| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS INC | 8100 E. 32ND NORTH #100 WICHITA, KS 67226 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $4K | $662 | $4K | 4.67% |
| CRAIG ALLEN HENRY PFAFF3 | 9672 ELMIRA CIRCLE SACREMENTO, CA 95827 | AFLAC | $5K | — | $5K | 6.21% |
| JODY HIPP3 | PO BOX 1587 HAYS, KS 67601 | AFLAC | $5K | $147 | $5K | 5.63% |
| DAVID B. KITCHEN3 Filed as: DAVID B KITCHEN | 1260 N DUTTON AVE, STE 180 SANTA ROSA, CA 95401 | AFLAC | $1K | — | $1K | 1.52% |
| MARTHA P BUESS3 | 2948 E RAY AVE SALINA, KS 67401 | AFLAC | $1K | $21 | $1K | 1.32% |
| PATRICIA ZOELLER3 | PO BOX 181 KINGMAN, KS 67068 | AFLAC | $801 | $299 | $1K | 1.29% |
| JAMES S SARANTIS3 | 1100 CORPORATE WAY, STE 100 SACREMENTO, CA 95831 | AFLAC | $844 | — | $844 | 0.99% |
| DAVID J WINDHOLZ3 | 102 W 15TH ST HAYS, KS 67601 | AFLAC | $808 | $30 | $838 | 0.98% |
| BRAD J SCHUMACHER3 Filed as: BRAD J. SCHUMACHER | 718 MAIN ST., STE 205 HAYS, KS 67601 | AFLAC | $684 | $56 | $740 | 0.87% |
| DAN STECKLEIN3 | 2011 CENTRAL AVE, LOWER LEVEL SOUTH DODGE CITY, KS 67801 | AFLAC | $467 | $17 | $484 | 0.57% |
| DOUGLAS R SCHENKEL3 | PO BOX 1842 GREAT BEND, KS 67530 | AFLAC | $303 | $38 | $341 | 0.40% |
| LAURA BUCK3 | PO BOX 581 ROCKY FORD, CO 81067 | AFLAC | $222 | $61 | $283 | 0.33% |
| SUSAN N SCHULZ3 | 3400 STANFORD RD, UNIT B217 FORT COLLINS, CO 80525 | AFLAC | $233 | $38 | $271 | 0.32% |
| JUSTIN C CARSON3 | 7701 E KELLOGG, SUITE 680 WICHITA, KS 67207 | AFLAC | $206 | $10 | $216 | 0.25% |
| GRETA R SIMMONS3 | PO BOX 383 HOULKA, MS 38850 | AFLAC | $168 | — | $168 | 0.20% |
| ALYSON M LINSCOTT3 | 3101 NW 89TH TER KANSAS CITY, MO 64154 | AFLAC | $158 | — | $158 | 0.19% |
| KATHY WIEDEMANN3 | 229 E WILLIAM ST, STE 501 WICHITA, KS 67202 | AFLAC | $136 | $10 | $146 | 0.17% |
| WILLINGHAM INC3 Filed as: WILLINGHAM, INC. | 1502 N METCALF LOUISBURG, KS 66053 | AFLAC | $126 | — | $126 | 0.15% |
| KALA E MARIS3 | PO BOX 643 ASHLAND, KS 67831 | AFLAC | $120 | — | $120 | 0.14% |
| TERRIE RUNOLFSON3 Filed as: TERRIE L RUNOLFSON | PO BOX 1959 COTTONWOOD, CA 96022 | AFLAC | $119 | — | $119 | 0.14% |
| ALEX C LANKHORST3 | 333 SUNSET DR SALINA, KS 67401 | AFLAC | $113 | — | $113 | 0.13% |
| LENETTA DENT3 | PO BOX 423 WILSON, KS 67490 | AFLAC | $105 | — | $105 | 0.12% |
| NATHAN L HARRISON3 | 16024 MANCHESTER RD, 2ND FL STE 200 ELLISVILLE, MO 63011 | AFLAC | $100 | — | $100 | 0.12% |
| ROBERT GELSZAT3 | 11251 E BELLAIRE ST WICHITA, KS 67207 | AFLAC | $82 | — | $82 | 0.10% |
| RYAN OLSON3 Filed as: RYAN OLSON INS SVCS INC | 1140 MANGROVE AVE, STE D CHICO, CA 95926 | AFLAC | $76 | — | $76 | 0.09% |
| VONDA OLDHAM CAPO3 | PO BOX 1198 LINDALE, TX 75771 | AFLAC | $69 | — | $69 | 0.08% |
| LESLIE B BERGSTROM3 | PO BOX 435 PLAINS, KS 67869 | AFLAC | $53 | $11 | $64 | 0.08% |
| DENNIS JAMES FOSTER3 | PO BOX 1058 MEADE, KS 67864 | AFLAC | $56 | $3 | $59 | 0.07% |
