| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN & BROWN INSURANCE SERVICES3 Filed as: BROWN & BROWN OF MINNEAPOLIS, INC. | 901 MARQUETTE AVENUE, SUITE 1800 MINNEAPOLIS, MN 55402 | SUN LIFE ASSURANCE COMPANY OF CANADA | $43K | $0 | $43K | 19.07% |
| BROWN & BROWN INSURANCE SERVICES3 Filed as: BROWN & BROWN OF KANSAS, INC. | 7570 WEST 21ST STREET, SUITE 1038A WICHITA, KS 97205 | SURENCY LIFE AND HEALTH | $10K | $0 | $10K | 14.67% |
| UNKNOWN3 | UNKNOWN WICHITA, KS 67219 | TELADOC HEALTH, INC. | $2K | $0 | $2K | 15.00% |
| GEORGE THOMAS WARHURST3 | 233 WEST MALLARD DRIVE DERBY, KS 67037 | AFLAC | $247 | $0 | $247 | 10.47% |
| TERESA BURNETT3 | 1112 EAST JAMES STREET DERBY, KS 67037 | AFLAC | $110 | $0 | $110 | 4.66% |
| JUSTIN C CARSON3 Filed as: JUSTIN C. CARSON | 7701 EAST KELLOGG DRIVE, SUITE 680 WICHITA, KS 67207 | AFLAC | $58 | $0 | $58 | 2.46% |
| KACI MICHELLE WELLS3 | 701 MCKINLEY STREET GREAT BEND, KS 67530 | AFLAC | $46 | $0 | $46 | 1.95% |
| MJ INSURANCE3 Filed as: KATHY WIEDEMANN & VARIOUS AGENTS | 222 HIGH VIEW DRIVE BOULDER, CO 80304 | AFLAC | $35 | $0 | $35 | 1.48% |
| JACQUELENE L. KENNEDY3 | PO BOX 36 MC CRACKEN, KS 67556 | AFLAC | $31 | $0 | $31 | 1.31% |
| JOHN E WETIG3 Filed as: JOHN E. WETIG | 103 EAST ROUPP STREET HESSTON, KS 67062 | AFLAC | $29 | $0 | $29 | 1.23% |
| GEORGE THOMAS WARHURST3 | 233 WEST MALLARD DRIVE DERBY, KS 67037 | AFLAC | $241 | $0 | $241 | 10.74% |
| JACQUELENE L. KENNEDY3 | PO BOX 36 MC CRACKEN, KS 67556 | AFLAC | $58 | $0 | $58 | 2.58% |
| JOHN E WETIG3 Filed as: JOHN E. WETIG | 103 EAST ROUPP STREET HESSTON, KS 67062 | AFLAC | $38 | $0 | $38 | 1.69% |
| JOHN G CATE3 Filed as: JOHN G. CATE | 4246 NORTH SWEET BAY STREET WICHITA, KS 67226 | AFLAC | $32 | $0 | $32 | 1.43% |
| MJ INSURANCE3 Filed as: MARY E. FRIEHE & VARIOUS AGENTS | 11329 P STREET, SUITE 120 OMAHA, NE 68137 | AFLAC | $17 | $0 | $17 | 0.76% |
| CALEB GILMOUR3 Filed as: CALEB J. GILMOUR | 515 SOUTH MAIN STREET, SUITE 105 WICHITA, KS 67202 | AFLAC | $16 | $0 | $16 | 0.71% |
| RICHARD T DIXON3 Filed as: RICHARD T. DIXON | 6277 GREY FOX LANE SPERRY, OK 74073 | AFLAC | $10 | $0 | $10 | 0.45% |
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 | 561 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 561 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 752 | $705K |
| Dental | DELTA DENTAL OF KANSAS, INC. | 423 | $375K |
| Vision | SURENCY LIFE AND HEALTH | 364 | $69K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 561 | $224K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 561 | $224K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 561 | $224K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF KANSAS | 752 | $705K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS AND BLUE SHIELD OF KANSAS | 752 | $705K |
| Other(4 contracts, 3 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 561 | $244K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 752 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.