| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES OF KANSAS | 7340 W 21ST ST SUITE 104 WICHITA, KS 67205 | BLUE CROSS AND BLUE SHIELD OF KANSAS | $27K | — | $27K | 21.76% |
| HAYS COMPANIES, INC.3 Filed as: HAYS GROUP, INC. | 80 SO. 8TH ST. STE. 700 MINNEAPOLIS, MN 55402 | DELTA DENTAL OF KANSAS, INC. | $5K | — | $5K | 6.87% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES OF KANSAS CITY | 1200 MAIN ST SUITE 2310 KANSAS CITY, MO 64105 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $6K | — | $6K | 15.00% |
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP OF KANSAS CITY | PO BOX 410249 STE. 700 KANSAS CITY, MO 64141 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 7.99% |
| HAYS COMPANIES, INC.3 Filed as: HAYS BENEFITS GROUP LLC | 80 S 8TH ST. #700 MINNEAPOLIS, MN 55402 | STANDARD INSURANCE COMPANY | — | $852 | $852 | 3.66% |
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP OF KANSAS CITY | PO BOX 410249 KANSAS CITY, MO 64141 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 8.80% |
| HAYS COMPANIES, INC.3 Filed as: HAYS BENEFITS GROUP LLC | 80 S 8TH ST. #700 MINNEAPOLIS, MN 55402 | STANDARD INSURANCE COMPANY | — | $667 | $667 | 3.79% |
| HAYS COMPANIES, INC.3 Filed as: THE HAYS COMPANIES - WICHITA | 7570 W 21ST ST N STE A BLDG 1038 WICHITA, KS 67205 | SURENCY LIFE AND HEALTH | $980 | — | $980 | 9.97% |
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 | 141 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 142 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 196 | $122K |
| Dental | DELTA DENTAL OF KANSAS, INC. | 105 | $67K |
| Vision | SURENCY LIFE AND HEALTH | 48 | $10K |
| Life insurance | STANDARD INSURANCE COMPANY | 141 | $23K |
| Short-term disability | STANDARD INSURANCE COMPANY | 40 | $18K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 62 | $39K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF KANSAS | 196 | $122K |
| Other | STANDARD INSURANCE COMPANY | 141 | $23K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 196 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.