| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP | 920 MAIN STREET SUITE 2100 KANSAS CITY, MO 64105 | COVENTRY HEALTH AND LIFE | $17K | — | $17K | 3.75% |
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP | 920 MAIN STREET SUITE 2100 KANSAS CITY, MO 64105 | COVENTRY HEALTH CARE OF KANSAS, INC. | $15K | — | $15K | 3.75% |
| MEDOVA HEALTHCARE3 Filed as: MEDOVA HEALTHCARE FIN GRP LLC | — | DELTA DENTAL OF KANSAS, INC. | $4K | — | $4K | 7.71% |
| HAYS COMPANIES, INC.3 Filed as: HAYS GRP OF KANSAS CITY LLC | 1200 MAIN ST STE 2310 KANSAS CITY, MO 64105 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $5K | — | $5K | 23.34% |
| HARRINGTON HEALTH3 Filed as: HARRINGTON BENEFIT SVCS INC. | 780 BROOKSEDGE PLAZA DR. WESTERVILLE, OH 43081 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $45 | — | $45 | 0.21% |
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP OF KANSAS CITY | 7570 W. 21ST ST. BLDG 1038 STE A WICHITA, KS 67205 | VISION SERVICE PLAN | $876 | — | $876 | 6.48% |
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP OF KANSAS CITY | PO BOX 410249 KANSAS CITY, MO 64141 | HARTFORD LIFE AND ACCIDENT | $2K | — | $2K | 18.50% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS INC | 2 PIERCE PLAEC 21ST FLO ITASCA, IL 60143 | HARTFORD LIFE AND ACCIDENT | — | $1 | $1 | 0.01% |
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP OF KANSAS CITY, LLC | 920 MAIN STREET, SUITE 2100 KANSAS CITY, MO 64105 | KANSAS CITY LIFE INSURANCE COMPANY | $2K | — | $2K | 17.26% |
| NORTH AMERICAN BENEFITS COMPANY5 | 20 VALLEY STREAM PARKWAY SUITE 310 MALVERN, PA 19355 | KANSAS CITY LIFE INSURANCE COMPANY | — | $766 | $766 | 6.00% |
| HAYS COMPANIES, INC.3 Filed as: HAYS GROUP OF KANSAS CITY | 1200 MAIN STE 2310 KANSAS CITY, MO 64105 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $349 | — | $349 | 8.34% |
| JAMES R PETRICH3 | 345 N RIVERVIEW SUITE 600 WICHITA, KS 67203 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $26 | — | $26 | 0.62% |
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 | 216 | 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) | 216 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | COVENTRY HEALTH AND LIFE | 81 | $838K |
| Dental | DELTA DENTAL OF KANSAS, INC. | 125 | $46K |
| Vision | VISION SERVICE PLAN | 94 | $14K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 216 | $4K |
| Short-term disability | KANSAS CITY LIFE INSURANCE COMPANY | 37 | $13K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 196 | $13K |
| Prescription drug(2 contracts, 2 carriers) | COVENTRY HEALTH AND LIFE | 81 | $838K |
| Other(2 contracts, 2 carriers) | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 216 | $26K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 216 | — |
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.