| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DAN STECKLEIN3 | 2011 CENTRAL AVE LOWER LEVEL SOUTH DODGE CITY, KS 67801 | AFLAC | $4K | $107 | $4K | 7.87% |
| AARON K STEGMAN3 | 2957 E FAIRCHILD CT PARK CITY, KS 67219 | AFLAC | $880 | — | $880 | 1.56% |
| DOUGLAS R SCHENKEL3 | 2205 WASHINTON ST GREAT BEND, KS 67530 | AFLAC | $701 | — | $701 | 1.24% |
| MORGAN J KONRADE3 | PO BOX 342 SPEARVILLE, KS 67876 | AFLAC | $698 | — | $698 | 1.24% |
| JULIE MICHELE MARCELLUS3 | 5825 N VFW RD GRADEN CITY, KS 67846 | AFLAC | $439 | — | $439 | 0.78% |
| ANTHONY ELDEE CONNER3 | 1001 1/2 STATE ST PHILLIPSBURG, KS 67661 | AFLAC | $417 | $18 | $435 | 0.77% |
| BRAD J SCHUMACHER3 | 2804 COUNTRY LN HAYS, KS 67601 | AFLAC | $373 | — | $373 | 0.66% |
| LEIGH ANN VERMILLION3 | PO BOX 331 PLAINS, KS 67869 | AFLAC | $165 | $18 | $183 | 0.32% |
| LEIGH ANNE SEEMAN3 | PO BOX 418 LARNED, KS 67550 | AFLAC | $170 | — | $170 | 0.30% |
| WILLINGHAM INC3 | 35354 MISSION BELLEVIEW RD LOIUSBURG, KS 66053 | AFLAC | $156 | — | $156 | 0.28% |
| BRIAN M LEITZEL3 | 7920 W KELLOGG DR STE 102 WICHITA, KS 67209 | AFLAC | $130 | — | $130 | 0.23% |
| SANDY ALARCON3 | 2206 N 6TH ST GARDEN CITY, KS 67846 | AFLAC | $58 | — | $58 | 0.10% |
| NATHAN L HARRISON3 | 5301 E VISTA RICA ST PARADISE VALLEY, AZ 85253 | AFLAC | $50 | — | $50 | 0.09% |
| IRA A CAPE3 | 2304 FRANKLIN ST GREAT BEND, KS 67530 | AFLAC | $49 | — | $49 | 0.09% |
| TYLER DYER3 | 2908 CHOCTAW ST DODGE CITY, KS 67801 | AFLAC | $49 | — | $49 | 0.09% |
| JAMES C FLETCHER3 | 131 N SANTA FE AVE STE 140 SALINA, KS 67401 | AFLAC | $32 | — | $32 | 0.06% |
| DENNIS JAMES FOSTER3 | PO BOX 1058 MEADE, KS 67864 | AFLAC | $24 | — | $24 | 0.04% |
| AMERICAN FRONTIER COMPANY3 | PO BOX 495 LINDSBORG, KS 67456 | AFLAC | $20 | — | $20 | 0.04% |
| LARRY SMITH3 | 18125 SW 36TH ST BURRTON, KS 67020 | AFLAC | $19 | — | $19 | 0.03% |
| BS MOSER BENEFITS LLC3 | 125 W 6TH ST COLBY, KS 67701 | AFLAC | $17 | — | $17 | 0.03% |
| ROBERT D ANDERSON3 | 1723 WILLIAMS ST GREAT BEND, KS 67530 | AFLAC | $16 | — | $16 | 0.03% |
| CAROL E SIEFKES3 | 1317 NE 70TH AVE HUDSON, KS 67545 | AFLAC | $16 | — | $16 | 0.03% |
| TERRY S DECKER3 | 123401 EW 6 RD TURPIN, OK 73950 | AFLAC | $16 | — | $16 | 0.03% |
| BOONE SLATER MOSER3 | 1517 UTE WINONA, KS 67764 | AFLAC | $14 | — | $14 | 0.02% |
| SAMUEL A MCFALL3 | 609 N BROADWAY AVE STE 200 WICHITA, KS 67214 | AFLAC | $13 | — | $13 | 0.02% |
| KENNETH D MORRIS JR3 | 5410 PLYMOUTH DR LAWRENCE, KS 66049 | AFLAC | $9 | — | $9 | 0.02% |
| BRIAN MILLS3 | 1402 W LUCY WEBB RD RAYMORE, MO 64083 | AFLAC | $8 | — | $8 | 0.01% |
| SCOTT W LUTY3 | 524 E 30TH AVE HUTCHINSON, KS 67502 | AFLAC | $7 | — | $7 | 0.01% |
| JOHN C MAGNUSON3 | 507 S CORONADO AVE LINDSBORG, KS 67456 | AFLAC | $7 | — | $7 | 0.01% |
| GARY WAYNE WILLINGHAM3 | 6033 STRAFFORD OAKS DR SEBRING, FL 33875 | AFLAC | $5 | — | $5 | 0.01% |
| ROBERT L WINFREY3 | 11520 W NANTUCKET CIR WICHITA, KS 67212 | AFLAC | $4 | — | $4 | 0.01% |
| JOHN A BACON3 | 1100 AUTUMN CIR UNIT 4 LOUISBURG, KS 66053 | AFLAC | $4 | — | $4 | 0.01% |
| CHRISTOPHER THOMAS HIPP3 | 1501 MEADOW LN HAYS, KS 67601 | AFLAC | $3 | — | $3 | 0.01% |
| SUE C TUCKER3 | 9856 US HIGHWAY 29 N CUSSETA, AL 36852 | AFLAC | $3 | — | $3 | 0.01% |
| KATHY WIEDEMANN3 | 222 HIGH VIEW DR BOULDER, CO 80304 | AFLAC | $3 | — | $3 | 0.01% |
| MARC LUTHER HOMAN3 | 11828 W CENTRAL AVE STE 100 WICHITA, KS 67212 | AFLAC | $3 | — | $3 | 0.01% |
| JONI S WOBORNY BUNKER3 | 4601 LICHEN LN MANHATTAN, KS 66503 | AFLAC | $2 | — | $2 | 0.00% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA BENEFIT HEALTH | ADVISOR 9605 S KINGSTON CT, STE 150 ENGLEWOOD, CO 80112 | MEDICAL AIR SERVICES ASSOCIATION, INC. | $3K | — | $3K | 22.90% |
| BRIAN HILLIER3 | 9605 S KINGSTON CT STE 150 ENGLEWOOD, CO 80112 | KANSAS CITY LIFE INSURANCE COMPANY | $879 | — | $879 | 21.77% |
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 | 120 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 120 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | KANSAS CITY LIFE INSURANCE COMPANY | 96 | $4K |
| Other(3 contracts, 3 carriers) | AFLAC | 96 | $75K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 96 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.