| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICE, INC. | 2345 GRAND BLVD, SUITE 400 KANSAS CITY, MO 64108 | BLUE CROSS BLUE SHIELD OF KANSAS | $43K | — | $43K | 2.48% |
| SETH ASHER3 Filed as: SETH D. ASHER | 13111 E 21ST STREET N WICHITA, KS 672307400 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $19K | — | $19K | 12.88% |
| MARK HENRY RODDEN3 | 10975 BENSON DRIVE STE 350 OVERLAND PARK, KS 662102130 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $1K | — | $1K | 0.97% |
| BRIAN ROBERTS3 | 16150 MAIN CIRCLE CHESTERFIELD, MO 63017 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | — | $241 | $241 | 0.16% |
| JAMES MCGRATH3 | 2531 LANDMARK DRIVE STE 204 CLEARWATER, FL 33761 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $70 | — | $70 | 0.05% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 8110 E. 32ND ST. N. WICHITA, KS 67226 | DELTA DENTAL OF KANSAS, INC. | $10K | — | $10K | 8.32% |
| LAURENCE W KEMP3 | 1018 N. BATTIN WICHITA, KS 67208 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $5K | — | $5K | 8.25% |
| LAURENCE W KEMP3 | 1018 N. BATTIN WICHITA, KS 67208 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $5K | — | $5K | 10.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 2850 GOLF ROAD ROLLING MEADOWS, IL 60008 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | $541 | $4K | 17.49% |
| LAURENCE W KEMP3 | 1018 N. BATTIN ST. WICHITA, KS 67208 | AFLAC | $1K | $51 | $1K | 6.00% |
| MICHAEL D CHRISMAN3 | 515 S MAIN ST. STE 105 WICHITA, KS 67202 | AFLAC | $522 | $10 | $532 | 2.85% |
| CALEB GILMOUR3 Filed as: CALEB J GILMOUR | 515 S MAIN ST. STE 105 WICHITA, KS 67202 | AFLAC | $274 | $10 | $284 | 1.52% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLF ROAD ROLLING MEADOWS, IL 60008 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | $153 | $1K | 22.56% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 2850 GOLF ROAD ROLLING MEADOWS, IL 60008 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | $152 | $1K | 22.57% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLF ROAD ROLLING MEADOWS, IL 60008 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $574 | $136 | $710 | 12.37% |
No Schedule C service providers reported on this filing.
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 | 199 | 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) | 199 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF KANSAS | 383 | $1.7M |
| Dental | DELTA DENTAL OF KANSAS, INC. | 149 | $124K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 195 | $53K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 35 | $22K |
| Long-term disability(2 contracts, 2 carriers) | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | 194 | $204K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF KANSAS | 383 | $1.7M |
| Other(5 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 199 | $90K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 383 | — |
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.