| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 245 NORTH WACO, SUITE 300 WICHITA, KS 67202 | BLUE CROSS AND BLUE SHIELD OF KANSAS | $55K | — | $55K | 5.22% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES,LLC | 6900 COLLEGE BOULEVARD, SUITE 520 OVERLAND PARK, KS 66211 | DELTA DENTAL OF KANSAS, INC. | $5K | — | $5K | 5.00% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | PO BOX 62889 VIRGINIA BEACH, VA 23466 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $899 | $474 | $1K | 2.33% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF GREATER KANSAS, INC. | 245 NORTH WACO, SUITE 300 WICHITA, KS 67202 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $37 | $37 | 0.06% |
| SAMUEL A MCFALL3 Filed as: SAMUEL A. MCFALL | 609 NORTH BROADWAY WICHITA, KS 67214 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $2K | $4K | 18.79% |
| ERIC JUSTIN FLATEN3 | 506 7TH STREET ATLANTA, KS 67008 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $2K | $3K | 14.20% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF KANSAS, INC. | PO BOX 676881 RICHARDSON, TX 75081 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3K | — | $3K | 12.86% |
| RODNEY G STORCK3 Filed as: RODNEY G. STORCK | 609 NORTH BROADWAY WICHITA, KS 67214 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $464 | $3K | 11.92% |
| BRADLEY SCOTT GOERING3 | 215 EAST EAGLE WATCH MULVANE, KS 67214 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 5.97% |
| RONALD ALLEN PEREIRA3 | 609 NORTH BROADWAY, SUITE 200 WICHITA, KS 67214 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $189 | $1K | 5.85% |
| WILLIAM L COEN JR3 Filed as: WILLIAM L. COEN, JR. | 9811 WEST CORNELISON STREET WICHITA, KS 67212 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $705 | $64 | $769 | 3.30% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 6900 COLLEGE BOULEVARD, SUITE 520 OVERLAND PARK, KS 66211 | SURENCY LIFE AND HEALTH | $2K | — | $2K | 10.00% |
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 | 180 | 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) | 180 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 298 | $1.1M |
| Dental | DELTA DENTAL OF KANSAS, INC. | 141 | $104K |
| Vision | SURENCY LIFE AND HEALTH | 121 | $16K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 180 | $59K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 180 | $59K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 180 | $59K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF KANSAS | 298 | $1.1M |
| Other(3 contracts, 3 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 180 | $86K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 298 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.