| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JAS D COLLIER & CO3 | 606 S MENDENHALL RD STE 200 MEMPHIS, TN 38117 | HARTFORD LIFE AND ACCIDENT | $17K | — | $17K | 7.59% |
| IMA, INC.3 Filed as: IMA INC | 430 E DOUGLAS STE 400 WICHITA, KS 67202 | HARTFORD LIFE AND ACCIDENT | $9K | — | $9K | 3.80% |
| IMA, INC.3 Filed as: IMA INC | PO BOX 733835 DALLAS, TX 75373 | DELTA DENTAL OF KANSAS, INC. | $2K | — | $2K | 1.72% |
| PRIOR AGENCY3 | — | DELTA DENTAL OF KANSAS, INC. | $1K | — | $1K | 1.39% |
| JAS D COLLIER & CO3 Filed as: JAS. D. COLLIER & CO. | 606 S MENDENHALL RD STE 200 MEMPHIS, TN 381174241 | VISION SERVICE PLAN | $1K | — | $1K | 3.28% |
| IMA, INC.3 | PO BOX 733835 DALLAS, TX 75373 | VISION SERVICE PLAN | $376 | — | $376 | 1.04% |
| GAIL A COE3 | 4600 FARMSTEAD CT BEL AIRE, KS 67220 | AFLAC | $3K | $59 | $3K | 13.49% |
| KEVIN D INGWERSON3 | 208 S PUTTER DR ANDOVER, KS 67002 | AFLAC | $619 | $22 | $641 | 2.62% |
| MATTHEW GANT3 | 2501 W 18TH AVE STE A EMPORIA, KS 66801 | AFLAC | $449 | $8 | $457 | 1.87% |
| JOHN E WETIG3 | 103 S ROUPP ST HESSTON, KS 67062 | AFLAC | $403 | $9 | $412 | 1.68% |
| CALEB GILMOUR3 Filed as: CALEB J GILMOUR | 515 S MAIN ST STE 105 WICHITA, KS 67202 | AFLAC | $183 | — | $183 | 0.75% |
| JACQUELENE L. KENNEDY3 Filed as: JACQUELENE L KENNEDY | PO BOX 36 MC CRACKEN, KS 67556 | AFLAC | $107 | — | $107 | 0.44% |
| RACHEL M SHAEFER3 | 529 PARKWOOD DR ROSE HILL, KS 67133 | AFLAC | $69 | $2 | $71 | 0.29% |
| GREGORY L TYLER3 | 110 S VALLEY STREAM DR DERBY, KS 67037 | AFLAC | $58 | $4 | $62 | 0.25% |
| ROBERT ROWE3 Filed as: ROBERT W ROWE | 2901 N VAN BUREN ST HUTCHINSON, KS 67502 | AFLAC | $44 | $2 | $46 | 0.19% |
| JULIAN DUARTE3 | 412 N MYRTLE ST EUREKA, KS 67045 | AFLAC | $33 | — | $33 | 0.13% |
| KATHY WIEDEMANN3 | 222 HIGH VIEW DR BOULDER, CO 80304 | AFLAC | $9 | — | $9 | 0.04% |
| NATHAN L HARRISON3 | 5301 E VISTA RICA ST PARADISE VALLEY, AZ 85253 | AFLAC | $5 | — | $5 | 0.02% |
| JOHN G CATE3 | 4246 N SWEET BAY ST WICHITA, KS 67726 | AFLAC | $3 | — | $3 | 0.01% |
| ROBERT L WINFREY3 | 11520 W NANTUCKET CIR WICHITA, KS 67212 | AFLAC | $3 | — | $3 | 0.01% |
| SYLVESTER L THOMPSON3 | 1820 S STACEY ST WICHITA, KS 67207 | AFLAC | $2 | — | $2 | 0.01% |
| NICOLE E ROONEY3 | 515 S MAIN ST STE 105 WICHITA, KS 67202 | AFLAC | $2 | — | $2 | 0.01% |
| KENNETH D MORRIS JR3 | 5410 PLYMOUTH DR LAWRENCE, KS 66049 | AFLAC | $1 | — | $1 | 0.00% |
| JOHN A BACON3 | 1100 AUTUMN CIR UNIT 4 LOUISBURG, KS 66053 | AFLAC | $1 | — | $1 | 0.00% |
| KEVIN D INGWERSON3 | 208 S PUTTER DR ANDOVER, KS 670028818 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $2K | — | $2K | 18.72% |
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 | 341 | 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) | 341 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF KANSAS, INC. | 225 | $88K |
| Vision | VISION SERVICE PLAN | 186 | $36K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 341 | $228K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 341 | $228K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 341 | $228K |
| Other(4 contracts, 4 carriers) | HARTFORD LIFE AND ACCIDENT | 341 | $268K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 341 | — |
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.