| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAYS COMPANIES, INC.3 Filed as: THE HAYS COMPANIES - WICHITA | 7570 W 21ST N STE A, BLDG 1038 WICHITA, KS 67205 | DELTA DENTAL OF KANSAS INC | $6K | — | $6K | 6.34% |
| KEVIN D INGWERSON4 Filed as: KEVIN INGWERSON | 208 S PUTTER DR ANDOVER, KS 67002 | AFLAC | $4K | $42 | $4K | 9.96% |
| LORENZO RIVERA4 | 3237 BRIARHURST ST CORPUS CHRISTI, TX 78414 | AFLAC | $3K | — | $3K | 8.12% |
| CALEB GILMOUR4 Filed as: CALEB J GILMOUR | 515 S MAIN ST STE 105 WICHITA, KS 67202 | AFLAC | $387 | $8 | $395 | 1.10% |
| BRIAN M LEITZEL4 | 7920 W KELLOGG STE 103 WICHITA, KS 67209 | AFLAC | $348 | — | $348 | 0.97% |
| JUSTIN C CARSON4 | 7701 E KELLOGG DR STE 680 WICHITA, KS 67207 | AFLAC | $197 | — | $197 | 0.55% |
| KATHY WIEDEMANN4 | 220 HIGH VIEW DR BOULDER, CO 80304 | AFLAC | $188 | — | $188 | 0.52% |
| GAIL A COE4 | 4600 FARMSTEAD CT BEL AIRE, KS 67220 | AFLAC | $174 | — | $174 | 0.48% |
| ALAN LECLAIRE4 | 9182 ESTERO RIVER CIR ESTERO, FL 33928 | AFLAC | $127 | — | $127 | 0.35% |
| SAMUEL A MCFALL4 | 609 N BROADWAY ST, STE 200 WICHITA, KS 67214 | AFLAC | $87 | — | $87 | 0.24% |
| MICHAEL F CARRANZA4 | PO BOX 291148 SAN ANTONIO, TX 78229 | AFLAC | $71 | — | $71 | 0.20% |
| BRIAN MILLS4 | 1402 W LUCY WEBB RD RAYMORE, MO 64083 | AFLAC | $59 | — | $59 | 0.16% |
| RICHARD N WALLACE4 | PO BOX 386 PECULIAR, MO 64078 | AFLAC | $58 | — | $58 | 0.16% |
| JOHN G CATE4 | 4246 N SWEET BAY ST WICHITA, KS 67226 | AFLAC | $54 | — | $54 | 0.15% |
| DEWAYNE E RICHARDSON4 | 7902 PATO ST CORPUS CHRISTI, TX 78414 | AFLAC | $52 | — | $52 | 0.14% |
| WILLIAM M HURLEY4 | 712 S CHILTON AVE TYLER, TX 75701 | AFLAC | $47 | — | $47 | 0.13% |
| ELLWINS INSURANCE COMPANY4 Filed as: ELLWINS INSURANCE COMPANY, INC. | 560 FILER AVE, STE A TWIN FALLS, ID 83303 | AFLAC | $37 | — | $37 | 0.10% |
| WILLINGHAM INC4 | 1502 N METCALF LOUISBURG, KS 66053 | AFLAC | $34 | — | $34 | 0.09% |
| SCOTT D SWIMMER4 | 4553 W 138TH TERRACE LEAWOOD, KS 66224 | AFLAC | $33 | — | $33 | 0.09% |
| FRANK M KING IV4 | 10550 BARKLEY ST, STE 203 OVERLAND PARK, KS 66212 | AFLAC | $31 | — | $31 | 0.09% |
| BARBARA BAROS4 | 5301 GOSHEN CT CORPUS CHRISTI, TX 78413 | AFLAC | $30 | — | $30 | 0.08% |
| GREGORY G WAY4 | 13074 COFFEE TREE ST PARKER, CO 80134 | AFLAC | $28 | — | $28 | 0.08% |
| DAVID R ZUNIGA4 | 6131 36TH ST LUBBOCK, TX 79407 | AFLAC | $26 | — | $26 | 0.07% |
| BRUCE H USHER4 | 8134 E CACTUS RD STE 600 SCOTTSDALE, AZ 85260 | AFLAC | $25 | — | $25 | 0.07% |
