| 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. | $27K | — | $27K | 2.73% |
| IMA, INC.3 Filed as: IMA, INC.-KS | P.O. BOX 2992 WICHITA, KS 67201 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | — | $6K | 2.32% |
| IMA, INC.3 Filed as: IMA, INC.-KS | 1705 17TH ST. DENVER, CO 80202 | SUN LIFE ASSURANCE COMPANY OF CANADA-LIFE INSURANCE | $3K | — | $3K | 3.79% |
| IMA, INC.3 | PO BOX 2992 WICHITA, KS 67201 | VSP | $996 | — | $996 | 2.26% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTHSCOPE BENEFITS, INC. EIN 71-0847266 CLAIMS PROCESSING | Claims processing Service code 12 | — | $155K |
| IMA, INC. CONSULTANT | Consulting fees Service code 70 | 1705 17TH STREET, SUITE 100 DENVER, CO 80202 | $51K |
| ARGENT INSTITUTIONAL SERVICES, LLC EIN 27-2388726 INVESTMENT CONSULTING | Consulting (general); Consulting fees; Investment advisory (plan) Service code 16 | — | $32K |
| DIMICK, HYDE, & LEWIS CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 3717 NW 63RD STREET, SUITE 100 OKLAHOMA CITY, OK 73116 | $32K |
| BRYAN, LITTLE, HALEY & KENT PC EIN 73-0941849 AUDITOR | Accounting (including auditing) Service code 10 | — | $16K |
| WORKER ASSISTANCE PROGRAM EIN 74-1847991 COUNSELING | Consulting (general) Service code 16 | — | $9K |
| MCAFEE & TAFT EIN 73-0781676 LEGAL | Consulting fees; Legal Service code 29 | — | $8K |
| GROUP AND PENSION ADMINISTRATORS EIN 75-2148164 CLAIMS PROCESSING | Claims processing Service code 12 | — | $404 |
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 | 325 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 8 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 333 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 1,493 | $278K |
| Vision | VSP | 319 | $44K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA-LIFE INSURANCE | 317 | $68K |
| Prescription drug | RX BENEFITS | 344 | $0 |
| Stop-loss / reinsurancereinsurance | BERKLEY LIFE AND HEALTH INSURANCE CO. | 325 | $982K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,493 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.