| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | 245 NORTH WACO, SUITE 412 WICHITA, KS 67202 | DELTA DENTAL OF KANSAS, INC. | $4K | $0 | $4K | 6.39% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62817 VIRGINIA BEACH, VA 23466 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | $0 | $2K | 14.48% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62889 VIRGINIA BEACH, VA 23466 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $0 | $726 | $726 | 4.26% |
| USI INSURANCE SERVICES LLC3 | 245 NORTH WACO, SUITE 412 WICHITA, KS 67202 | VCP SERVICES, INC. | $1K | $0 | $1K | 10.00% |
| GREGORY L TYLER3 Filed as: GREGORY TYLER | 110 SOUTH VALLEY STREAM DRIVE DERBY, KS 67037 | AFLAC | $1K | $43 | $1K | 14.99% |
| KAITTLIN FORD3 | 221 WALNUT STREET ATLANTA, KS 67008 | AFLAC | $1K | $35 | $1K | 11.88% |
| MATTHEW GANT3 | 2501 WEST 18TH AVENUE, SUITE A EMPORIA, KS 66801 | AFLAC | $281 | $21 | $302 | 3.26% |
| AMERICAN FRONTIER COMPANY3 Filed as: AMERICAN FRONTIER CO. AND AGENTS | PO BOX 495 LINDSBORG, KS 67456 | AFLAC | $136 | $0 | $136 | 1.47% |
| CORNERBANK INSURANCE AGENCY, LLC3 | 900 MAIN STREET WINFIELD, KS 67156 | AFLAC | $120 | $0 | $120 | 1.30% |
| TERESA BURNETT3 | 1112 EAST JAMES STREET DERBY, KS 67037 | AFLAC | $55 | $0 | $55 | 0.59% |
| MARC HOMAN3 | 11828 WEST CENTRAL AVENUE SUITE 100 WICHITA, KS 67212 | AFLAC | $25 | $0 | $25 | 0.27% |
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 | 115 | 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) | 115 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF KANSAS, INC. | 82 | $55K |
| Vision | VCP SERVICES, INC. | 64 | $12K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 115 | $17K |
| Short-term disability | AFLAC | 11 | $9K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 115 | $17K |
| Other(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 115 | $26K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 115 | — |
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.