| MANUEL GARCIA III4 | 6101 VINCENT DR CORPUS CHRISTI, TX 78412 | AFLAC | $24 | — | $24 | 0.07% |
| DARLA G BAXTER4 | 2925 LOIS DR. CORPUS CHRISTI, TX 78410 | AFLAC | $22 | — | $22 | 0.06% |
| MARC LUTHER HOMAN4 | 11828 W CENTRAL AVE STE 100 WICHITA, KS 67212 | AFLAC | $21 | — | $21 | 0.06% |
| STEVEN S HENRY4 | 9140 YORK LN HAYSVILLE, KS 67060 | AFLAC | $21 | — | $21 | 0.06% |
| ALMA IKIC4 | 3825 NORTH POLE LOOP NE RIO RANCHO, NM 87144 | AFLAC | $20 | — | $20 | 0.06% |
| DEBORAH A WHITTINGTON4 | PO BOX 8132 CORPUS CHRISTI, TX 78468 | AFLAC | $17 | — | $17 | 0.05% |
| KENNETH D MORRIS JR4 | 5410 PLYMOUTH DR LAWRENCE, KS 66049 | AFLAC | $16 | — | $16 | 0.04% |
| CHARLES MCCRANN4 | PO BOX 6971 CORPUS CHRISTI, TX 78466 | AFLAC | $16 | — | $16 | 0.04% |
| KENNETH SUITER4 Filed as: KENNETH DEAN SUITER | 6804 ALCOVE LANE PLANO, TX 75024 | AFLAC | $16 | — | $16 | 0.04% |
| RODNEY G STORCK4 | 150 N MAIN ST, STE 910 WICHITA, KS 67202 | AFLAC | $14 | — | $14 | 0.04% |
| DAVID M COUGHLIN4 | 751 HEBRON PKWY STE 220 LEWISVILLE, TX 75057 | AFLAC | $14 | — | $14 | 0.04% |
| BRAD J SCHUMACHER4 | 2804 COUNTRY LN HAYS, KS 67601 | AFLAC | $12 | — | $12 | 0.03% |
| WILLIAM O CORNELL4 | 121 LIME RD NE LAKE PLACID, FL 33852 | AFLAC | $12 | — | $12 | 0.03% |
| MATTHEW SMITH4 Filed as: MATTHEW A SMITH | 11829 OLDEGROVE PL TAMPA, FL 33617 | AFLAC | $11 | — | $11 | 0.03% |
| JOSE CRUZ BLANCO4 | 155 2ND AVE N, STE 201 TWIN FALLS, ID 83301 | AFLAC | $9 | — | $9 | 0.02% |
| FRANK D LAFEMINA4 | 165 S GUADALUPE ST STE 120 SAN MARCOS, TX 78666 | AFLAC | $9 | — | $9 | 0.02% |
| CINIA C MONTOYA4 | 4721 WOOLDRIDGE RD CORPUS CHRISTI, TX 78413 | AFLAC | $8 | — | $8 | 0.02% |
| NANCY E ODOM4 | 9330 LYNDON B JOHNSON FWY, STE 1125 DALLAS, TX 75243 | AFLAC | $7 | — | $7 | 0.02% |
| JUDI HAAS4 Filed as: JUDI K HAAS | 11602 N SPOTTED HORSE WAY FOUNTAIN HILLS, AZ 85268 | AFLAC | $7 | — | $7 | 0.02% |
| JOHN A BACON4 | 1025 DURHAM GARDEN CT OFALLON, MO 63368 | AFLAC | $6 | — | $6 | 0.02% |
| BRENT LYNN SCHNEIDER4 | 4220 PIKE CT PLANO, TX 75093 | AFLAC | $4 | — | $4 | 0.01% |
| LARRY W MARONEY4 | 1230 MOUNTAIN BREEZE CANYON LAKE, TX 78133 | AFLAC | $4 | — | $4 | 0.01% |
| KIEFER GROUP INSURANCE AGCY LLC4 | 155 INVERNESS DR W STE 300 ENGLEWOOD, CO 80112 | AFLAC | $4 | — | $4 | 0.01% |
| ROBERT PERRY EVANS JR4 | 1031 SADDLEBROOK DR LUCAS, TX 75002 | AFLAC | $3 | — | $3 | 0.01% |
| JAY T REX4 | 3710 CANEY CREEK RD AUSTIN, TX 78732 | AFLAC | $3 | — | $3 | 0.01% |
