| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JAS D COLLIER & CO3 | 606 S MENDENHALL ROAD, SUITE 200 MEMPHIS, TN 38117 | HARTFORD LIFE AND ACCIDENT | $24K | — | $24K | 12.24% |
| USI INSURANCE SERVICES LLC3 | 4605 COLUMBUS ST VIRGINIA BEACH, VA 23462 | HARTFORD LIFE AND ACCIDENT | — | $5K | $5K | 2.72% |
| USI INSURANCE SERVICES LLC3 | 245 N WACO, SUITE 412 WICHITA, KS 67202 | DELTA DENTAL OF KANSAS, INC. | $2K | — | $2K | 2.18% |
| ASSUREDPARTNERS3 Filed as: JAS COLLIER & CO | 606 S MENDENHALL ROAD, SUITE 200 MEMPHIS, TN 38117 | VISION SERVICE PLAN | $2K | — | $2K | 4.46% |
| GAIL COE3 | 4600 FARMSTEAD CT BEL AIRE, KS 67220 | AFLAC | $4K | $190 | $4K | 17.67% |
| KEVIN D INGWERSON3 Filed as: KEVIN INGWERSON | 208 S PUTTER DR ANDOVER, KS 67002 | AFLAC | $1K | $190 | $1K | 5.70% |
| MATTHEW GANT3 Filed as: MATTHEW GRANT | 2501 W 18TH AVE EMPORIA, KS 66801 | AFLAC | $1K | — | $1K | 5.34% |
| CALEB GILMOUR3 | 515 S MAIN ST WICHITA, KS 67202 | AFLAC | $225 | $72 | $297 | 1.25% |
| JOHN E WETIG3 Filed as: JOHN WETIG | 103 S ROUPP ST HESSTON, KS 67062 | AFLAC | $138 | — | $138 | 0.58% |
| ROBERT ROWE3 | 2901 N VAN BUREN ST HUTCHINSON, KS 67502 | AFLAC | $136 | — | $136 | 0.57% |
| GREGORY L TYLER3 Filed as: GREGORY TYLER | 110 S VALLEY STREAM DR DERBY, KS 67037 | AFLAC | $40 | — | $40 | 0.17% |
| RACHEL SHAEFER3 | 529 PARKWOOD DR ROSE HILL, KS 67133 | AFLAC | $34 | — | $34 | 0.14% |
| JULIAN DUARTE3 | 412 N MYRTLE ST EUREKA, KS 67045 | AFLAC | $33 | — | $33 | 0.14% |
| NICOLE E ROONEY3 Filed as: NICOLE ROONEY | 515 S MAIN WICHITA, KS 67202 | AFLAC | $21 | — | $21 | 0.09% |
| JOHN G CATE3 Filed as: JOHN CATE | 4246 N SWEET BAY ST WICHITA, KS 67226 | AFLAC | $17 | — | $17 | 0.07% |
| ROBERT L WINFREY3 Filed as: ROBERT WINFREY | 11520 W NANTUCKET CIR WICHITA, KS 67212 | AFLAC | $17 | — | $17 | 0.07% |
| SYLVESTER THOMPSON3 | 1820 S STACEY ST WICHITA, KS 67207 | AFLAC | $14 | — | $14 | 0.06% |
| KATHY WIEDEMANN3 | 222 HIGH VIEW DR BOULDER, CO 80304 | AFLAC | $10 | — | $10 | 0.04% |
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 | 314 | 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) | 314 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF KANSAS, INC. | 198 | $83K |
| Vision | VISION SERVICE PLAN | 172 | $35K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 314 | $200K |
| Other(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 314 | $224K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 314 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.