| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 | 7015 COLLEGE BLVD, STE 400 OVERLAND PARK, KS 66211 | HUMANA HEALTH PLAN, INC. | $162K | $18K | $180K | 2.51% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: PROSPECTIVE RISK MANAGEMENT CORP | 4348 SOUTH POINT BLVD JACKSONVILLE, FL 322160986 | HUMANA HEALTH PLAN, INC. | $84K | $11K | $95K | 1.32% |
| CUSTOM BENEFIT PROGRAMS INC3 Filed as: CUSTOM BENEFIT PROGRAMS, INC. | PO BOX 1116 HAMMONTON, NJ 080375136 | HUMANA HEALTH PLAN, INC. | $562 | — | $562 | 0.01% |
| MARSH & MCLENNAN AGENCY LLC3 | 7015 COLLEGE BLVD, STE 400 OVERLAND PARK, KS 66211 | DELTA DENTAL OF KANSAS, INC. | $16K | — | $16K | 1.97% |
| MARSH & MCLENNAN AGENCY LLC3 | 7015 COLLEGE BLVD, STE 400 OVERLAND PARK, KS 66211 | PRINCIPAL LIFE INSURANCE COMPANY | $104K | $265 | $105K | 14.95% |
| MARSH & MCLENNAN AGENCY LLC3 | 3400 CROASDAILE DR, STE 206 DURHAM, NC 277066815 | PRINCIPAL LIFE INSURANCE COMPANY | — | $265 | $265 | 0.04% |
| MARSH & MCLENNAN AGENCY LLC3 | 7015 COLLEGE BLVD, STE 400 OVERLAND PARK, KS 66211 | METROPOLITAN LIFE INSURANCE COMPANY | $294 | $18 | $312 | — |
| MARSH & MCLENNAN AGENCY LLC3 | 250 PEHLE AVE, STE 400 PARK 80, PLAZA 2 SADDLE BROOK, NJ 076635832 | METROPOLITAN LIFE INSURANCE COMPANY | — | $49 | $49 | — |
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 | 1,075 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,075 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HUMANA HEALTH PLAN, INC. | 1,075 | $7.2M |
| Dental | DELTA DENTAL OF KANSAS, INC. | 1,311 | $810K |
| Vision | HUMANA HEALTH PLAN, INC. | 1,075 | $7.2M |
| Life insurance(3 contracts, 3 carriers) | HUMANA HEALTH PLAN, INC. | 2,032 | $7.9M |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 2,032 | $700K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 2,032 | $700K |
| Other(2 contracts, 2 carriers) | HUMANA HEALTH PLAN, INC. | 1,075 | $7.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,032 | — |
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.