| JOSE DE LOS SANTOS III4 | 15550 E COPPER CREEK LN PARKER, CO 80134 | AFLAC | $3 | — | $3 | 0.01% |
| TINA WAY4 | 15550 E COPPER CREEK LN PARKER, CO 80134 | AFLAC | $3 | — | $3 | 0.01% |
| ANTONIA DAVILA4 | 4900 N 23RD ST MCALLEN, TX 78504 | AFLAC | $2 | — | $2 | 0.01% |
| LYNN E MOLLER4 | 332 E 1ST ST N WICHITA, KS 67202 | AFLAC | $2 | — | $2 | 0.01% |
| TERRY S DECKER4 | RT 2 BOX 22 TURPIN, OK 73950 | AFLAC | $2 | — | $2 | 0.01% |
| CHRISTOPHER THOMAS HIPP4 | 1601 MEADOW LN HAYS, KS 67601 | AFLAC | $2 | — | $2 | 0.01% |
| JOSEPH WESLEY WILLINGHAM4 | 1502 N METCALF RD LOUISBURG, KS 66053 | AFLAC | $1 | — | $1 | 0.00% |
| ANDREW M GARCIA4 | 906 CARMEL PARKWAY CORPUS CHRISTI, TX 78411 | AFLAC | $1 | — | $1 | 0.00% |
| BILLY KEITH4 | 3827 N 10TH ST, STE 303 MCALLEN, TX 78501 | AFLAC | $1 | — | $1 | 0.00% |
| JOE A DEPASQUAL4 | 403 N FM 113 WEATHERFORD, TX 76088 | AFLAC | $1 | — | $1 | 0.00% |
| GARY C KLEIN4 | 3211 SAN SEBASTIAN DR CARROLLTON, TX 75006 | AFLAC | $0 | — | $0 | 0.00% |
| JONI S WOBORNY BUNKER4 | 1837 VIRGINIA DR MANHATTAN, KS 66502 | AFLAC | $0 | — | $0 | 0.00% |
| HARVEY EDWARD MCCREARY JR4 | 273 BELLWOOD DR GARLAND, TX 75040 | AFLAC | $0 | — | $0 | 0.00% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES OF KANSAS CITY | PO BOX 410249 KANSAS CITY, MO 641410249 | ADVANCE INSURANCE COMPANY OF KANSAS | $4K | — | $4K | 10.96% |
| HAYS COMPANIES, INC.3 Filed as: THE HAYS COMPANIES - WICHITA | 7570 W 21ST N SUITE A, BLDG 1038 WICHITA, KS 67205 | SURENCY LIFE AND HEALTH INSURANCE COMPANY | $1K | — | $1K | 9.92% |
| KEVIN D INGWERSON4 | 208 S PUTTER ANDOVER, KS 670028818 | PRE-PAID LEGAL SERVICES, INC DBA LEGALSHIELD | $2K | — | $2K | 27.66% |
| THOMAS OWENS4 Filed as: THOMAS K. OWENS | P.O. BOX 781431 WICHITA, KS 672781431 | PRE-PAID LEGAL SERVICES, INC DBA LEGALSHIELD | $38 | — | $38 | 0.47% |
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 | 158 | 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) | 158 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AFLAC | 35 | $36K |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF KANSAS INC | 109 | $124K |
| Vision | SURENCY LIFE AND HEALTH INSURANCE COMPANY | 77 | $15K |
| Life insurance(2 contracts, 2 carriers) | AFLAC | 158 | $70K |
| Long-term disability | ADVANCE INSURANCE COMPANY OF KANSAS | 158 | $34K |
| Other(3 contracts, 3 carriers) | AFLAC | 158 | $78K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 158 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.