| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 8110 EAST 32ND STREET N, SUITE 100 WICHITA, KS 67226 | DELTA DENTAL | $24K | $0 | $24K | 6.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 10333 EAST 21ST STREET NORTH SUITE 104 WICHITA, KS 67206 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $47K | $0 | $47K | 15.64% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 WEST GOLF ROAD, 11TH FLOOR ROLLING MEADOWS, IL 60008 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $7K | $7K | 2.50% |
| MINDY SKIDMORE LLC3 | 6220 NE 132ND STREET SMITHVILLE, MO 64089 | AFLAC | $5K | $404 | $6K | 4.63% |
| RYAN LAGER3 | 9221 NE 111TH STREET KANSAS CITY, MO 64157 | AFLAC | $3K | $378 | $3K | 2.35% |
| MJ INSURANCE3 Filed as: SAIDA SOSA AND VARIOUS AGENTS | 4511 SOUTH FLORA COURT WICHITA, KS 67215 | AFLAC | $3K | $0 | $3K | 2.14% |
| IMA, INC.3 Filed as: IMA INC | PO BOX 2992 WICHITA, KS 67201 | AFLAC | $1K | $0 | $1K | 1.14% |
| CHRISTI LANE FARNAN3 | 11193 CLUB VIEW DRIVE SAINT JOSEPH, MO 64505 | AFLAC | $1K | $162 | $1K | 1.13% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2345 GRAND BOULEVARD, SUITE 200 KANSAS CITY, MO 64108 | AFLAC | $1K | $0 | $1K | 1.03% |
| CHAD J BASLER3 Filed as: CHAD J. BASLER | 460 NE LAKES EDGE DRIVE LEES SUMMIT, MO 64064 | AFLAC | $615 | $0 | $615 | 0.50% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 8110 EAST 32ND STREET N, SUITE 100 WICHITA, KS 67226 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $8K | $0 | $8K | 10.75% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2345 GRAND BOULEVARD, SUITE 200 KANSAS CITY, MO 64108 | CONTINENTAL AMERICAN INSURANCE COMPANY | $588 | $0 | $588 | 6.28% |
| MINDY SKIDMORE LLC3 Filed as: MINDY SKIDMORE | 3308 NW 84TH TERRACE KANSAS CITY, MO 64154 | CONTINENTAL AMERICAN INSURANCE COMPANY | $314 | $0 | $314 | 3.35% |
| RYAN LAGER3 | 9221 NE 111TH STREET KANSAS CITY, MO 64157 | CONTINENTAL AMERICAN INSURANCE COMPANY | $311 | $0 | $311 | 3.32% |
| CHRISTI LANE FARNAN3 | 3109 NW OAKCREST DRIVE KANSAS CITY, MO 64151 | CONTINENTAL AMERICAN INSURANCE COMPANY | $86 | $0 | $86 | 0.92% |
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 | 684 | 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) | 684 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE LIFE INSURANCE COMPANY | 533 | $4.7M |
| Dental | DELTA DENTAL | 551 | $393K |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | 855 | $73K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 684 | $298K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 684 | $298K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 684 | $298K |
| Prescription drug | UNITEDHEALTHCARE LIFE INSURANCE COMPANY | 533 | $4.7M |
| Other(4 contracts, 4 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 684 | $457K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 855 | — |
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.