Form 5500 · Employee benefit plan · OLATHE, KS
HIMOINSA POWER SYSTEMS INC
The filing calls this plan HIMOINSA POWER SYSTEMS, INC. GROUP AND WELFARE PLAN.
HIMOINSA POWER SYSTEMS INC of OLATHE, KS is a 126-participant manufacturing employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is MCINNES GROUP, INC.. Coverage is written through BLUE CROSS BLUE SHIELD OF KANSAS CITY and 1 other carrier. The plan's most recent policy period ended in May.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 30-0028523 · plan 501 · plan year 2025, filed Dec 12, 2025
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How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
Benefits 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.
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 2 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS BLUE SHIELD OF KANSAS CITY, covers 192 people.
Reported premium across the insured contracts is $1,281,797, with $82,179 in disclosed broker commissions — about 6.4% of premium.
The most recent policy period ended in May, and the plan year ends May 31. Group contracts typically renew on that annual cycle.
MCINNES GROUP, INC. is the broker of record on all 2 contracts.
Two carriers split the book: BLUE CROSS BLUE SHIELD OF KANSAS CITY and THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF KANSAS CITY | Health | 192 | Jun 1, 2025 | $1,104,494 | $55,271 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Health, Dental, Vision, Life, Disability | 134 | Jun 1, 2025 | $177,303 | $26,908 |
Premium and claims on these contracts
BLUE CROSS BLUE SHIELD OF KANSAS CITY, contract 46189000. For the contract year on this filing, the carrier reported $1,104,494 in premium earned and $0 in claims incurred. Dividing one by the other gives 0%.
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA, contract 00065753. For the contract year on this filing, the carrier reported $177,303 in premium earned and $0 in claims incurred. Dividing one by the other gives 0%.
- BLUE CROSS BLUE SHIELD OF KANSAS CITY, contract 46189000 reported $55,271 in retention.
- THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA, contract 00065753 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.
Administrator and service providers
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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