| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HOLMES MURPHY & ASSOCIATES3 | 9300 WEST 110TH STREET, SUITE 645 OVERLAND PARK, KS 66210 | BLUE CROSS AND BLUE SHIELD OF KANSAS CITY | $100K | $250K | $350K | 0.86% |
| HOLMES MURPHY & ASSOCIATES3 Filed as: HOLMES MURPHY & ASSOICATES, INC. | 3001 WESTOWN PARKWAY WEST DES MOINES, IA 50266 | SUN LIFE ASSURANCE COMPANY OF CANADA | $99K | $48K | $147K | 8.33% |
| BENEFIT ADVISORS SERVICES GROUP LLC3 Filed as: BENEFIT ADVISORS SERVICES GROUP | 1120 SANCTUARY PARKWAY, SUITE 375 ALPHARETTA, GA 30004 | SUN LIFE ASSURANCE COMPANY OF CANADA | $14K | — | $14K | 0.78% |
| HOLMES MURPHY & ASSOCIATES3 | 2637 158TH PLAZA, SUITE 200 OMAHA, NE 68130 | AMERITAS LIFE INSURANCE CORPORATION | — | $4K | $4K | 1.00% |
| HOLMES MURPHY & ASSOCIATES3 Filed as: HOLMES MURPHY AND ASSOCIATES, INC | 2637 S 158TH PLAZA, SUITE 200 OMAHA, NE 68130 | AMERITAS LIFE INSURANCE CORPORATION | — | $4K | $4K | 1.16% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: ARTHUR J GALLAGHER RISK MANAGEMENT | 2345 GRAND BOULEVARD, SUITE 900 KANSAS CITY, MO 64108 | NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH | $2K | — | $2K | 15.00% |
| HOLMES MURPHY & ASSOCIATES3 Filed as: HOLMES MURPHY AND ASSOCIATES | 2637 S 158TH PLAZA SUITE 200 OMAHA, NE 68130 | AMERITAS LIFE INSURANCE CO. | — | $4K | $4K | 105.19% |
| HOLMES MURPHY & ASSOCIATES3 Filed as: HOLMES MURPHY AND ASSOCIATES | 2637 S 158TH PLAZA SUITE 200 OMAHA, NE 68130 | AMERITAS LIFE INSURANCE COMPANY | — | $4K | $4K | 127.06% |
| HOLMES MURPHY & ASSOCIATES3 Filed as: HOLMES MURPHY AND ASSOCIATES | 2637 S 158TH PLAZA SUITE 200 OMAHA, NE 68130 | AMERITAS LIFE INSURANCE COMPANY | — | $4K | $4K | 555.07% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DELTA DENTAL EIN 48-0793267 DENTAL ADMINISTRATOR | Contract Administrator; Claims processing Service code 12 | — | $151K |
| CONEXIS EIN 20-0198855 FSA ADMINISTRATOR | Claims processing; Contract Administrator Service code 12 | — | $51K |
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 | 3,788 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 40 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,828 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS CITY | 9,825 | $40.6M |
| Vision(5 contracts, 2 carriers) | AMERITAS LIFE INSURANCE CORPORATION | 9,629 | $763K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 3,786 | $1.8M |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 3,786 | $1.8M |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 3,786 | $1.8M |
| Other(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 4,354 | $1.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 9,825 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.