| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| IMA, INC.3 | 430 E. DOUGLAS, SUITE 400 WICHITA, KS 67202 | BLUE CROSS AND BLUE SHIELD OF KANSAS | $24K | — | $24K | 4.65% |
| IMA, INC.3 | 8200 E. 32ND STREET N. WICHITA, KS 67226 | DELTA DENTAL OF KANSAS, INC. | $4K | — | $4K | 6.60% |
| IMA, INC.3 | P.O. BOX 2992 WICHITA, KS 67201 | HARTFORD LIFE AND ACCIDENT | $7K | — | $7K | 15.00% |
| JAMES R NELLIGAN & ASSOCS LLC3 Filed as: JAMES NELLIGAN & ASSOC | 1933 STATE ROUTE 35 WALL, NJ 07719 | HARTFORD LIFE AND ACCIDENT | — | $2K | $2K | 5.00% |
| KEVIN D INGWERSON3 Filed as: KEVIN INGWERSON | 208 S PUTTER DR ANDOVER, KS 67002 | AFLAC | $2K | $46 | $2K | 9.27% |
| MICHELLE D VEAL3 Filed as: MICHELLE VEAL | 7284 EFFIE DR DENHAM SPRINGS, LA 70706 | AFLAC | $1K | $92 | $1K | 5.15% |
| SHAWN M CASTLEMAN3 Filed as: SHAWN CASTLEMAN | 4021 WE HECK CT. BATON ROUGE, LA 70816 | AFLAC | $276 | $21 | $297 | 1.33% |
| CALEB GILMOUR3 | 515 S. MAIN ST WICHITA, KS 67202 | AFLAC | $222 | $11 | $233 | 1.04% |
| JOHN R CAMBRE3 Filed as: JOHN CAMBRE | 10093 ISLAND RD VENTRESS, LA 70783 | AFLAC | $172 | $21 | $193 | 0.86% |
| DEBORAH JOHNSON3 | 441915 E. HIGHWAY 60 VINITA, OK 74301 | AFLAC | $167 | — | $167 | 0.75% |
| BRIAN M LEITZEL3 Filed as: BRIAN LEITZEL | 7920 W. KELLOGG DR WICHITA, KS 67209 | AFLAC | $151 | — | $151 | 0.67% |
| STEVEN HUNTER3 | 1317 MAE DR CARROLLTON, TX 75007 | AFLAC | $89 | — | $89 | 0.40% |
| JUSTIN C CARSON3 Filed as: JUSTIN CARSON | 7701 E. KELLOGG DR WICHITA, KS 67207 | AFLAC | $89 | — | $89 | 0.40% |
| RYAN ROONEY3 | 227 PINE ST GODDARD, KS 67052 | AFLAC | $85 | — | $85 | 0.38% |
| ROBERT ROWE3 | 2901 N VAN BUREN ST HUTCHINSON, KS 67502 | AFLAC | $62 | — | $62 | 0.28% |
| NICOLE E ROONEY3 Filed as: NICOLE ROONEY | 515 S MAIN ST WICHITA, KS 67202 | AFLAC | $61 | — | $61 | 0.27% |
| EDUARDO REYNA3 | 1921 E. HICKORY HILL RD ARGYLE, TX 76226 | AFLAC | $48 | — | $48 | 0.21% |
| JOHN E WETIG3 Filed as: JOHN WETIG | 103 S ROUPP ST HESSTON, KS 67062 | AFLAC | $40 | — | $40 | 0.18% |
| NATHAN HARRISON3 | 5301 E. VISTA RICA ST PARADISE VALLEY, AZ 85253 | AFLAC | $34 | — | $34 | 0.15% |
| JULIAN DUARTE3 | 412 N. MYRTLE ST EUREKA, KS 67045 | AFLAC | $33 | — | $33 | 0.15% |
| SCOTT SWIMMER3 | 4553 W. 138TH TER LEAWOOD, KS 66224 | AFLAC | $25 | — | $25 | 0.11% |
| MATTHEW GANT3 | 2501 W. 18TH AVE. EMPORIA, KS 66801 | AFLAC | $24 | — | $24 | 0.11% |
| ROBERT SHEPARD COOPER3 Filed as: ROBERT COOPER | PO BOX 609 SANGER, TX 76266 | AFLAC | $24 | — | $24 | 0.11% |
| BRIAN MILLS3 | 1402 W. LUCY WEBB RD RAYMORE, MO 64083 | AFLAC | $19 | — | $19 | 0.08% |
| MARY E MINTON3 Filed as: MARY MINTON | 24230 W. 61ST ST N. ANDALE, KS 67001 | AFLAC | $19 | — | $19 | 0.08% |
| SAMUEL A MCFALL3 Filed as: SAMUEL MCFALL | 609 N. BROADWAY AVE WICHITA, KS 67214 | AFLAC | $14 | — | $14 | 0.06% |
| GAILE COE3 | 4600 FARMSTEAD CT BEL AIRE, KS 67220 | AFLAC | $12 | — | $12 | 0.05% |
| KATHY WIEDEMANN3 | 222 HIGH VIEW DR BOULDER, CO 80304 | AFLAC | $10 | — | $10 | 0.04% |
| IMA, INC.3 | P.O. BOX 2992 WICHITA, KS 67201 | EYEMED VISION CARE | $752 | — | $752 | 9.92% |
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 | 114 | 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) | 114 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 136 | $511K |
| Dental | DELTA DENTAL OF KANSAS, INC. | 83 | $57K |
| Vision | EYEMED VISION CARE | 129 | $8K |
| Life insurance(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 114 | $67K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF KANSAS | 136 | $511K |
| Other(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 114 | $67K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 136 | — |
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.