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| Provider | Services | Address | Compensation |
|---|---|---|---|
| ALLEGIANCE BENEFIT PLAN MANAGEMENT EIN 81-0400550 NONE | Plan Administrator Service code 14 | PO BOX 4346 MISSOULA, MT 59806 | $344K |
| ALLEGIANCE CARE MANAGEMENT INC EIN 03-0507057 NONE | Plan Administrator Service code 14 | PO BOX 4346 MISSOULA, MT 59806 | $54K |
| DELTA DENTAL OF KANSAS, INC. EIN 48-0793267 NONE | Plan Administrator Service code 14 | 1619 N WATERFRONT PARKWAY WICHITA, KS 67278 | $50K |
| INDEPENDENT EYE CARE PROFESSIONALS EIN 27-4635443 NONE | Plan Administrator Service code 14 | 405 S HOLLAND, SUITE A WICHITA, KS 67209 | $37K |
| ALLEGIANCE COBRA SERVICES INC EIN 71-0916514 NONE | Plan Administrator Service code 14 | PO BOX 4346 MISSOULA, MT 59806 | $8K |
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 | 2,102 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 12 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 73 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,187 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AMERICAN FIDELITY ASSURANCE COMPANY | 1,462 | $1.0M |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 2,096 | $902K |
| Short-term disability(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 2,096 | $1.2M |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 2,096 | $902K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,096 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.