| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| IMA, INC.3 Filed as: IMA INC. | 6200 LBJ FREEWAY, SUITE 200 DALLAS, TX 75240 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | $0 | $3K | 11.05% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62817 VIRGINIA BEACH, VA 23466 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | $0 | $1K | 3.57% |
| IMA, INC.3 Filed as: IMA INC. | PO BOX 2992 WICHITA, KS 67201 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $0 | $139 | $139 | 0.49% |
| AMERICAN FRONTIER COMPANY3 Filed as: AMERICAN FRONTIER CO. AND AGENTS | PO BOX 495 LINDSBORG, KS 67459 | AFLAC | $742 | $0 | $742 | 3.82% |
| TRUDY KAMPHAUS3 | 4180 112TH ROAD UDALL, KS 67146 | AFLAC | $438 | $101 | $539 | 2.77% |
| CORNERBANK INSURANCE AGENCY, LLC3 | 900 MAIN STREET WINFIELD, KS 67156 | AFLAC | $524 | $0 | $524 | 2.69% |
| JEREMIAH D POPELKA3 Filed as: JEREMIAH POPELKA | 315 HOUSTON STREET, SUITE C MANHATTAN, KS 66502 | AFLAC | $204 | $35 | $239 | 1.23% |
| CALEB GILMOUR3 | 515 SOUTH MAIN STREET, SUITE 105 WICHITA, KS 67202 | AFLAC | $140 | $35 | $175 | 0.90% |
| TERESA BURNETT3 | 1112 EAST JAMES STREET DERBY, KS 67037 | AFLAC | $150 | $0 | $150 | 0.77% |
| SAIDA K SOSA3 Filed as: SAIDA SOSA | 4511 SOUTH FLORA COURT WICHITA, KS 67215 | AFLAC | $133 | $0 | $133 | 0.68% |
| IMA, INC.3 Filed as: IMA INC. | PO BOX 2992 WICHITA, KS 67201 | VCP SERVICES, INC. | $1K | $0 | $1K | 6.92% |
| USI INSURANCE SERVICES LLC3 | 101 WEST MAIN STREET, SUITE 900 NORFOLK, VA 23510 | VCP SERVICES, INC. | $536 | $0 | $536 | 3.08% |
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 | 182 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 189 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 298 | $1.3M |
| Dental | DELTA DENTAL OF KANSAS, INC. | 136 | $93K |
| Vision | VCP SERVICES, INC. | 115 | $17K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 179 | $28K |
| Short-term disability | AFLAC | 28 | $19K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 179 | $28K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF KANSAS | 298 | $1.3M |
| Other(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 179 | $48K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 298 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.