| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES INC | — | DELTA DENTAL OF KANSAS, INC. | $2K | — | $2K | 1.57% |
| HIGGS FINANCIAL SERVICES INC3 | 5100 SOUTHWEST 10TH AVENUE TOPEKA, KS 66604 | METROPOLITAN LIFE INSURANCE COMPANY | $7K | — | $7K | 8.74% |
| MARK METTILLE3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | — | $2K | 2.31% |
| LISA HORAK3 | 14131 NORTHWEST 74TH STREET ROSSVILLE, KS 66533 | AFLAC | $2K | $52 | $2K | 9.32% |
| PERRY HENAULT3 | 4323 SOUTHWEST MISTY HARBOR DRIVE TOPEKA, KS 66610 | AFLAC | $1K | $128 | $2K | 6.15% |
| WENDY RENARD3 | 24133 FAWN COURT NORTHEAST STACY, MN 55079 | AFLAC | $834 | — | $834 | 3.18% |
| BRAD SCHUMACHER3 | 2804 COUNTRY LANE HAYS, KS 67601 | AFLAC | $310 | $33 | $343 | 1.31% |
| CORY STILP3 | 13801 PANOLA DRIVE LINDSTROM, MN 55045 | AFLAC | $162 | — | $162 | 0.62% |
| ARICCA WALLACE3 | 5100 CANYON ROAD MANHATTAN, KS 66503 | AFLAC | $135 | — | $135 | 0.51% |
| BRIAN MILLS3 | 1402 WEST LUCY WEBB ROAD RAYMORE, MO 64083 | AFLAC | $105 | $13 | $118 | 0.45% |
| LUCAS BAUMGARTNER3 | 20 LAKE STREET NORTH SUITE 220 FOREST LAKE, MN 55025 | AFLAC | $114 | — | $114 | 0.43% |
| NATHAN HARRISON3 | 16024 MANCHESTER ROAD 2ND FLOOR SUITE 200 ELLISVILLE, MO 63011 | AFLAC | $97 | — | $97 | 0.37% |
| JEREMY L TOMLINSON3 Filed as: JEREMY TOMLINSON | 2805 NORTH 36TH STREET BOISE, ID 83703 | AFLAC | $51 | — | $51 | 0.19% |
| JULIA HADORN3 | 10778 SOUTH CARBONDALE STREET OLATHE, KS 66061 | AFLAC | $47 | — | $47 | 0.18% |
| TIMOTHY SCHWERDT3 | 935 SOUTHEAST TUCUMSEH ROAD TECUMSEH, KS 66542 | AFLAC | $39 | — | $39 | 0.15% |
| THOMAS PEAVLER3 | 1188 NORTHEAST 27TH STREET UNIT 123 BEND, OR 97701 | AFLAC | $24 | $9 | $33 | 0.13% |
| ROBERT GELSZAT3 | 11251 EAST BELLAIRE STREET WICHITA, KS 67207 | AFLAC | $17 | — | $17 | 0.06% |
| CLIFFORD MAYES JR3 | 800 FOREST ARMS LANE MOUND, MN 55364 | AFLAC | $10 | — | $10 | 0.04% |
| MATTHEW LORENZ3 | 1021 PROSPECT POINTE ROAD JORDAN, MN 55352 | AFLAC | $8 | — | $8 | 0.03% |
| SANDRA WILLIAMS3 | 1108 SOUTHWEST CAMBRIDGE AVENUE TOPEKA, KS 66604 | AFLAC | $4 | $2 | $6 | 0.02% |
| NICHOLAS FLAX3 | 3012 LIMESTONE COURT HAYS, KS 67601 | AFLAC | $5 | — | $5 | 0.02% |
| MATTHEW YARRINGTON3 | 3226 SOUTHWEST ARROWHEAD ROAD TOPEKA, KS 66614 | AFLAC | $5 | — | $5 | 0.02% |
| PEGGY SUE LAZER3 Filed as: PEGGY LAZER | 7914 113TH AVENUE NORTH CHAMPLIN, MN 55316 | AFLAC | $3 | — | $3 | 0.01% |
| SCOTT D SWIMMER3 Filed as: SCOTT SWIMMER | 4553 WEST 138TH TERRACE LEAWOOD, KS 66224 | AFLAC | $2 | — | $2 | 0.01% |
| DARIN D PAVLISH3 Filed as: DARIN PAVLISH | 7760 FRANCE AVE STE 1162 EDINA, MA 55435 | AFLAC | $1 | — | $1 | 0.00% |
| WENDY RENARD3 | 24133 FAWN COURT NORTHEAST STACY, MN 55079 | AFLAC | $3K | $5 | $3K | 18.54% |
