Form 5500 · Employee benefit plan · WICHITA, KS
UKSM - WICHITA MEDICAL PRACTICE ASSOCIATION
The filing calls this plan UNIVERSITY OF KANSAS SCHOOL OF MEDICINE - WICHITA MEDICAL PRACTICE ASSOCIATION CAFETERIA PLAN.
UKSM - WICHITA MEDICAL PRACTICE ASSOCIATION of WICHITA, KS spreads its employee benefits across 3 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is BROWN & BROWN OF KANSAS, INC.. Coverage is written through DELTA DENTAL OF KANSAS, INC. and 2 other carriers. The plan's most recent policy period ended in September.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 48-0805658 · plan 502 · plan year 2025, filed Apr 24, 2026
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How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
Benefits declared on this filing
Also declared: death benefits.
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 3 insured contracts covering health, dental, vision, life and disability; the largest, with DELTA DENTAL OF KANSAS, INC., covers 101 people.
Reported premium across the insured contracts is $135,371, with $8,052 in disclosed broker commissions — about 5.9% of premium.
The most recent policy period ended in September, and the plan year ends September 30. Group contracts typically renew on that annual cycle.
BROWN & BROWN OF KANSAS, INC. is the broker of record on 2 of the 3 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including DELTA DENTAL OF KANSAS, INC., UNITED OF OMAHA LIFE INSURANCE COMPANY and SURENCY LIFE AND HEALTH. DELTA DENTAL OF KANSAS, INC. writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| DELTA DENTAL OF KANSAS, INC. | Health, Dental | 101 | Oct 1, 2025 | $70,624 | $4,535 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life, Disability | 227 | Oct 1, 2025 | $53,260 | $2,372 |
| SURENCY LIFE AND HEALTH | Vision | 66 | Oct 1, 2025 | $11,487 | $1,145 |
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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