| 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. | $23K | — | $23K | 8.61% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 10333 E 21ST ST N, SUITE 104 WICHITA, KS 67206 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | — | $6K | 4.30% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 736 STONE AVE LA GRANGE, IL 60525 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $4K | $4K | 3.41% |
| CONNECTSOURCE SOLUTIONS INC5 | 1150 HUNGRYNECK BLVD, STE C121 MT PLEASANT, SC 29464 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $3K | $3K | 2.09% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 10333 E 21ST ST N, SUITE 104 WICHITA, KS 67206 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | — | $5K | 4.41% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 736 S STONE AVE LA GRANGE, IL 60525 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $4K | $4K | 3.41% |
| CONNECTSOURCE SOLUTIONS INC5 | 1150 HUNGRYNECK BLVD, STE C121 MT PLEASANT, SC 29464 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $3K | $3K | 2.10% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 10333 E 21ST N, SUITE 104 WICHITA, KS 67206 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $10K | — | $10K | 8.85% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 736 S STONE AVE LA GRANGE, IL 60525 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $4K | $4K | 3.27% |
| CONNECTSOURCE SOLUTIONS INC5 | 1150 HUNGRYNECK BLVD, STE C121 MT PLEASANT, SC 29464 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $3K | $3K | 2.46% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 10333 E 21ST N, SUITE 104 WICHITA, KS 67206 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | — | $5K | 5.04% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 736 S STONE AVE LA GRANGE, IL 60525 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $3K | $3K | 3.44% |
| CONNECTSOURCE SOLUTIONS INC5 | 1150 HUNGRYNECK BLVD, STE C121 MT PLEASANT, SC 29464 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $3K | $3K | 2.71% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFITS SERVICES, INC. | 2345 GRAND BLVD, SUITE 200 KANSAS CITY, MO 64108 | CONTINENTAL AMERICAN INSURANCE COMPANY | $8K | — | $8K | 8.38% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2850 GOLF RD, SUITE 1000 ROLLING MEADOWS, IL 60008 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4K | — | $4K | 4.60% |
| CALEB GILMOUR3 | 515 S. MAIN, SUITE 501 WICHITA, KS 67202 | CONTINENTAL AMERICAN INSURANCE COMPANY | $721 | — | $721 | 0.75% |
| JOHN E WETIG3 Filed as: JOHN E WETIG JR | 103 S ROUPP ST HESSTON, KS 67062 | CONTINENTAL AMERICAN INSURANCE COMPANY | $382 | — | $382 | 0.40% |
| BRIAN M LEITZEL3 | PO BOX 162 CHENEY, KS 67025 | CONTINENTAL AMERICAN INSURANCE COMPANY | $261 | — | $261 | 0.27% |
| MICHAEL D CHRISMAN3 | 515 S. MAIN, SUITE 105 WICHITA, KS 67202 | CONTINENTAL AMERICAN INSURANCE COMPANY | $142 | — | $142 | 0.15% |
| JUSTIN C CARSON3 | 7701 E KELLOGG, SUITE 680 WICHITA, KS 67207 | CONTINENTAL AMERICAN INSURANCE COMPANY | $67 | — | $67 | 0.07% |
| KATHY A WIEDEMANN3 | 229 E. WILLIAM #501 WICHITA, KS 67202 | CONTINENTAL AMERICAN INSURANCE COMPANY | $54 | — | $54 | 0.06% |
| 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 | $253 | — | $253 | 10.02% |
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 | 437 | 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) | 438 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF KANSAS, INC. | 336 | $268K |
| Vision(2 contracts) | SURENCY LIFE AND HEALTH | 313 | $64K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 427 | $238K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 425 | $125K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 427 | $99K |
| Other(3 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 427 | $334K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 427 | — |
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.