| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAYS COMPANIES, INC.3 Filed as: HAYS BENEFITS GROUP LLC | 80 SO. 8TH ST. STE. 700 MINNEAPOLIS, MN 55402 | SUN LIFE ASSURANCE COMPANY OF CANADA | $55K | — | $55K | 12.46% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES INC | 7570 W 21ST ST N BLDG 1038-A WICHITA, KS 67205 | SURENCY LIFE AND HEALTH | $12K | — | $12K | 14.65% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES | 1200 MAIN ST KANSAS CITY, MO 64105 | TELADOC | $3K | — | $3K | 15.00% |
| TERESA BURNETT3 | 1112 E JAMES ST DERBY, KS 67037 | AFLAC | $119 | — | $119 | 3.13% |
| JUSTIN C CARSON3 | 7701 E KELLOGG DR STE 680 WICHITA, KS 67207 | AFLAC | $63 | — | $63 | 1.66% |
| JOHN G CATE3 | 4246 N SWEET BAY ST WICHITA, KS 67226 | AFLAC | $35 | — | $35 | 0.92% |
| KATHY WIEDEMANN3 | 222 HIGH VIEW DR BOULDER, CO 80304 | AFLAC | $31 | — | $31 | 0.82% |
| CALEB GILMOUR3 Filed as: CALEB J GILMOUR | 515 S MAIN ST STE 105 WICHITA, KS 67202 | AFLAC | $18 | — | $18 | 0.47% |
| ERIKA OROZCO3 | 721 SHELDON DR BAKERSFIELD, CA 93308 | AFLAC | $12 | — | $12 | 0.32% |
| RICHARD T DIXON3 | 6277 GREY FOX LN SPERRY, OK 74073 | AFLAC | $12 | — | $12 | 0.32% |
| GEORGE THOMAS WARHURST3 Filed as: GEORGE WARHURST | 233 W MALLARD DR DERBY, KS 67037 | AFLAC | $1 | $8 | $9 | 0.24% |
| MARK FRIEHE3 Filed as: MARK E FRIEHE | 11218 JOHN GALT BLVD STE 101 OMAHA, NE 68137 | AFLAC | $7 | — | $7 | 0.18% |
| WILLINGHAM INC3 Filed as: WILLINGHAM INC. | 35354 MISSION BELLEVIEW RD LOUISBURG, KS 66053 | AFLAC | $6 | — | $6 | 0.16% |
| GARY WAYNE WILLINGHAM3 | 6033 STRAFFORD OAKS DR SEBRING, FL 33875 | AFLAC | $6 | — | $6 | 0.16% |
| MARGARITA SALAS3 | 1747 PARKVIEW LN MISSOURI CITY, TX 77459 | AFLAC | $5 | — | $5 | 0.13% |
| ROBERT SALAS3 | 1747 PARKVIEW LN MISSOURI CITY, TX 77459 | AFLAC | $3 | — | $3 | 0.08% |
| JARED E DAY3 Filed as: JARED DAY | 19710 CHARA CT CYPRESS, TX 77433 | AFLAC | $3 | — | $3 | 0.08% |
| CHRISTOPHER THOMAS HIPP3 | 1601 MEADOW LN HAYS, KS 67601 | AFLAC | $3 | — | $3 | 0.08% |
| KENNETH D MORRIS JR3 | 5410 PLYMOUTH DR LAWRENCE, KS 66049 | AFLAC | $3 | — | $3 | 0.08% |
| TANNER R KING3 Filed as: TANNER KING | 14820 E SIEFEKES CT WICHITA, KS 67230 | AFLAC | $1 | — | $1 | 0.03% |
| MICHAEL GRASS3 | 21707 KINGSLAND BLVD KATY, TX 77450 | AFLAC | $1 | — | $1 | 0.03% |
| PRENTICE ATKINS CASTLE JR3 | 7293 DABADIE RD VENTRESS, LA 70783 | AFLAC | $1 | — | $1 | 0.03% |
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 | 1,242 | 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) | 1,242 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF KANSAS | 1,242 | $959K |
| Dental | DELTA DENTAL OF KANSAS, INC. | 715 | $452K |
| Vision | SURENCY LIFE AND HEALTH | 604 | $82K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 972 | $439K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 972 | $439K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 972 | $439K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF KANSAS | 1,242 | $959K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF KANSAS | 1,242 | $959K |
| Other(4 contracts, 4 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 972 | $472K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,242 | — |
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."
No prospect flags tripped on this filing.