Form 5500 · Employee benefit plan · LEAWOOD, KS
POLLEN INC.
The filing calls this plan POLLEN INC. EMPLOYEE BENEFITS PLAN.
POLLEN INC. of LEAWOOD, KS is a 396-participant finance and insurance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is ASSUREDPARTNERS OF MISSOURI. Coverage is written through BLUE CROSS BLUE SHIELD OF KANSAS CITY and 1 other carrier. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 27-4175668 · plan 502 · plan year 2024, filed Jul 22, 2025
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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
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 2 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS BLUE SHIELD OF KANSAS CITY, covers 226 people.
Reported premium across the insured contracts is $4,561,577, with $105,675 in disclosed broker commissions — about 2.3% 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.
ASSUREDPARTNERS OF MISSOURI 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 | 226 | Jan 1, 2025 | $4,137,440 | $69,660 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Vision, Life, Disability | 245 | Jan 1, 2025 | $424,137 | $36,015 |
Premium and claims on this contract
BLUE CROSS BLUE SHIELD OF KANSAS CITY, contract 46434000. For the contract year on this filing, the carrier reported $4,137,440 in premium earned and $3,057,305 in claims incurred. Dividing one by the other gives 74%.
- BLUE CROSS BLUE SHIELD OF KANSAS CITY, contract 46434000 reported $1,080,135 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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Renewal calendar
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