| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT SERVICES OF KANSAS CITY INC3 | 9001 W 110TH ST STE 230 OVERLAND PARK, KS 66210 | UNITED HEALTHCARE INSURANCE COMPANY | $25K | — | $25K | 2.76% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GROUP INC - KS & MO | 5110 N 40TH ST STE 234 PHOENIX, AZ 85018 | UNITED HEALTHCARE INSURANCE COMPANY | $4K | — | $4K | 0.46% |
| MICHAEL ZIMMERMAN3 Filed as: MICHAEL VANIS MOULIN | 9001 W 110TH ST STE 230 OVERLAND PARK, KS 66210 | PRINCIPAL LIFE INSURANCE COMPANY | $23K | — | $23K | 11.02% |
| DAN STECKLEIN3 | 2011 CENTRAL AVE LOWER LEVEL SOUTH DODGE CITY, KS 67801 | AFLAC | $5K | $384 | $6K | 15.20% |
| DENNIS JAMES FOSTER3 | PO BOX 1058 MEADE, KS 67864 | AFLAC | $1K | $77 | $1K | 3.21% |
| LESLIE B BERGSTROM3 | PO BOX 435 PLAINS, KS 67869 | AFLAC | $716 | $77 | $793 | 2.15% |
| BRAD J SCHUMACHER3 | 718 MAIN ST STE 205 HAYS, KS 67601 | AFLAC | $351 | $68 | $419 | 1.14% |
| IRA A CAPE3 | 1411 18TH ST GREAT BEND, KS 67530 | AFLAC | $255 | $0 | $255 | 0.69% |
| MADONNA L HASKINS3 | 1712 CENTRAL AVE DODGE CITY, KS 67801 | AFLAC | $96 | $0 | $96 | 0.26% |
| NATHAN L HARRISON3 | 16024 MANCHESTER RD 2ND FLOOR STE 200 ELLISVILLE, MO 63011 | AFLAC | $77 | $0 | $77 | 0.21% |
| DOUGLAS R SCHENKEL3 | PO BOX 1842 GREAT BEND, KS 67530 | AFLAC | $32 | $0 | $32 | 0.09% |
| PATRICIA ZOELLER3 | PO BOX 181 KINGMAN, KS 67068 | AFLAC | $9 | $0 | $9 | 0.02% |
| LEIGH ANNE SEEMAN3 Filed as: LEIGH ANNE STELTER | 820 BROADWAY ST LARNED, KS 67550 | AFLAC | $3 | $0 | $3 | 0.01% |
| GAIL MOEDER3 | 1712 RIVIERA DR GREAT BEND, KS 67530 | AFLAC | $1 | $0 | $1 | 0.00% |
| TREY BURGAN3 | PO BOX 6 SAINT JOHN, KS 67576 | AFLAC | $0 | $0 | $0 | 0.00% |
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 | 169 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 170 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNITED HEALTHCARE INSURANCE COMPANY | 122 | $929K |
| Dental(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 158 | $243K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 158 | $207K |
| Life insurance(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 158 | $243K |
| Prescription drug | UNITED HEALTHCARE INSURANCE COMPANY | 122 | $892K |
| Other | AFLAC | 43 | $37K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 158 | — |
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.