| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TIMOTHY J SCHUMACHER | PO BOX 657 HAYS, KS 67601 | AFLAC | $3K | $152 | $3K | — |
| DAVID J WINDHOLZ | 102W15TH ST HAYS, KS 67601 | AFLAC | $2K | $372 | $3K | — |
| RYAN DAVID WINDHOLZ | 1336 FEDERAL ST HAYS, KS 67601 | AFLAC | $1K | $53 | $1K | — |
| JODY HIPP | PO BOX 1587 HAYS, KS 67601 | AFLAC | $1K | $101 | $1K | — |
| BRAD J SCHUMACHER | 718 MAIN ST STE 205 HAYS, KS 67601 | AFLAC | $891 | $101 | $992 | — |
| WILLINGHAM INC | 1502 N METCALF LOUISBURG, KS 66053 | AFLAC | $412 | — | $412 | — |
| SHAWN D SCHWARZ | 1010 DOWNING AVE STE 20 HAYS, KS 67601 | AFLAC | $332 | — | $332 | — |
| GARY WAYNE WILLINGHAM | 8116 STATE ROAD 66 ZOLFO SPRINGS, FL 33890 | AFLAC | $149 | — | $149 | — |
| VONDA OLDHAM CAPO | PO BOX 1198 LINDALE, TX 75771 | AFLAC | $132 | — | $132 | — |
| NATHAN L HARRISON | 16024 MANCHESTER RD 2ND FLOOR STE 200 ELLISVILLE, MO 63011 | AFLAC | $105 | — | $105 | — |
| DAN STECKLEIN | 2011 CENTRAL AVE LOWER LEVEL SOUTH DODGE CITY, KS 67801 | AFLAC | $75 | — | $75 | — |
| JOHN C MAGNUSON | PO BOX 8 LINDSBORG, KS 67456 | AFLAC | $40 | — | $40 | — |
| MARC LUTHER HOMAN | 11828 W CENTRAL AVE STE 100 WICHITA, KS 67212 | AFLAC | $39 | — | $39 | — |
| ELINDA JEAN BAUER MAGES | 1112 E 15TH ST HAYS, KS 67601 | AFLAC | — | $34 | $34 | — |
| MARC W COLBY | 5113 SOUTHWEST PKWY STE 200 AUSITN, TX 78735 | AFLAC | $29 | — | $29 | — |
| DOUGLAS R SCHENKEL | PO BOX 1842 GREAT BEND, KS 67530 | AFLAC | $23 | — | $23 | — |
| LYNN E MOLLER | 332 E 1ST ST N WICHITA, KS 67202 | AFLAC | $17 | — | $17 | — |
| LONE PISHNY | 1521 E FULTON TERRACE GARDEN CITY, KS 67846 | AFLAC | $12 | — | $12 | — |
| SCOTT W LUTY | 524 E 30TH AVE HUTCHINSON, KS 67502 | AFLAC | $5 | — | $5 | — |
| LINDA C MOORE LEGGETTE | 302 N COLLEGE ST ULYSSES, KS 67880 | AFLAC | $4 | — | $4 | — |
| LESLIE B BERGSTROM | PO BOX 435 PLAINS, KS 67869 | AFLAC | $3 | — | $3 | — |
| MARKE FRIEHE | 4611 S 96TH ST STE 101 OMAHA, NE 68127 | AFLAC | $2 | — | $2 | — |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 169 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 169 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Other | AFLAC | 171 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 171 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.