| LISA HORAK3 | 14131 NORTHWEST 74TH STREET ROSSVILLE, KS 66533 | AFLAC | $529 | — | $529 | 3.53% |
| CORY STILP3 | 13801 PANOLA DRIVE LINDSTROM, MN 55045 | AFLAC | $483 | — | $483 | 3.22% |
| LUCAS BAUMGARTNER3 Filed as: LUCAS BAUMGARNER | 20 LAKE STREET NORTH SUITE 220 FOREST LAKE, MN 55025 | AFLAC | $355 | — | $355 | 2.37% |
| PERRY HENAULT3 | 4323 SOUTHWEST MISTY HARBOR DRIVE TOPEKA, KS 66610 | AFLAC | $244 | $18 | $262 | 1.75% |
| JEREMY L TOMLINSON3 Filed as: JEREMY TOMLINSON | 2805 NORTH 36TH STREET BOISE, ID 83703 | AFLAC | $204 | $4 | $208 | 1.39% |
| SHELLY LUCKEN3 | 8233 WEST 133RD PLACE SAVAGE, MN 55378 | AFLAC | $44 | $22 | $66 | 0.44% |
| BRAD SCHUMACHER3 | 2804 COUNTRY LANE HAYS, KS 67601 | AFLAC | $54 | $7 | $61 | 0.41% |
| CLIFFORD MAYES JR3 | 800 FOREST ARMS LANE MOUND, MN 55364 | AFLAC | $37 | — | $37 | 0.25% |
| BRIAN MILLS3 | 1402 WEST LUCY WEBB ROAD RAYMORE, MO 64083 | AFLAC | $26 | $7 | $33 | 0.22% |
| ARICCA WALLACE3 | 5100 CANYON ROAD MANHATTAN, KS 66503 | AFLAC | $29 | — | $29 | 0.19% |
| THOMAS PEAVLER3 | 1188 NORTHEAST 27TH STREET UNIT 123 BEND, OR 97701 | AFLAC | $16 | $8 | $24 | 0.16% |
| MATTHEW LORENZ3 | 1021 PROSPECT POINTE ROAD JORDAN, MN 55352 | AFLAC | $23 | — | $23 | 0.15% |
| SANDRA WILLIAMS3 | 1108 SOUTHWEST CAMBRIDGE AVENUE TOPEKA, KS 66604 | AFLAC | $15 | $6 | $21 | 0.14% |
| JULIA HADORN3 | 10778 SOUTH CARBONDALE STREET OLATHE, KS 66061 | AFLAC | $19 | — | $19 | 0.13% |
| TIMOTHY SCHWERDT3 | 935 SOUTHEAST TECUMSEH ROAD TECUMSEH, KS 66542 | AFLAC | $17 | — | $17 | 0.11% |
| CATHY J OLIVER3 Filed as: CATHY OLIVER | 14795 BOISE CIRCLE ROSEMOUNT, MN 55068 | AFLAC | $10 | $4 | $14 | 0.09% |
| PEGGY SUE LAZER3 Filed as: PEGGY LAZER | 7914 113TH AVENUE NORTH CHAMPLIN, MN 55316 | AFLAC | $10 | — | $10 | 0.07% |
| NATHAN HARRISON3 | 16024 MANCHESTER ROAD 2ND FLOOR SUITE 200 ELLISVILLE, MO 63011 | AFLAC | $7 | — | $7 | 0.05% |
| DARIN D PAVLISH3 Filed as: DARIN PAVLISH | 7760 FRANCE AVENUE SUITE 1162 EDINA, MN 55435 | AFLAC | $1 | — | $1 | 0.01% |
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 | 305 | 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) | 305 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(3 contracts, 2 carriers) | DELTA DENTAL OF KANSAS, INC. | 190 | $144K |
| Vision(2 contracts) | AFLAC | 55 | $41K |
| Life insurance(3 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 306 | $120K |
| Short-term disability(2 contracts) | AFLAC | 55 | $41K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 306 | $79K |
| Other(3 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 306 | $120K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 306 | — |
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.