| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| IMA, INC.3 | PO BOX 2992 WICHITA, KS 67201 | UNITED HEALTHCARE INSURANCE COMPANY | $39K | — | $39K | 2.30% |
| IMA, INC.3 | PO BOX 2992 WICHITA, KS 67201 | DELTA DENTAL OF KANSAS, INC. | $6K | — | $6K | 5.00% |
| IMA, INC.3 | PO BOX 2992 WICHITA, KS 67201 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $8K | — | $8K | 10.26% |
| IMA, INC.3 | PO BOX 2992 WICHITA, KS 67201 | DELTA DENTAL OF KANSAS, INC. | $3K | — | $3K | 5.00% |
| IMA, INC.3 | PO BOX 2992 WICHITA, KS 67201 | VISION SERVICE PLAN | $2K | — | $2K | 4.11% |
| IMA, INC.3 | PO BOX 2992 WICHITA, KS 67201 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $4K | — | $4K | 11.68% |
| SURENCY LIFE & HEALTH INSURANCE3 | 1619 N WATERFRONT PARKWAY WICHITA, KS 672789773 | SURENCY LIFE AND HEALTH INSURANCE | — | $4K | $4K | — |
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 | 259 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 259 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED HEALTHCARE INSURANCE COMPANY | 215 | $1.7M |
| Dental(2 contracts) | DELTA DENTAL OF KANSAS, INC. | 130 | $181K |
| Vision | VISION SERVICE PLAN | 208 | $40K |
| Life insurance | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 259 | $77K |
| Short-term disability | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 259 | $7K |
| Long-term disability | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 259 | $36K |
| Other | SURENCY LIFE AND HEALTH INSURANCE | 72 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 259 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.