| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PROFESSIONAL INSURANCE CONSULTANTS3 | P.O. BOX 1717 DODGE CITY, KS 67801 | DELTA DENTAL OF KANSAS | $54K | — | $54K | 4.98% |
| BENEFIT MANAGEMENT, INC.5 Filed as: BENEFIT MANAGEMENT INC | P.O BOX 1090 2015 16TH STREET GREAT BEND, KS 67530 | BERKLEY LIFE & HEALTH | $31K | $435K | $466K | 47.62% |
| PROFESSIONAL INSURANCE CONSULTANTS3 | P.O. BOX 1717 DODGE CITY, KS 67801 | BERKLEY LIFE & HEALTH | — | $124K | $124K | 12.65% |
| PROFESSIONAL INSURANCE CONSULTANTS3 | P.O. BOX 1717 DODGE CITY, KS 67801 | UNION SECURITY INSURANCE COMPANY | $25K | — | $25K | 7.32% |
| PROFESSIONAL INSURANCE CONSULTANTS3 | P.O. BOX 1717 DODGE CITY, KS 67801 | UNION SECURITY INSURANCE COMPANY | $55K | — | $55K | 17.02% |
| PROFESSIONAL INSURANCE CONSULTANTS3 | P.O. BOX 1717 DODGE CITY, KS 67801 | SURRENCY LIFE AND HEALTH | $23K | — | $23K | 9.97% |
| PROFESSIONAL INSURANCE CONSULTANTS3 | P.O. BOX 1717 DODGE CITY, KS 67801 | UNION SECURITY INSURANCE COMPANY | $19K | — | $19K | 25.21% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CWI BENEFITS, INC (CIGNA) EIN 57-0870204 NONE | Other fees Service code 99 | — | $236K |
| WPPA DBA PROVIDRSCARE EIN 48-0959093 NONE | Other fees Service code 99 | — | $44K |
| MEDWATCH EIN 16-1662117 NONE | Other fees Service code 99 | — | $9K |
| MEDTRAK EIN 36-4221427 NONE | Claims processing Service code 12 | — | $7K |
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 | 2,450 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 2,450 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BERKLEY LIFE & HEALTH | 1,785 | $978K |
| Dental | DELTA DENTAL OF KANSAS | 1,946 | $1.1M |
| Vision | SURRENCY LIFE AND HEALTH | 1,599 | $235K |
| Life insurance(2 contracts) | UNION SECURITY INSURANCE COMPANY | 2,450 | $666K |
| Short-term disability(2 contracts) | UNION SECURITY INSURANCE COMPANY | 910 | $398K |
| Long-term disability | UNION SECURITY INSURANCE COMPANY | 2,450 | $345K |
| Prescription drug | BERKLEY LIFE & HEALTH | 1,785 | $978K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,450 | — |
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.