| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WASHINGTON STREET INSURANCE GROUP3 | 12318 SOUTH CICERO AVENUE ALSIP, IL 60803 | AMALGAMATED LIFE INSURANCE COMPANY | $13K | — | $13K | 1.78% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTHCARE EIN 59-1031071 CLAIMS PROCESSING | Claims processing; Contract Administrator; Float revenue; Non-monetary compensation; Participant communication; Direct payment from the plan; Other services Service code 12 | 900 COTTAGE GROVE ROAD BLOOMFIELD, CT 06002 | $529K |
| SPENCER FANE EIN 44-0561981 LEGAL | Legal Service code 29 | 1000 WALNUT ST, SUITE 1400 KANSAS CITY, MO 64106 | $322K |
| AETNA EIN 23-2710210 CLAIMS PROCESSING | Participant communication; Float revenue; Claims processing; Non-monetary compensation; Other services; Direct payment from the plan Service code 12 | 9401 INDIAN CREEK PARKWAY, STE 1300 OVERLAND PARK, KS 66210 | $121K |
| HOURGLASS TECHNOLOGIES, INC. SOFTWARE SERVICES | Other services Service code 49 | 1520 KENSINGTON RD, SUITE 200 OAKBROOK, IL 60523 | $92K |
| BENEFITS MANAGEMENT GROUP, INC. EIN 48-6127146 ADMINISTRATOR | Other services; Contract Administrator Service code 13 | 1520 KENSINGTON RD, SUITE 200 OAKBROOK, IL 60523 | $83K |
| REDSTONE ADVISORS EIN 48-1105831 INVESTMENT ADVISOR | Investment advisory (plan); Investment management Service code 27 | 8100 E 22ND ST N, SUITE 800 WICHITA, KS 67226 | $53K |
| DELTA DENTAL OF KANSAS EIN 48-0793267 CLAIMS PROCESSING | Insurance services; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 1619 N WATERFRONT PARKWAY WICHITA, KS 67278 | $45K |
| MORROW & CO LLC EIN 48-1142797 AUDITOR | Accounting (including auditing) Service code 10 | 421 E 3RD ST N WICHITA, KS 67202 | $44K |
| TAFT-HARTLEY SERVICES EIN 45-5196696 CONSULTANT | Consulting (general) Service code 16 | 481 NW WINCHESTER CT BLUE SPRINGS, MO 64014 | $40K |
| EMPRISE BANK EIN 74-2809141 CUSTODIAN | Custodial (securities); Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 257 N BROADWAY WICHITA, KS 67202 | $40K |
| BROOKE CHAD EIN 48-6127146 EMPLOYEE | Employee (plan) Service code 30 | 1520 KENSINGTON RD, SUITE 200 OAKBROOK, IL 60523 | $22K |
| OSBORNE, CARREIRO & ASSOCIATES, INC ACTUARY | Actuarial Service code 11 | 124 W CAPITOL AVE, SUITE 1690 LITTLE ROCK, AR 72201 | $15K |
| JOSHUA GRAY EIN 48-6127146 EMPLOYEE | Employee (plan) Service code 30 | 1520 KENSINGTON RD, SUITE 200 OAKBROOK, IL 60523 | $15K |
| PAULA URTON EIN 48-6127146 EMPLOYEE | Employee (plan) Service code 30 | 1520 KENSINGTON RD, SUITE 200 OAKBROOK, IL 60523 | $13K |
| CIGNA | Non-monetary compensation; Claims processing; Other services; Float revenue; Participant communication; Contract Administrator; Direct payment from the plan Service code 12 | — | $0 |
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 | 1,001 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 54 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,055 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | AMALGAMATED LIFE INSURANCE COMPANY | 1,093 | $751K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,093 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.