| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 | 6100 S YALE AVE STE 1900 TULSA, OK 741361903 | DELTA DENTAL OF KANSAS, INC. | $11K | — | $11K | 7.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 6100 SOUTH YALE AVE STE 1900 TULSA, OK 74136 | SUN LIFE ASSURANCE COMPANY OF CANADA | $12K | — | $12K | 13.40% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 6100 S YALE AVE STE 1900 TULSA, OK 741361903 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | — | $3K | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF KANSAS EIN 48-0952857 INSURANCE COMPANY | Insurance services Service code 23 | 1133 SW TOPEKA BLVD TOPEKA, KS 66629 | $126K |
| HUB INTERNATIONAL MIDWEST BROKER AGENT | Insurance brokerage commissions and fees Service code 53 | 6100 SOUTH YALE AVE SUITE 1900 TULSA, OK 74136 | $13K |
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 | 229 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 229 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF KANSAS, INC. | 176 | $153K |
| Vision | RELIANCE STANDARD LIFE INSURANCE COMPANY | 97 | $27K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 220 | $88K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 220 | $88K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF KANSAS | 425 | $271K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 425 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.