| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| IMA, INC.3 Filed as: IMA, INC.-KS | P.O. BOX 2992 WICHITA, KS 67201 | BERKLEY LIFE AND HEALTH INSURANCE CO. | $21K | — | $21K | 3.00% |
| IMA, INC.3 Filed as: IMA, INC.-KS | P.O. BOX 2992 WICHITA, KS 67201 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | $3K | $9K | 3.49% |
| ASSUREX3 Filed as: ASSUREX AGENCY, INC | 175 S 3RD STREET, SUITE 800 COLUMBUS, OH 43215 | METROPOLITAN LIFE INSURANCE COMPANY | — | $79 | $79 | 0.03% |
| IMA, INC.3 Filed as: IMA, INC.-CO | 1705 17TH ST. DENVER, CO 80202 | SUN LIFE ASSURANCE COMPANY OF CANADA-LIFE INSURANCE | $2K | — | $2K | 8.01% |
| IMA, INC.3 Filed as: IMA, INC.-KS | 8200 E. 32ND ST. N WICHITA, KS 67226 | SUN LIFE ASSURANCE COMPANY OF CANADA-LIFE INSURANCE | — | $514 | $514 | 2.30% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| GROUP AND PENSION ADMINISTRATORS EIN 75-2148164 CLAIMS PROCESSING | Claims processing Service code 12 | — | $120K |
| IMA, INC. CONSULTANT | Consulting fees Service code 70 | 1705 17TH STREET, SUITE 100 DENVER, CO 80202 | $60K |
| DIMICK, HYDE, & LEWIS CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 3717 NW 63RD STREET, SUITE 100 OKLAHOMA CITY, OK 73116 | $31K |
| CASEY J. RUSSELL, CPA, INC. EIN 73-1349920 AUDITING | Accounting (including auditing) Service code 10 | — | $9K |
| WORKER ASSISTANCE PROGRAM EIN 74-1847991 COUNSELING | Consulting (general) Service code 16 | — | $9K |
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 | 323 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 5 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 330 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 1,536 | $248K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA-LIFE INSURANCE | 343 | $22K |
| Stop-loss / reinsurancereinsurance | BERKLEY LIFE AND HEALTH INSURANCE CO. | 323 | $702K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,536 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.