| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| IMA, INC.3 Filed as: IMA INC | 8200 E 32ND STREET NORTH WICHITA, KS 67226 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $0 | $7K | $7K | 1.73% |
| IMA, INC.3 Filed as: IMA INC | 8200 E 32ND STREET NORTH WICHITA, KS 67226 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $0 | $3K | $3K | 1.73% |
| IMA, INC.3 Filed as: IMA INC | 8200 E 32ND STREET NORTH WICHITA, KS 67226 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $0 | $0 | $0 | 0.00% |
| IMA, INC.3 Filed as: IMA INC | 8200 E 32ND STREET NORTH WICHITA, KS 67226 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $0 | $0 | $0 | 0.00% |
| IMA, INC.3 Filed as: IMA INC | 8200 E 32ND STREET NORTH WICHITA, KS 67226 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $0 | $7 | $7 | 1.29% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTHCOMP ADMINISTRATORS EIN 77-0385729 CONTRACT ADMINISTRATOR | Contract Administrator; Claims processing; Direct payment from the plan Service code 12 | — | $416K |
| BLUE CROSS EIN 95-4331852 PPO/UR VENDOR | Other fees; Direct payment from the plan Service code 50 | — | $406K |
| ANTHEM BLUE CROSS EIN 95-4331852 | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Other services; Claims processing Service code 12 | — | $383K |
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 | 1,187 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 15 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,202 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF CALIFORNIA | 1,130 | $875K |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 2,463 | $192K |
| Life insurance | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 1,515 | $392K |
| Long-term disability | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 1,515 | $154K |
| Other(4 contracts) | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 1,515 | $440K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,463 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.