| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FEE INSURANCE GROUP3 | 2920 N PLUM ST HUTCHINSON, KS 67502 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 10.00% |
| FEE INSURANCE GROUP3 | 2920 N PLUM ST HUTCHINSON, KS 67502 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 15.00% |
| FEE INSURANCE GROUP3 | 2920 N PLUM ST HUTCHINSON, KS 67502 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 14.53% |
| FEE INSURANCE GROUP3 | 2920 N. PLUM ST. HUTCHINSON, KS 67502 | VISION SERVICE PLAN | $831 | — | $831 | 6.77% |
| FEE INSURANCE GROUP3 | 2920 N PLUM ST HUTCHINSON, KS 67502 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 10.00% |
| FEE INSURANCE GROUP3 | 2920 N PLUM ST HUTCHINSON, KS 67502 | AFLAC | $536 | — | $536 | 8.51% |
| MARIE NICOLE ORR3 | 515 S MAIN ST WICHITA, KS 67202 | AFLAC | $273 | — | $273 | 4.34% |
| JOHN E WETIG3 Filed as: JOHN WETIG | 103 S ROUPP ST HESSTON, KS 67062 | AFLAC | $206 | — | $206 | 3.27% |
| CALEB GILMOUR3 | 515 S MAIN WICHITA, KS 67202 | AFLAC | $158 | — | $158 | 2.51% |
| TERESA BURNETT3 | 1112 E JAMES ST DERBY, KS 67037 | AFLAC | $149 | — | $149 | 2.37% |
| BRIAN M LEITZEL3 Filed as: BRIAN LEITZEL | 4201 SPRING DR CHENEY, KS 67025 | AFLAC | $118 | — | $118 | 1.87% |
| GRADY JACK GILSON3 | 221 N VALLEY CREEK DR VALLEY CENTER, KS 67147 | AFLAC | $103 | — | $103 | 1.64% |
| LAURENCE W KEMP3 Filed as: LAURENCE KEMP | 1018 N BATTIN ST WICHITA, KS 67208 | AFLAC | $72 | — | $72 | 1.14% |
| MARC LUTHER HOMAN3 | 11828 W CENTRAL AVE WICHITA, KS 67212 | AFLAC | $40 | — | $40 | 0.64% |
| TANNER R KING3 Filed as: TANNER KING | 14820 SIEFKES CT WICHITA, KS 67230 | AFLAC | $37 | — | $37 | 0.59% |
| NATHAN HARRISON3 | 5301 E VISTA RICA ST PARADISE VALLEY, AZ 85153 | AFLAC | $18 | — | $18 | 0.29% |
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 | 145 | 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) | 145 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 192 | $785K |
| Dental | BLUE CROSS AND BLUE SHIELD OF KANSAS | 192 | $785K |
| Vision | VISION SERVICE PLAN | 95 | $12K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 145 | $48K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 46 | $11K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 39 | $17K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF KANSAS | 192 | $785K |
| Other(3 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 145 | $54K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 192 | — |
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.