| JODY FLEMING3 | 1141 BROAD ACRES WAY PLUMAS LAKE, CA 95961 | AFLAC | $56 | — | $56 | 0.07% |
| BILLY WAYNE OCONNOR3 | 1309 N PRINCE EDWARD IS OLATHE, KS 66061 | AFLAC | $43 | $12 | $55 | 0.06% |
| THOMAS J PITZENBERGER3 Filed as: THOMAS J. PITZENBERGER | 2106 N LAZY BRANCH RD INDEPENDENCE, MO 64058 | AFLAC | $41 | $12 | $53 | 0.06% |
| SHELLY M BAYS3 | 4435 ENGLISH LN LAFAYETTE, IN 47909 | AFLAC | $51 | — | $51 | 0.06% |
| ROBERT L WINFREY3 | 415 S GREENWOOD ST, STE 2 WICHITA, KS 67211 | AFLAC | $49 | — | $49 | 0.06% |
| RUSTY J HELIN3 | 765 W 6TH ST COLBY, KS 67701 | AFLAC | $33 | $15 | $48 | 0.06% |
| MARTY JOE TURNER3 Filed as: MARTY J TURNER | 209 WATERFORD DR CATAULA, GA 31804 | AFLAC | $47 | — | $47 | 0.06% |
| RANDY WEBER3 | 2010 MAIN STREET TERRACE HAYS, KS 67601 | AFLAC | $27 | $20 | $47 | 0.06% |
| TERESA BURNETT3 | 1112 E JAMES ST DERBY, KS 67037 | AFLAC | $42 | — | $42 | 0.05% |
| DAVID NERENBERG3 | 61 CALABASH CT ROCKVILLE, MD 20850 | AFLAC | $41 | — | $41 | 0.05% |
| LEIGH ANNE SEEMAN3 Filed as: LEIGH ANNE STELTER | 820 BROADWAY ST LARNED, KS 67550 | AFLAC | $32 | $8 | $40 | 0.05% |
| LINDA S FREEMAN3 | 3600 OLD AIRPORT RD NW ALBUQUERQUE, NM 87114 | AFLAC | $39 | — | $39 | 0.05% |
| RUBY FERGUSON3 Filed as: RUBY A FERGUSON | PO BOX 223 CARTHAGE, MS 39051 | AFLAC | $38 | — | $38 | 0.04% |
| LAURA M MARCOTTE3 | 426 ROSSUM DR LOVELAND, CO 80537 | AFLAC | $30 | $8 | $38 | 0.04% |
| KIEFER GROUP INSURANCE AGCY LLC3 | 155 INVERNES DR W, STE 300 ENGLEWOOD, CO 80112 | AFLAC | $13 | $20 | $33 | 0.04% |
| ROBERT MOLLENDOR3 | PO BOX 1783 STERLING, CO 80751 | AFLAC | $32 | — | $32 | 0.04% |
| WENDY L HOMAN3 | 11828 W CENTRAL AVE, STE 100 WICHITA, KS 67212 | AFLAC | $32 | — | $32 | 0.04% |
| IRA A CAPE3 | 1411 18TH ST GREAT BEND, KS 67530 | AFLAC | $29 | — | $29 | 0.03% |
| CONSTANCE N SCHMIDT3 | 924 S 6TH ST ATCHISON, KS 66002 | AFLAC | $29 | — | $29 | 0.03% |
| SHIRLEY MISCEVICH3 | 9919 W 56TH TERR MERRIAM, KS 66203 | AFLAC | $29 | — | $29 | 0.03% |
| ALYSON M LINSCOTT3 | 5228 EISENHOWER PL LAWRENCE, KS 66049 | AFLAC | $28 | — | $28 | 0.03% |
| JORDAN J SHARP3 | 350 S RANGE AVE, STE 8 COLBY, KS 67701 | AFLAC | $22 | $5 | $27 | 0.03% |
| FRED L HALL3 | PO BOX 328 GOODLAND, KS 67735 | AFLAC | $26 | — | $26 | 0.03% |
| DEBRA STONE3 Filed as: DEBRA G STONE | 20951 W THOMAS RD BUCKEYE, AZ 85396 | AFLAC | $26 | — | $26 | 0.03% |
| THOMAS EDWARD SHEFFIELD3 | PO BOX 151 MC COOL JUNCTION, NE 68401 | AFLAC | $26 | — | $26 | 0.03% |
| PERRY HENAULT3 | 220 SW 33RD ST, STE 101 TOPEKA, KS 66611 | AFLAC | $25 | — | $25 | 0.03% |
| FRANCINE BERTRAM3 | 9630 REMINGTON AVE FIRESTONE, CO 80504 | AFLAC | $23 | — | $23 | 0.03% |
| BUKATY COMPANIES3 Filed as: THE BUKATY AGENCY INC | 11221 ROE AVE, STE 200 LEAWOOD, KS 66211 | AFLAC | $23 | — | $23 | 0.03% |
| DANIEL L FRENCH3 | 240 43RD AVE GREELEY, CO 80634 | AFLAC | $15 | $8 | $23 | 0.03% |
