| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: USI | 245 N WACO WICHITA, KS 67202 | DELTA DENTAL OF KANSAS, INC. | $4K | — | $4K | 2.87% |
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP OF WICHITA | 7570 W 21ST ST N, STE A, BLDG 1038 WICHITA, KS 67205 | DELTA DENTAL OF KANSAS, INC. | $1K | — | $1K | 0.94% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE | PO BOX 62187 VIRGINIA BEACH, VT 23466 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $3K | $7K | 17.56% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES | 1200 MAIN ST KANSAS CITY, MO 64105 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 4.96% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE | PO BOX 62187 VIRGINIA BEACH, VA 23466 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES | 1200 MAIN ST KANSAS CITY, MO 64105 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 5.00% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE | PO BOX 62187 VIRGINIA BEACH, VA 23466 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 10.04% |
| HKG INSURANCE SOLUTIONS LLC5 Filed as: HKG INSURANCE | 1228 N 164TH ST OMAHA, NE 68118 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $1K | $1K | 5.47% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES | 1200 MAIN ST KANSAS CITY, MO 64105 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 4.95% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES | 1200 MAIN ST KANSAS CITY, MO 64105 | VCP SERVICES, INC. | $2K | — | $2K | 10.00% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE | PO BOX 62187 VIRGINIA BEACH, VA 23466 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $1K | $3K | 17.79% |
| HKG INSURANCE SOLUTIONS LLC5 Filed as: HKG INSURANCE | 1228 N 164TH ST OMAAHA, NE 68118 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $1K | $1K | 8.20% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES OF KANSAS CITY | PO BOX 410249 KANSAS CITY, MO 64141 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $700 | — | $700 | 4.66% |
| TERESA BURNETT3 | 1112 E JAMES ST DERBY, KS 67037 | AFLAC | $1K | $91 | $1K | — |
| MARK ALAN BRYANT3 Filed as: MARK BRYANT | PO BOX 12902 WICHITA, KS 67277 | AFLAC | $104 | $18 | $122 | — |
| CALEB GILMOUR3 Filed as: CALEB J GILMOUR | 515 S MAIN ST., STE 105 WICHITA, KS 67202 | AFLAC | $117 | — | $117 | — |
| BRIAN M LEITZEL3 Filed as: BRIAN LEITZEL | 7920 W KELLOGG STE 102 WICHITA, KS 67209 | AFLAC | $79 | $18 | $97 | — |
| MARC LUTHER HOMAN3 | 11828 W CENTRAL AVE STE 100 WICHITA, KS 67212 | AFLAC | $79 | — | $79 | — |
| BRANDON UNREIN3 | 15275 SW INDIANOLA RD AUGUSTA, KS 67210 | AFLAC | $74 | — | $74 | — |
| FBL INSURANCE BROKERAGE INC3 Filed as: FBL INSURANCE BROKERAGE LLC | 2627 KFB PLZ STE G112 MANHATTAN, KS 66503 | AFLAC | $73 | — | $73 | — |
| ASHLE BURNETT3 | 1112 E JAMES ST DERBY, KS 67037 | AFLAC | $69 | — | $69 | — |
| JUSTIN C CARSON3 | 7701 E KELLOGG DR STE 680 WICHITA, KS 67207 | AFLAC | $46 | — | $46 | — |
| WILLINGHAM INC3 Filed as: WILLINGHAM INC. | 1502 N METCALF LOUISBURG, KS 66053 | AFLAC | $42 | — | $42 | — |
| KATHY WIEDEMANN3 | 220 HIGH VIEW DR BOULDER, CO 80304 | AFLAC | $24 | — | $24 | — |
| RUSTY J HELIN3 | 125 W 6TH ST COLBY, KS 67701 | AFLAC | $21 | — | $21 | — |
| SAMUEL A MCFALL3 | 609 N BROADWAY AVE. STE 200 WICHITA, KS 67214 | AFLAC | $20 | — | $20 | — |
| ALAN D HURT3 | PO BOX 277 MOUND CITY, KS 66056 | AFLAC | $15 | — | $15 | — |
| GARY WAYNE WILLINGHAM3 | 6033 STRAFFORD OAKS DR SEBRING, FL 33875 | AFLAC | $10 | — | $10 | — |
| NATHAN L HARRISON3 | 16024 MANCHESTER RD 2ND FLOOR, STE 200 ELLISVILLE, MO 63011 | AFLAC | $4 | — | $4 | — |
| BOMAR DANIEL NOLES JR3 | 200 RIDGEWAY RD LA FAYETTE, GA 30728 | AFLAC | $3 | — | $3 | — |
| TERRY S DECKER3 | RR 2 BOX 22 TURPIN, OK 73950 | AFLAC | $3 | — | $3 | — |
| KENNETH D MORRIS JR3 | 5410 PLYMOUTH DR LAWRENCE, KS 66049 | AFLAC | $1 | — | $1 | — |
| CHRISTOPHER THOMAS HIPP3 | 1601 MEADOW LN HAYS, KS 67601 | AFLAC | $1 | — | $1 | — |
| BRIAN MILLS3 | 1402 W LUCY WEBB RD RAYMORE, MO 64083 | AFLAC | $1 | — | $1 | — |
| LYNN E MOLLER3 | 332 E 1ST ST N WICHITA, KS 67202 | AFLAC | $1 | — | $1 | — |
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 | 199 | 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) | 199 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF KANSAS, INC. | 170 | $144K |
| Vision | VCP SERVICES, INC. | 161 | $21K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 199 | $45K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 35 | $15K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 199 | $39K |
| Other(5 contracts, 4 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 210 | $50K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 210 | — |
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.