Form 5500 · Employee benefit plan · WICHITA, KS
LODGEWORKS PAYROLL, LLC
The filing calls this plan LODGEWORKS PAYROLL EMPLOYEE WELFARE BENEFIT PLAN.
LODGEWORKS PAYROLL, LLC of WICHITA, KS files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is HUB INTERNATIONAL MID-AMERICA. Coverage is written through BLUE CROSS AND BLUE SHIELD OF KANSAS and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 48-1227325 · plan 501 · plan year 2025, filed Jul 27, 2026
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575 other employer plans in Kansas 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
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
Also declared: 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.
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 7 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS AND BLUE SHIELD OF KANSAS, covers 723 people.
Reported premium across the insured contracts is $3,789,023, with $131,462 in disclosed broker commissions — about 3.5% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
HUB INTERNATIONAL MID-AMERICA is the broker of record on 1 of the 7 contracts; the rest name a different broker or none.
5 carriers appear on the filing, including BLUE CROSS AND BLUE SHIELD OF KANSAS, DELTA DENTAL OF KANSAS, INC., HARTFORD LIFE AND ACCIDENT and SURENCY LIFE AND HEALTH. BLUE CROSS AND BLUE SHIELD OF KANSAS writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS AND BLUE SHIELD OF KANSAS | Health | 723 | Jan 1, 2026 | $3,216,172 | $85,424 |
| DELTA DENTAL OF KANSAS, INC. | Dental | 470 | Jan 1, 2026 | $328,460 | $28,699 |
| HARTFORD LIFE AND ACCIDENT | Life, Disability | 806 | Jan 1, 2026 | $184,165 | $8,371 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 70 | Jan 1, 2026 | $17,973 | $3,595 |
| SURENCY LIFE AND HEALTH | Vision | 379 | Jan 1, 2026 | $30,648 | $3,052 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 70 | Jan 1, 2026 | $8,180 | $1,636 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 50 | Jan 1, 2026 | $3,425 | $685 |
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.
Reported to OSHA
Reported to OSHA for 2025: 945 employees, 34 recordable cases, 173 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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Renewal calendar
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