| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 | 8110 E. 32ND ST. N. WICHITA, KS 67226 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $25K | $8K | $34K | 12.18% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFITS SERVICES, INC. | 8110 E. 32ND ST. N., SUITE 100 WICHITA, KS 67226 | DELTA DENTAL OF KANSAS, INC. | $15K | — | $15K | 6.53% |
| IMA, INC.3 | P.O. BOX 1537 TOPEKA, KS 66601 | SURENCY LIFE AND HEALTH | $4K | — | $4K | 9.27% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC. NONE | Insurance brokerage commissions and fees; Insurance agents and brokers; Insurance services Service code 22 | 3856 S. BOULEVARD, SUITE 100 EDMOND, OK 73013 | $67K |
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 | 731 | 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) | 731 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 708 | $3.1M |
| Dental | DELTA DENTAL OF KANSAS, INC. | 378 | $237K |
| Vision | SURENCY LIFE AND HEALTH | 260 | $43K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 893 | $277K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 893 | $277K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 893 | $277K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 893 | $277K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 893 | — |
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.