| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 8561 MARKET STREET YOUNGSTOWN, OH 44512 | COVENTRY HEALTH CARE OF KANSAS, INC. | $33K | — | $33K | 4.67% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF KANSAS, INC. | 245 NORTH WACO STREET, SUITE 300 WICHITA, KS 67202 | COVENTRY HEALTH CARE OF KANSAS, INC. | -$5K | — | -$5K | -0.67% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 6900 COLLEGE BOULEVARD, SUITE 520 OVERLAND PARK, KS 66211 | DELTA DENTAL OF KANSAS, INC. | $947 | — | $947 | 1.25% |
| HOLLY A. TIMMERMEYER3 | 3259 NORTH WOODLAND STREET WICHITA, KS 67204 | AFLAC | $752 | — | $752 | 9.12% |
| GAIL A COE3 Filed as: GAIL A. COE | 4600 FARMSTEAD COURT BELAIRE, KS 67220 | AFLAC | $715 | — | $715 | 8.68% |
| JUSTIN C CARSON3 Filed as: JUSTIN C. CARSON | 7701 EAST KELLOGG, SUITE 680 WICITA, KS 67207 | AFLAC | $320 | — | $320 | 3.88% |
| KRISTY LYNN CRANDALL3 | 1950 NORTH HIGH STREET WICHITA, KS 67203 | AFLAC | $257 | — | $257 | 3.12% |
| KATHY WIEDEMANN3 | 229 EAST WILLIAM STREET, SUITE 501 WICHITA, KS 67202 | AFLAC | $241 | — | $241 | 2.92% |
| MJ INSURANCE3 Filed as: SCOTT D. SWIMMER AND VARIOUS AGENTS | 4553 WEST 138TH TERRANCE LEAWOOD, KS 66224 | AFLAC | $134 | — | $134 | 1.63% |
| NATHAN L HARRISON3 Filed as: NATHAN L. HARRISON | 16024 MANCHESTER ROAD 2ND FLOOR, SUITE 200 ELLISVILLE, MO 63011 | AFLAC | $29 | — | $29 | 0.35% |
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 | 270 | 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) | 270 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COVENTRY HEALTH CARE OF KANSAS, INC. | 187 | $699K |
| Dental | DELTA DENTAL OF KANSAS, INC. | 138 | $76K |
| Prescription drug | COVENTRY HEALTH CARE OF KANSAS, INC. | 187 | $699K |
| Other(2 contracts, 2 carriers) | AFLAC | 270 | $14K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 270 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
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.