| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| IMA, INC.3 Filed as: IMA | 8200 E 32ND ST. N. WICHITA, KS 672262618 | BLUE CROSS BLUE SHIELD OF KANSAS | $28K | — | $28K | 2.75% |
| IMA, INC.3 Filed as: IMA OF KANSAS | 8500 E 32ND ST N WICHITA, KS 672262618 | DELTA DENTAL OF KANSAS INC | $4K | — | $4K | 5.81% |
| KEVIN D INGWERSON3 Filed as: KEVIN INGWERSON | 9402 E 43RD CIR N WICHITA, KS 672268926 | AFLAC | $3K | $124 | $3K | 9.73% |
| OTHER AGENTS3 | 1932 WYNNTON ROAD COLUMBUS, GA 319990001 | AFLAC | $3K | $124 | $3K | 9.05% |
| GAIL COE3 | 4600 N. FARMSTEAD BEL AIRE, KS 672201615 | AFLAC | $236 | — | $236 | 0.66% |
| SAMUEL A MCFALL3 Filed as: SAMUEL MCFALL | 609 N BROADWAY SUITE 200 WICHITA, KS 672143564 | AFLAC | $115 | — | $115 | 0.32% |
| BRIAN MILLS3 | 1116 REMINGTON PLZ SUITE A RAYMORE, MO 640835343 | AFLAC | $64 | — | $64 | 0.18% |
| SCOTT SWIMMER3 | 4553 W. 138TH TERRACE LEAWOOD, KS 662243013 | AFLAC | $49 | — | $49 | 0.14% |
| NATHAN HARRISON3 | 16024 MANCHESTER RD 2ND FLOOR SUITE 200 ELLISVILLE, MO 630112195 | AFLAC | $39 | — | $39 | 0.11% |
| IMA, INC.3 | 8500 E. 32ND ST. N. WICHIA, KS 672262618 | SURENCY LIFE AND HEALTH | $1K | — | $1K | 10.00% |
| KEVIN D INGWERSON4 | 9402 E 43RD CIR N. WICHITA, KS 672268926 | PRE-PAID LEGAL SERVICES, INC DBA LEGALSHIELD | $2K | — | $2K | 21.00% |
| THOMAS OWENS4 Filed as: THOMAS K. OWENS | P.O. BOX 781431 WICHITA, KS 672781431 | PRE-PAID LEGAL SERVICES, INC DBA LEGALSHIELD | $56 | — | $56 | 0.57% |
| KIMBERLY S. PEGG4 | 319 SANDALWOOD DR. HAYSVILLE, KS 670601045 | PRE-PAID LEGAL SERVICES, INC DBA LEGALSHIELD | $8 | — | $8 | 0.08% |
| IMA, INC.3 | 8200 E. 32ND ST N. WICHITA, KS 672262618 | DELTA DENTAL OF KANSAS, INC. | $0 | — | $0 | 0.00% |
| IMA, INC.3 | 8500 E. 32ND ST. N. WICHITA, KS 672262618 | SURENCY LIFE AND HELATH | $0 | — | $0 | 0.00% |
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 | 141 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 141 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF KANSAS | 289 | $1.0M |
| Dental(3 contracts, 2 carriers) | DELTA DENTAL OF KANSAS INC | 100 | $114K |
| Vision(2 contracts, 2 carriers) | SURENCY LIFE AND HEALTH | 65 | $12K |
| Life insurance(2 contracts, 2 carriers) | ADVANCE INSURANCE COMPANY OF KANSAS | 164 | $86K |
| Long-term disability | ADVANCE INSURANCE COMPANY OF KANSAS | 164 | $51K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF KANSAS | 289 | $1.0M |
| Other(3 contracts, 3 carriers) | ADVANCE INSURANCE COMPANY OF KANSAS | 164 | $96K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 289 | — |
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."
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.