| JONATHAN SAMUEL KIRKLAND3 | 4245 MILGEN ROAD COLUMBUS, GA 31907 | AFLAC | $21 | — | $21 | 0.02% |
| BENNY W STENNETT3 Filed as: BENNY W. STENNETT | 230 GOODMAN RD, BLD 3 STE 101 SOUTHHAVEN, MS 38671 | AFLAC | $21 | — | $21 | 0.02% |
| DOROTHY P JONES3 | 1152 BARNES AVE CLARKSDALE, MS 38614 | AFLAC | $21 | — | $21 | 0.02% |
| LEON NORMAN DAVIDSON3 | 1230 ARROYO GRANDE DR SACREMENTO, CA 95864 | AFLAC | $20 | — | $20 | 0.02% |
| DONNA BAILEY3 Filed as: DONNA M BAILEY | 354 LAKESIDE DRIVE LIBERTY, MO 64068 | AFLAC | $18 | — | $18 | 0.02% |
| CHEYANNE HINKLE3 | 709 N ALBANY ST YUMA, CO 80759 | AFLAC | $17 | — | $17 | 0.02% |
| FLORENCE MARIE HEFT3 | PO BOX 731 COLDWATER, KS 67029 | AFLAC | $16 | — | $16 | 0.02% |
| YVONNE CRISPINO KLINGER3 | 152 ROLLINS AVE, STE 210 ROCKVILLE, MO 20852 | AFLAC | $16 | — | $16 | 0.02% |
| GARY GIARRATANO3 | 8612 SHADY BEND RD LENEXA, KS 66227 | AFLAC | $16 | — | $16 | 0.02% |
| VALARIE D HOOD3 | 1232 COUNTY ROAD 76 NEW ALBANY, MS 38652 | AFLAC | $16 | — | $16 | 0.02% |
| WILLIAM E DOSCHADIS3 | 6761 SHOO FLY RD #11 KELSEY, CA 95667 | AFLAC | $16 | — | $16 | 0.02% |
| MARC LUTHER HOMAN3 | 11828 W CENTRAL AVE, STE 100 WICHITA, KS 67212 | AFLAC | $16 | — | $16 | 0.02% |
| GINGER KAYE HARDY3 | PO BOX 872 TUPELO, MS 38802 | AFLAC | $15 | — | $15 | 0.02% |
| KRISTY GRAMLICH INC3 Filed as: KRISTY GRAMLICH, INC | 7509 NW TIFFANY SPRINGS PKWY STE100 KANSAS CITY, MO 54153 | AFLAC | $15 | — | $15 | 0.02% |
| BRIAN L PORTER3 | 8021 E DRESDEN LN WICHITA, KS 67207 | AFLAC | $15 | — | $15 | 0.02% |
| ASSURANCE AGENCY LTD3 Filed as: ASSURANCE PARTNERS LLC | PO BOX 1213 SALINA, KS 67402 | AFLAC | $14 | — | $14 | 0.02% |
| ROBERT C BERTRAM3 | 9630 REMINGTON AVE FIRESTONE, CO 80504 | AFLAC | $14 | — | $14 | 0.02% |
| LEON JOHNSTON3 | 1118 SOUTHCREST CIR WICHITA, KS 67037 | AFLAC | $14 | — | $14 | 0.02% |
| BRET L RUNOLFSON3 | PO BOX 1959 COTTONWOOD, CA 96022 | AFLAC | $12 | — | $12 | 0.01% |
| BRET L RUNOLFSON3 | 19680 WEAVERVILLE PL COTTONWOOD, CA 96022 | AFLAC | $11 | — | $11 | 0.01% |
| KATRINA K MCMECHAN3 | 2244 COUNTRY CLUB RD GRENADA, MS 38901 | AFLAC | $11 | — | $11 | 0.01% |
| KYLE PROBASCO3 | PO BOX 271442 FORT COLLINS, CO 80527 | AFLAC | $11 | — | $11 | 0.01% |
| LES HEINSEN INS SERVICES INC3 | 193 BLUE RAVINE RD, STE 140 FOLSOM, CA 95630 | AFLAC | $11 | — | $11 | 0.01% |
| BENJAMIN KLINGER3 | 5503 SPRUCE TREE AVE BETHESDA, MD 20814 | AFLAC | $10 | — | $10 | 0.01% |
| JEFFREY N GRAVES3 | 5336 CAPTAINS CT NEW PORT RICHEY, FL 34652 | AFLAC | $10 | — | $10 | 0.01% |
| APRIL MARIE ROBERTS3 | 91 POAILANI PL KIHEI, HI 96753 | AFLAC | $10 | — | $10 | 0.01% |
| JEREMY FRYE & ASSOCIATES INC3 | 1508 N CHURCH RD SUITE B LIBERTY, MO 64068 | AFLAC | $10 | — | $10 | 0.01% |
| RUSTY J HELIN3 | 660 W 4TH ST COLBY, KS 67701 | AFLAC | $9 | — | $9 | 0.01% |
| K GRAMLICH INC3 | 7509 NW TIFFANY SPRINGS PKWY STE100 KANSAS CITY, MO 64153 | AFLAC | $8 | — | $8 | 0.01% |
