| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GARY HARDMAN-GALLAGHER BENEFIT SVCS | 8110 E. 32ND ST N., SUITE 100 WICHITA, KS 67226 | BLUE CROSS BLUE SHIELD OF KANSAS | $46K | — | $46K | 3.99% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS-WICHITA | 8110 E. 32ND ST N., SUITE 100 WICHITA, KS 67226 | DELTA DENTAL OF KANSAS, INC. | $8K | — | $8K | 7.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 8110 E. 32ND ST N., SUITE 100 WICHITA, KS 67226 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | $2K | $8K | 17.72% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE, 14TH FLOOR ITASCA, IL 60143 | CONTINENTAL AMERICAN INSURANCE COMPANY | $8K | — | $8K | 20.28% |
| LESLIE B BERGSTROM3 | 317 GRAND AVE PLAINS, KS 67869 | CONTINENTAL AMERICAN INSURANCE COMPANY | $802 | — | $802 | 1.97% |
| BRAD J SCHUMACHER3 | P.O. BOX 762 HAYS, KS 67601 | CONTINENTAL AMERICAN INSURANCE COMPANY | $459 | — | $459 | 1.13% |
| JUSTIN C CARSON3 | 7701 E KELLOGG SUITE 680 WICHITA, KS 67207 | CONTINENTAL AMERICAN INSURANCE COMPANY | $255 | — | $255 | 0.63% |
| KATHY A WIEDEMANN3 | 229 E WILLIAM #501 WICHITA, KS 67202 | CONTINENTAL AMERICAN INSURANCE COMPANY | $208 | — | $208 | 0.51% |
| KENNETH D MORRIS JR3 | 5410 PLYMOUTH DR LAWRENCE, KS 66049 | CONTINENTAL AMERICAN INSURANCE COMPANY | $125 | — | $125 | 0.31% |
| CHRISTOPHER THOMAS HIPP3 Filed as: CHRISTOPHER T HIPP | 718 MAIN, SUITE 205 HAYS, KS 67601 | CONTINENTAL AMERICAN INSURANCE COMPANY | $124 | — | $124 | 0.30% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 8110 E. 32ND ST N., SUITE 100 WICHITA, KS 67226 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $2K | $5K | 13.54% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 8110 E. 32ND ST N., SUITE 100 WICHITA, KS 67226 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $1K | $4K | 14.75% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 8110 E. 32ND ST N., SUITE 100 WICHITA, KS 67226 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $1K | $4K | 17.11% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS-WICHITA | 8110 E. 32ND ST N., SUITE 100 WICHITA, KS 67226 | 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 | 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 BLUE SHIELD OF KANSAS | 305 | $1.2M |
| Dental | DELTA DENTAL OF KANSAS, INC. | 164 | $117K |
| Vision | SURENCY LIFE AND HEALTH | 166 | $22K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 193 | $75K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 193 | $37K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 193 | $26K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF KANSAS | 305 | $1.2M |
| Other(3 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 193 | $115K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 305 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.