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Form 5500 · Employee benefit plan · TOPEKA, KS

BLUE CROSS AND BLUE SHIELD OF KANSAS, INC.

The filing calls this plan BKS EMPLOYEE BENEFITS TRUST, INC.

BLUE CROSS AND BLUE SHIELD OF KANSAS, INC. of TOPEKA, KS files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Coverage is written through BLUE CROSS AND BLUE SHIELD OF KANSAS. The plan's most recent policy period ended in December.

Benefits broker of record
Not disclosed
Insurance carrier
BLUE CROSS AND BLUE SHIELD OF KANSAS
Policy year ends
Decemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 48-0952857 · plan 504 · plan year 2024, filed Oct 14, 2025

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

How this plan is funded

Self-funded as reported

The filing reports benefits paid from the plan's own money, and no medical insurance contract on Schedule A.

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
2,151
Active at start of year
1,553
Active at end of year
1,643
Disclosed commissions
$0
Typical renewal
January 1

Benefits declared on this filing

Healthdeclared, not on Schedule A
Dentaldeclared, not on Schedule A
Visiondeclared, not on Schedule A
Lifedeclared under plan 503
Disabilitynot declared on this filing

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.

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

The filing discloses a single insured line, stop-loss, through BLUE CROSS AND BLUE SHIELD OF KANSAS, covering 2,239 people.

The filing declares health, dental and vision. Health, dental and vision appear with no insured contract on Schedule A. That coverage may be self-funded, or placed with a carrier that is not on this filing.

The only insured piece of the health benefit is stop-loss coverage, and the filing reports the plan paying its own claims. The premium and commission here are for the stop-loss contract, not for medical premium.

Reported premium is $4,027,473; the filing discloses no broker commission on these contracts.

The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
BLUE CROSS AND BLUE SHIELD OF KANSASStop-loss2,239Jan 1, 2025$4,027,473$0

Premium and claims on this contract

BLUE CROSS AND BLUE SHIELD OF KANSAS, contract 96299. For the contract year on this filing, the carrier reported $4,027,473 in premium earned and $2,899,987 in claims incurred. Dividing one by the other gives 72%.

  • BLUE CROSS AND BLUE SHIELD OF KANSAS, contract 96299 reported $0 in retention.

Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.

Only experience-rated contracts report these figures, so most filings leave them blank.

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
BKS EMPLOYEE BENEFITS TRUST, INC.
EIN 27-1395316
BLUE CROSS AND BLUE SHIELD OF KANSA
Claims processing · EIN 48-0952857
$2,544,137
paid directly by the plan

The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.

Money the plan held and paid out

Plan assets at year end
$10,856,876
Paid out in benefits
$37,447,021
Paid to insurance carriersSchedule H, line 2e(2)
$4,027,473
Independent accountantEIN 45-0250958
EIDE BAILLY LLP
Accountant's opinion (Schedule H, line 3a)
Unmodified

Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H

These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.

Other plans filed by this employer

Employee Group LifeInsured benefit plan · 1 Schedule A contractRenews ~Jan 1VisionInsured benefit plan · 1 Schedule A contractRenews ~Jan 1Plan 150 - Cancer PolicyInsured benefit plan · 1 Schedule A contractRenews ~Jan 1Health Indemnity PlanInsured benefit plan · 1 Schedule A contractRenews ~Jan 1Tax-Favored Savings ProgramForm 5500 filing · no insured Schedule A contractsEmployee Assistance ProgramForm 5500 filing · no insured Schedule A contractsSeverance And Retention Benefit PlanForm 5500 filing · no insured Schedule A contractsplan 001Form 5500 filing · no insured Schedule A contractsFlexible Unreimbursed MedicalForm 5500 filing · no insured Schedule A contracts

How this plan compares

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