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DEVAUGHN JAMES LLC
Sponsor portfolio
Welfare / Health
EIN
454111826
DEVAUGHN JAMES LLC
3241 NORTH TOBEN STREET · WICHITA, KS 672262918
3169779999
Plans filed
1
Years active
2024–2025
Industry
NAICS 54
Latest filing
2025
Total premiums (latest)
i
$764K
No prior year
Persons covered
i
159
No prior year
Total participants
i
159
No prior year
Plans filed
i
1
No prior year
Plans under this sponsor
1 plan
Plan #501
$764K
DEVAUGHN JAMES LLC MEDICAL AND DENTAL PLAN
Fully insured
159 covered
·
1 carrier
Primary: BLUE CROSS AND BLUE SHIELD OF KANSAS
Coverage overview
Aggregate, latest year
Benefit type
Premium
Share
Distribution
Health
$764K
33.3%
Dental
$764K
33.3%
Prescription drug
$764K
33.3%
Carrier overview
1 carrier · all plans
Carrier
Coverage
Total premium
Share
Plans
Contracts
Covered
BLUE CROSS OF CALIFORNIA
EIN 480952857
H
Rx
D
$764K
100.0%
1
1
159
History & trajectory
2 years · all plans
Total premiums
Summed across all plans for this sponsor.
Persons covered
EOY headcount summed across all plans.
Carrier mix
Premium by top carriers, summed across plans.
Broker compensation
Comp by top brokers, summed across plans.
Policy details
Latest year, by plan
Plan #501
DEVAUGHN JAMES LLC MEDICAL AND DENTAL PLAN
159 covered · 1 contract
$764K
Company contact details
Filing signers, plan administrators, auditors, actuaries
2 contacts
Provider details
Schedule C providers, welfare brokers and carriers
1 provider
Sponsor documents
Form 5500 filings and Top Hat statements on this EIN
12 documents - 2 plans - 11 years