Form 5500 · Employee benefit plan · WICHITA, KS
EMPRISE BANK
Public Form 5500 records show how EMPRISE BANK of WICHITA, KS, a finance and insurance employer, structures its employee benefits. Its broker of record is HUB INTERNATIONAL. Coverage is written through BLUE CROSS AND BLUE SHIELD OF KANSAS and 3 other carriers. The plan's most recent policy period ended in July.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 48-0807333 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 5 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS AND BLUE SHIELD OF KANSAS, covers 542 people.
Reported premium across the insured contracts is $3,228,213, with $101,579 in disclosed broker commissions — about 3.1% of premium.
The health contract's policy period ended in July, while at least one ancillary line renews in August — the plan is on a split renewal cycle.
HUB INTERNATIONAL is the broker of record on 2 of the 5 contracts; the rest name a different broker or none.
4 carriers appear on the filing — BLUE CROSS AND BLUE SHIELD OF KANSAS, UNUM LIFE INSURANCE COMPANY OF AMERICA, METROPOLITAN LIFE INSURANCE COMPANY and DELTA DENTAL OF KANSAS, INC — with BLUE CROSS AND BLUE SHIELD OF KANSAS writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS AND BLUE SHIELD OF KANSAS | Health | 542 | July | $2,886,886 | $63,211 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | — | 181 | August | $108,283 | $21,657 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 434 | August | $186,299 | $12,037 |
| METROPOLITAN LIFE INSURANCE COMPANY | Vision | 522 | July | $46,745 | $4,674 |
| DELTA DENTAL OF KANSAS, INC | Dental | 597 | July | — | $0 |
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