| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | 245 NORTH WACO, SUITE 412 WICHITA, KS 67202 | BLUE CROSS AND BLUE SHIELD OF KANSAS | $53K | $0 | $53K | 4.26% |
| USI INSURANCE SERVICES LLC3 | 245 NORTH WACO, SUITE 412 WICHITA, KS 97202 | DELTA DENTAL OF KANSAS, INC. | $5K | $0 | $5K | 5.00% |
| USI INSURANCE SERVICES LLC3 | 245 NORTH WACO STREET, SUITE 412 WICHITA, KS 67202 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $7K | $981 | $8K | 14.42% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF GREATER KANSAS, INC. | PO BOX 676881 RICHARDSON, TX 75081 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $0 | $1K | 4.94% |
| RODNEY G STORCK3 Filed as: RODNEY G. STORCK AND OTHER AGENTS | 609 NORTH BROADWAY WICHITA, KS 67214 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $795 | $85 | $880 | 3.98% |
| SAMUEL A MCFALL3 Filed as: SAMUEL A. MCFALL | 609 NORTH BROADWAY WICHITA, KS 67214 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $647 | $202 | $849 | 3.84% |
| USI INSURANCE SERVICES LLC3 | 245 NORTH WACO WICHITA, KS 67202 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $713 | $7 | $720 | 3.25% |
| WILLIAM L COEN JR3 Filed as: WILLIAM L. COEN JR. | 9811 WEST CORNELISON STREET WICHITA, KS 67212 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $230 | $0 | $230 | 1.04% |
| ANTHONY FRANCIS LASHINSKI3 | 725 NORTH GEORGIE AVENUE DERBY, KS 67037 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $107 | $53 | $160 | 0.72% |
| ERIC JUSTIN FLATEN3 | 506 7TH STREET ATLANTA, KS 67008 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $35 | $0 | $35 | 0.16% |
| USI INSURANCE SERVICES LLC3 | 245 NORTH WACO, SUITE 412 WICHITA, KS 67213 | SURENCY LIFE AND HEALTH | $2K | $0 | $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 | 193 | 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) | 193 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 273 | $1.2M |
| Dental | DELTA DENTAL OF KANSAS, INC. | 136 | $97K |
| Vision | SURENCY LIFE AND HEALTH | 118 | $16K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 198 | $52K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 198 | $52K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 198 | $52K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF KANSAS | 273 | $1.2M |
| Other(3 contracts, 3 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 198 | $79K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 273 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.