| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LEGACY BROKERS LLC3 | 15301 WEST 87TH STREET LENEXA, KS 66219 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $11K | $1K | $12K | 11.36% |
| KANSAS BENEFIT COUNSELORS LLC3 | 5211 WEST 156TH STREET OVERLAND PARK, KS 66224 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $7K | $3K | $10K | 9.03% |
| CONSTANCE NICOLE SCHMIDT3 | 4709 NE 104TH STREET KANSAS CITY, MO 64156 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3K | $1K | $5K | 4.32% |
| SUSAN MARIE WEITKAMP3 | 246 FIDDLECREEK RIDGE ROAD WENTZVILLE, MO 63385 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $719 | $2K | 2.25% |
| GARY M. UPAH3 | 5211 WEST 156TH STREET OVERLAND PARK, KS 66224 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $696 | $0 | $696 | 0.64% |
| MJ INSURANCE3 Filed as: CORCORAN & HOYT AND VARIOUS AGENTS | 3905 TAMPA ROAD OLDSMAR, FL 34677 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $140 | $18 | $158 | 0.14% |
| DANIEL RINEBERG3 | 5112 SW 32ND TERRACE TOPEKA, KS 66614 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $83 | $28 | $111 | 0.10% |
| LEGACY BROKERS LLC3 | 15301 WEST 87TH STREET LENEXA, KS 66219 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $6K | $761 | $7K | 10.01% |
| KANSAS BENEFIT COUNSELORS LLC3 | 5211 WEST 156TH STREET OVERLAND PARK, KS 66224 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $4K | $2K | $6K | 8.38% |
| CONSTANCE NICOLE SCHMIDT3 | 4709 NE 104TH STREET KANSAS CITY, MO 64156 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $562 | $2K | 3.13% |
| SUSAN MARIE WEITKAMP3 | 246 FIDDLECREEK RIDGE ROAD WENTZVILLE, MO 63385 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $385 | $1K | 2.01% |
| GARY M. UPAH3 | 5211 WEST 156TH STREET OVERLAND PARK, KS 66224 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $502 | $0 | $502 | 0.72% |
| MJ INSURANCE3 Filed as: DANIEL RINEBERG AND VARIOUS AGENTS | 5112 SW 32ND TERRACE TOPEKA, KS 66614 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $85 | $21 | $106 | 0.15% |
| MELISSA K PERCELL3 Filed as: MELISSA K. PERCELL | 713 PLEASANT STREET DENVER, MO 64441 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $66 | $0 | $66 | 0.09% |
| LEGACY BROKERS LLC3 | 15301 WEST 87TH STREET PAKWAY LENEXA, KS 66219 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3K | $378 | $3K | 14.64% |
| KANSAS BENEFIT COUNSELORS LLC3 | 5211 WEST 156TH STREET OVERLAND PARK, KS 66219 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $802 | $2K | 10.93% |
| CONSTANCE NICOLE SCHMIDT3 | 4709 NE 104TH STREET KANSAS CITY, MO 64156 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $931 | $328 | $1K | 6.17% |
| SUSAN MARIE WEITKAMP3 | 246 FIDDLECREEK RIDGE ROAD WENTZVILLE, MO 63385 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $424 | $194 | $618 | 3.03% |
| GARY M. UPAH3 | 5211 WEST 156TH STREET OVERLAND PARK, KS 66224 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $292 | $0 | $292 | 1.43% |
| DANIEL RINEBERG3 | 5112 SW 32ND TERRACE TOPEKA, KS 66614 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $25 | $9 | $34 | 0.17% |
| MJ INSURANCE3 Filed as: CORCORAN & HOYT AND VARIOUS AGENTS | 3905 TAMPA ROAD OLDSMAR, FL 34677 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $19 | $4 | $23 | 0.11% |
| LEGACY BROKERS LLC3 | 15301 WEST 87TH STREET PAKWAY SUITE 275 LENEXA, KS 66219 | HARTFORD LIFE AND ACCIDENT | $875 | $0 | $875 | 10.01% |
| EMPLOYEE NAVIGATOR, LLC3 | 7979 OLD GEORGETOWN ROAD, SUITE 300 BETHESDA, MD 20814 | VISION SERVICE PLAN | $38 | — | $38 | 0.45% |
| LEGACY BROKERS LLC3 | 15301 WEST 87TH STREET LENEXA, KS 66219 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $123 | $9 | $132 | 8.53% |
| KANSAS BENEFIT COUNSELORS LLC3 | 5211 WEST 156TH STREET OVERLAND PARK, KS 66224 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $83 | $36 | $119 | 7.69% |
| SUSAN MARIE WEITKAMP3 | 246 FIDDLECREEK RIDGE ROAD WENTZVILLE, MO 63385 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $18 | $4 | $22 | 1.42% |
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 | 99 | 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) | 99 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL | 98 | $47K |
| Vision | VISION SERVICE PLAN | 94 | $8K |
| Life insurance(5 contracts, 2 carriers) | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 141 | $210K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 99 | $9K |
| Other(5 contracts, 2 carriers) | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 141 | $210K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 141 | — |
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.