| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICE | 10333 E 21ST ST N SUITE 104 WICHITA, KS 67206 | BLUE CROSS AND BLUE SHIELD OF KANSAS | $12K | — | $12K | 2.95% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICE - WICHITA | 10333 E 21ST ST N STE 104 WICHITA, KS 67206 | DELTA DENTAL OF KANSAS, INC. | $3K | — | $3K | 8.51% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICE - WICHITA | 10333 E 21ST ST N STE 104 WICHITA, KS 67206 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 15.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICE NTL | 736 S STONE AVE LA GRANGE, IL 60525 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $741 | $741 | 3.82% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICE - WICHITA | 10333 E 21ST ST N STE 104 WICHITA, KS 67206 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $958 | — | $958 | 10.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC NTL | 736 S STONE AVE LA GRANGE, IL 60525 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $464 | $464 | 4.85% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICE - WICHITA | 10333 E 21ST ST N STE 104 WICHITA, KS 67206 | SURENCY LIFE AND HEALTH | $923 | — | $923 | 10.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICE - WICHITA | 10333 E 21ST ST N STE 104 WICHITA, KS 67206 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $986 | — | $986 | 15.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC NTL | 736 S STONE AVE LA GRANGE, IL 60525 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $317 | $317 | 4.82% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICE - WICHITA | 10333 E 21ST ST N STE 104 WICHITA, KS 67226 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $218 | — | $218 | 15.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC NTL | 736 S STONE AVE LA GRANGE, IL 60525 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $139 | $139 | 9.57% |
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 | 108 | 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) | 108 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 74 | $393K |
| Dental | DELTA DENTAL OF KANSAS, INC. | 60 | $30K |
| Vision | SURENCY LIFE AND HEALTH | 52 | $9K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 92 | $29K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 5 | $1K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF KANSAS | 74 | $393K |
| Other(3 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 92 | $36K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 92 | — |
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."
No prospect flags tripped on this filing.