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Form 5500 · Employee benefit plan · KANSAS CITY, MO

BLUE CROSS AND BLUE SHIELD OF KANSAS CITY

The filing calls this plan BLUE CROSS AND BLUE SHIELD OF KANSAS CITY WELFARE BENEFIT PLAN.

BLUE CROSS AND BLUE SHIELD OF KANSAS CITY of KANSAS CITY, MO spreads its employee benefits across 4 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is LOCKTON COMPANIES, LLC - KANSAS. Coverage is written through BLUE MEDICARE ADVANTAGE and 3 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Insurance carrier
Policy year ends
Decemberas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 43-1257251 · plan 503 · plan year 2025, filed Jun 4, 2026

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

1,182 other employer plans in Missouri have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.

How this plan is funded

Both, as reported

The medical insurance contracts on the filing cover fewer than half the people in the plan, so the rest is paid another way.

A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.

All participants at the start of the year
2,024
Active at start of year
1,272
Active at end of year
1,152
Disclosed commissions
$74,057
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — BLUE MEDICARE ADVANTAGE334 of 2,024 participants (17%)
Dentaldeclared, no contract here says it covers this
Visioninsured — BLUE CROSS BLUE SHIELD OF KANSAS CITY2,875 of 2,024 participants
Lifeinsured — UNUM LIFE INSURANCE COMPANY OF AMERICA1,176 of 2,024 participants (58%) on the largest contract
Disabilitydeclared, no contract here says it covers this

One contract on this filing does not say which benefits it covers, so a line above may be insured by it.

Also declared: severance, death benefits, other welfare.

Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.

Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.

Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.

Plan brief

Schedule A lists 5 insured contracts covering health, vision and life.

The filing declares health, vision, life, dental and disability. Dental and disability appear with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on the contract here that does not say what it covers.

Reported premium across the insured contracts is $1,984,023, with $74,057 in disclosed broker commissions — about 3.7% of premium.

The health contract's policy period ended in December, while at least one ancillary line's policy period ended in September. The plan is on a split renewal cycle.

LOCKTON COMPANIES, LLC - KANSAS is the broker of record on 2 of the 5 contracts; the rest name a different broker or none.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
UNUM LIFE INSURANCE COMPANY OF AMERICALife1,176Jan 1, 2026$657,450$46,022
UNUM LIFE INSURANCE COMPANY OF AMERICALife526Jan 1, 2026$400,506$28,035
BLUE MEDICARE ADVANTAGEHealth334Jan 1, 2026$708,666$0
BLUE CROSS BLUE SHIELD OF KANSAS CITYVision2,875Jan 1, 2026$217,401$0
NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA—1,195Oct 1, 2025—$0

Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
BLUE CROSS AND BLUE SHIELD OF KANSAS CITY
EIN 43-1257251

The plan administrator is from line 3a of the main form. We publish company names only.

Other plans filed by this employer

How this plan compares

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Renewal calendar

1,182 other employer plans in Missouri are January 1 renewals (policy year ends December).

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