| APRIL MARIE ROBERTS3 | 62 N MARKET ST, STE 310 WAILUKU, HI 96793 | AFLAC | $8 | — | $8 | 0.01% |
| D AND V BUTLER INC3 | 601 CRESCENT BLVD, STE 102 RIDGELAND, MS 39157 | AFLAC | $8 | — | $8 | 0.01% |
| DANIEL J HENRY3 | 9140 YORK LANE HAYSVILLE, KS 67060 | AFLAC | $8 | — | $8 | 0.01% |
| THERESA NETTO PHILLIPS3 Filed as: THERESA A CHAMBLISS | 800 ROCKMEAD DR, STE 208 KINGWOOD, TX 77339 | AFLAC | $6 | — | $6 | 0.01% |
| YVONNE CRISPINO KLINGER3 | 5503 SPRUCE TREE AVE BETHESDA, MD 20814 | AFLAC | $6 | — | $6 | 0.01% |
| DARLENE M BAKER3 | 102 WILLOW DR LANSING, KS 66043 | AFLAC | $6 | — | $6 | 0.01% |
| DARLENE M BAKER3 | 6700 ANTIOCH RD, STE 100 MERRIAM, KS 66204 | AFLAC | $6 | — | $6 | 0.01% |
| JOSEPH WESLEY WILLINGHAM3 | 1502 N METCALF RD LOUISBURG, KS 66053 | AFLAC | $4 | — | $4 | 0.00% |
| JEANNE R BUFFINGTON3 | 801 E 4TH ST, STE 7 GILLETTE, WY 82716 | AFLAC | $4 | — | $4 | 0.00% |
| JOHN P THOMPSON3 | 6395 S KEWAUNEE WAY, STE 425 AURORA, CO 80016 | AFLAC | $4 | — | $4 | 0.00% |
| JEREMY S KLOKKENGA3 | 135 N BLUFF RD, STE A COLLINSVILLE, IL 62234 | AFLAC | $3 | — | $3 | 0.00% |
| SHARON DEBUS MOLLENDOR3 Filed as: SHARON K DEBUS MOLLENDOR | 13524 NEW LIGHT RD RALEIGH, NC 27614 | AFLAC | $3 | — | $3 | 0.00% |
| JEANNE R BUFFINGTON3 | 24944 N US HIGHWAY 85 NEWCASTLE, WY 82701 | AFLAC | $3 | — | $3 | 0.00% |
| MICHELE NICHOL3 Filed as: MICHELE A NICHOL | PO BOX 131 SAINT FRANCIS, KS 67756 | AFLAC | $2 | — | $2 | 0.00% |
| DAVID MORNINGSTAR3 | 11285 DOVEDALE CT, 2ND FLOOR MARRIOTTSVILLE, MD 21104 | AFLAC | $2 | — | $2 | 0.00% |
| CHRISTOPHER G RATCLIFF3 | PO BOX 2672 SALINA, KS 67402 | AFLAC | $1 | — | $1 | 0.00% |
| MATHEW P GAHM3 | 6754 SILVERWIND CIRCLE COLORADO SPRINGS, CO 80923 | AFLAC | $1 | — | $1 | 0.00% |
| MICHELLE LYNN FREEMAN3 | 14625 E COACHMAN DR COLORADO SPRINGS, CO 80908 | AFLAC | $0 | — | $0 | 0.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS INC | 8100 E. 32ND NORTH #100 WICHITA, KS 67226 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $5K | $445 | $5K | 8.30% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF KANSAS EIN 48-0952857 NONE | Claims processing Service code 12 | — | $94K |
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 | 329 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 334 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | GROUP INSURANCE TRUST OF THE CALIFORNIA SOCIETY OF CPAS | 116 | $960K |
| Vision | GROUP INSURANCE TRUST OF THE CALIFORNIA SOCIETY OF CPAS | 116 | $960K |
| Life insurance(2 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 371 | $96K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 218 | $62K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF KANSAS | 608 | $264K |
| Other(3 contracts, 3 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 371 | $181K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 608 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.