAS | 252 | $1.1M |
| Vision | SURENCY LIFE AND HEALTH | 79 | $17K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 185 | $44K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 126 | $23K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF KANSAS | 252 | $1.1M |
| Other(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 185 | $46K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 252 | — |
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.