| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 | 9200 WARD PARKWAY STE 500 KANSAS CITY, MO 64114 | VISION SERVICE PLAN | — | $945 | $945 | 1.85% |
| JANET ZENTMIRE RIGSBY3 | 801 MELANAE CT. LIBERTY, MO 64068 | AFLAC | $8K | $59 | $8K | 18.09% |
| DEEANN MARIE HINKLE3 | 1026 240TH ST. HIAWATHA, KS 66434 | AFLAC | $2K | $7 | $2K | 5.75% |
| ELIZABETH MONICA SEYMOUR3 | 13403 REDWOOD LN. SMITHVILLE, MO 64089 | AFLAC | $2K | $0 | $2K | 5.42% |
| DAWN CIERPIOT3 Filed as: DAWN R. CIERPIOT | 10916 N. WALLACE AVE. KANSAS CITY, MO 64157 | AFLAC | $1K | $30 | $1K | 2.80% |
| CARRIE DENISE CONARD3 | 15212 W. 132ND PL. OLATHE, KS 66062 | AFLAC | $999 | $5 | $1K | 2.40% |
| DENISE SIMPSON3 | 1803 S. BELT HWY. ST. JOSEPH, MO 64507 | AFLAC | $518 | $0 | $518 | 1.24% |
| DAVID PRATHER3 | 228 N. JESSE JAMES RD. STE D EXCELSIOR SPRINGS, MO 64024 | AFLAC | $197 | $7 | $204 | 0.49% |
| SHARON R GROOM3 Filed as: SHARON R. GROOM | 25275 HARDESTY LN WESTON, MO 64098 | AFLAC | $138 | $0 | $138 | 0.33% |
| THE LUTHER GROUP LLC3 | 6525 NW MELODY CT. PARKVILLE, MO 64152 | AFLAC | $127 | $0 | $127 | 0.30% |
| MINDY SKIDMORE LLC3 | 2301 BURLINGTON ST. STE 200 NORTH KANSAS CITY, MO 64116 | AFLAC | $111 | $0 | $111 | 0.26% |
| CHRISTI LANE FARNAN3 | 11193 CLUB VIEW DR. ST. JOSEPH, MO 64505 | AFLAC | $99 | $7 | $106 | 0.25% |
| MARY TEICHGRAEBER3 Filed as: MARY L. TEICHGRAEBER | 931 167TH ST. EUREKA, KS 67045 | AFLAC | $11 | $0 | $11 | 0.03% |
| NICOLE BETH JENKINS3 | 2301 BURLINGTON ST. STE 200 KANSAS CITY, MO 64116 | AFLAC | $7 | $0 | $7 | 0.02% |
| MATTHEW GANT3 | 2501 W. 18TH AVE. STE A EMPORIA, KS 66801 | AFLAC | $6 | $0 | $6 | 0.01% |
| CALEB GILMOUR3 Filed as: CALEB J. GILMOUR | 515 S. MAIN ST STE 105 WICHITA, KS 67202 | AFLAC | $3 | $0 | $3 | 0.01% |
| JANET ZENTMIRE RIGSBY3 | 801 MELANAE CT LIBERTY, MO 64068 | AFLAC | $4K | $106 | $5K | 22.74% |
| DEEANN MARIE HINKLE3 | 1026 240TH ST HIAWATHA, KS 66434 | AFLAC | $1K | $13 | $1K | 6.60% |
| ELIZABETH MONICA SEYMOUR3 | 13403 REDWOOD LN SMITHVILLE, MO 64089 | AFLAC | $1K | $0 | $1K | 5.08% |
| DAWN CIERPIOT3 | 10916 N. WALLACE AVE KANSAS CITY, MO 64157 | AFLAC | $514 | $9 | $523 | 2.64% |
| DENISE SIMPSON3 | 1803 S BELT HWY ST. JOSEPH, MO 64507 | AFLAC | $244 | $0 | $244 | 1.23% |
| THE LUTHER GROUP LLC3 | 6525 NW MELODY CT PARKVILLE, MO 64152 | AFLAC | $88 | $0 | $88 | 0.44% |
| DAVID PRATHER3 | 228 N JESSE JAMES RD STE D EXCELSIOR SPRINGS, MO 64024 | AFLAC | $12 | $2 | $14 | 0.07% |
| CHRISTI LANE FARNAN3 | 11193 CLUB VIEW DR ST. JOSEPH, MO 64505 | AFLAC | $7 | $2 | $9 | 0.05% |
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 | 683 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 683 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF KANSAS | 683 | $674K |
| Dental | DELTA DENTAL OF KANSAS | 374 | $0 |
| Vision | VISION SERVICE PLAN | 297 | $51K |
| Life insurance | ADVANCE INSURANCE COMPANY OF KANSAS | 576 | $102K |
| Short-term disability | ADVANCE INSURANCE COMPANY OF KANSAS | 576 | $102K |
| Long-term disability | ADVANCE INSURANCE COMPANY OF KANSAS | 576 | $102K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF KANSAS | 683 | $674K |
| Other | ADVANCE INSURANCE COMPANY OF KANSAS | 576 | $102K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 683 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.