| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS - WICHITA | 10333 E 21ST ST N, SUITE 104 WICHITA, KS 67206 | DELTA DENTAL OF KANSAS, INC. | $21K | — | $21K | 8.18% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 736 STONE AVE LA GRANGE, IL 60525 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $6K | $6K | 4.33% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 10333 E 21ST ST N, SUITE 104 WICHITA, KS 67206 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | — | $6K | 4.26% |
| CONNECTSOURCE SOLUTIONS INC5 | 1150 HUNGRYNECK BLVD, STE C121 MT PLEASANT, SC 29464 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $3K | $3K | 2.08% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 10333 E 21ST ST N, SUITE 104 WICHITA, KS 67206 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | — | $6K | 4.36% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 736 S STONE AVE LA GRANGE, IL 60525 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $5K | $5K | 4.32% |
| CONNECTSOURCE SOLUTIONS INC5 | 1150 HUNGRYNECK BLVD, STE C121 MT PLEASANT, SC 29464 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $3K | $3K | 2.14% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 10333 E 21ST N, SUITE 104 WICHITA, KS 67206 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $10K | — | $10K | 8.96% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 736 S STONE AVE LA GRANGE, IL 60525 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $5K | $5K | 4.65% |
| CONNECTSOURCE SOLUTIONS INC5 | 1150 HUNGRYNECK BLVD, STE C121 MT PLEASANT, SC 29464 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $3K | $3K | 2.67% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 10333 E 21ST N, SUITE 104 WICHITA, KS 67206 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | — | $5K | 4.98% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 736 S STONE AVE LA GRANGE, IL 60525 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $4K | $4K | 4.30% |
| CONNECTSOURCE SOLUTIONS INC5 | 1150 HUNGRYNECK BLVD, STE C121 MT PLEASANT, SC 29464 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $3K | $3K | 2.70% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFITS SERVICES, INC. | 111 VETERANS BLVD, STE 1130 METAIRIE, LA 70005 | CONTINENTAL AMERICAN INSURANCE COMPANY | $7K | — | $7K | 6.49% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2580 GOLF RD, SUITE 1000 ROLLING MEADOWS, IL 60008 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5K | — | $5K | 5.38% |
| CALEB GILMOUR3 | 220 SWEETGUM CT ANDOVER, KS 67002 | CONTINENTAL AMERICAN INSURANCE COMPANY | $419 | — | $419 | 0.42% |
| JOHN E WETIG3 Filed as: JOHN E WETIG JR | 103 S ROUPP ST HESSTON, KS 67062 | CONTINENTAL AMERICAN INSURANCE COMPANY | $287 | — | $287 | 0.29% |
| BRIAN M LEITZEL3 | PO BOX 162 CHENEY, KS 67025 | CONTINENTAL AMERICAN INSURANCE COMPANY | $195 | — | $195 | 0.19% |
| MICHAEL D CHRISMAN3 | 515 S. MAIN, SUITE 105 WICHITA, KS 67202 | CONTINENTAL AMERICAN INSURANCE COMPANY | $124 | — | $124 | 0.12% |
| JUSTIN C CARSON3 | 13614 E MOUNT VERNON RD WICHITA, KS 67230 | CONTINENTAL AMERICAN INSURANCE COMPANY | $61 | — | $61 | 0.06% |
| KATHY A WIEDEMANN3 | 229 E. WILLIAM #501 WICHITA, KS 67202 | CONTINENTAL AMERICAN INSURANCE COMPANY | $52 | — | $52 | 0.05% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFITS SERVICES | 10333 E 21ST ST N, SUITE 104 WICHITA, KS 67206 | SURENCY LIFE AND HEALTH | $6K | — | $6K | 10.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 10333 E 21ST ST N, SUITE 104 WICHITA, KS 67206 | SURENCY LIFE AND HEALTH | $307 | — | $307 | 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 | 535 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 536 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF KANSAS, INC. | 361 | $262K |
| Vision(2 contracts) | SURENCY LIFE AND HEALTH | 332 | $61K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 465 | $237K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 462 | $127K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 465 | $101K |
| Other(3 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 465 | $338K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 465 | — |
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.