| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THOMAS MCGEE LC3 | PO BOX 419013 KANSAS CITY, MO 64141 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $9K | — | $9K | 14.19% |
| RYAN BOWLING3 | 8575 W 110TH ST OVERLAND PARK, KS 66210 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $922 | $2K | 3.30% |
| TAMARA ANN BUSCHER3 | 1318 S WINTERBROOK OLATHE, KS 66062 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $102 | $2K | 2.68% |
| RON BOWLING3 | 8575 W 110TH ST OVERLAND PARK, KS 66210 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $925 | $390 | $1K | 2.12% |
| CHARLENE A PEPPES3 | 9058 BIRCH ST PRAIRIE VILLAGE, KS 66207 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $858 | — | $858 | 1.38% |
| LINDSAY BURGESS3 | 3505 W 63RD ST MISSION HILLS, KS 66208 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $789 | $47 | $836 | 1.34% |
| BRIDGET ZUNIGA3 | 14608 W 62ND ST SHAWNEE, KS 66216 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $703 | $123 | $826 | 1.33% |
| MAUREEN E CONRAN3 | 8575 W 110TH ST OVERLAND PARK, KS 66210 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $618 | $192 | $810 | 1.30% |
| MARILYN B BOWLING3 | 8447 SUMMIT STREET LENEXA, KS 66215 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $618 | $173 | $791 | 1.27% |
| LONNIE SCHULTZ3 | MNU BOX 9294 OLATHE, KS 66062 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $398 | $30 | $428 | 0.69% |
| DALE T BUTLER3 | 15234 REEDS STREET OVERLAND PARK, KS 66223 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $149 | $42 | $191 | 0.31% |
| TERRY ALLEN SMITH3 | 14070 S DARNELL CT OLATHE, KS 66062 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $149 | — | $149 | 0.24% |
| CASSANDRA LONG3 | 8629 ALDEN ST LENEXA, KS 66215 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $91 | — | $91 | 0.15% |
| THE STINGRAY GROUP INC3 | 7324 RICHARDS DR SHAWNEE, KS 66216 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $90 | — | $90 | 0.14% |
| PAMELA SWANSON ALLEN3 | 7736 WESTGATE DR LENEXA, KS 66216 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $24 | $1 | $25 | 0.04% |
| EVERENCE ASSOCIATION INC3 Filed as: EVERENCE ASSOCIATION, INC. | 1110 NORTH MAIN STREET PO BOX 483 GOSHEN, IN 46527 | MADISON NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 10.00% |
| NORTH AMERICAN BENEFITS COMPANY5 | 20 VALLEY STREAM PARKWAY, SUITE 310 MALVERN, PA 19355 | MADISON NATIONAL LIFE INSURANCE COMPANY | — | $2K | $2K | 7.97% |
| BURT ADVISORY GROUP3 Filed as: BURT ADVISORY GROUP INC. | 307 S. MAIN ST. SUITE 302 ELKHART, IN 46516 | MADISON NATIONAL LIFE INSURANCE COMPANY | — | $2K | $2K | 7.44% |
| EVERENCE ASSOCIATION INC3 Filed as: EVERENCE ASSOCIATION, INC. | 1110 NORTH MAIN STREET PO BOX 483 GOSHEN, IN 46527 | 4 EVER LIFE INSURANCE COMPANY (FORMERLY BCS LIFE) | $1K | — | $1K | 10.00% |
| NORTH AMERICAN BENEFITS COMPANY5 | 20 VALLEY STREAM PARKWAY, SUITE 310 MALVERN, PA 19355 | 4 EVER LIFE INSURANCE COMPANY (FORMERLY BCS LIFE) | — | $1K | $1K | 8.50% |
| BURT ADVISORY GROUP3 Filed as: BURT ADVISORY GROUP INC. | 307 S. MAIN ST. SUITE 302 ELKHART, IN 46516 | 4 EVER LIFE INSURANCE COMPANY (FORMERLY BCS LIFE) | — | $851 | $851 | 6.74% |
| EVERENCE ASSOCIATION INC3 Filed as: EVERENCE ASSOCIATION, INC. | 1110 NORTH MAIN STREET PO BOX 483 GOSHEN, IN 46527 | KANSAS CITY LIFE INSURANCE COMPANY | $307 | — | $307 | 9.98% |
| BURT ADVISORY GROUP3 Filed as: BURT ADVISORY GROUP INC. | 307 S. MAIN ST. SUITE 302 ELKHART, IN 46516 | KANSAS CITY LIFE INSURANCE COMPANY | — | $307 | $307 | 9.98% |
| NORTH AMERICAN BENEFITS COMPANY5 | 20 VALLEY STREAM PARKWAY, SUITE 310 MALVERN, PA 19355 | KANSAS CITY LIFE INSURANCE COMPANY | — | $261 | $261 | 8.49% |
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 | 184 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 184 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(3 contracts, 3 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 184 | $106K |
| Short-term disability(2 contracts, 2 carriers) | MADISON NATIONAL LIFE INSURANCE COMPANY | 184 | $44K |
| Long-term disability(2 contracts, 2 carriers) | MADISON NATIONAL LIFE INSURANCE COMPANY | 175 | $34K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 184 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.