| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 600 KANSAS CITY, MO 64112 | BLUECROSS AND BLUESHIELD OF KANSAS | $26K | — | $26K | 10.26% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 600 KANSAS CITY, MO 64112 | SUN LIFE AND HEALTH INSURANCE COMPANY | $22K | — | $22K | 26.87% |
| JAMES HOMER COOK3 | 1050 N GRETCHEN LANE WICHITA, KS 67206 | AFLAC | $1K | — | $1K | 4.64% |
| PATRICIA ZOELLER3 | P.O. BOX 181 KINGMAN, KS 67068 | AFLAC | $737 | — | $737 | 2.34% |
| JOHN G CATE3 Filed as: JOHN G. CATE | 4246 N SWEET BAY STREET WICHITA, KS 67226 | AFLAC | $528 | — | $528 | 1.67% |
| MARC LUTHER HOMAN3 | 11828 W CENTRAL AVE, SUITE 100 WICHITA, KS 67212 | AFLAC | $456 | — | $456 | 1.45% |
| BRIAN L PORTER3 Filed as: BRIAN L. PORTER | 8021 E DRESDEN LANE WICHITA, KS 67207 | AFLAC | $401 | — | $401 | 1.27% |
| TERESA BURNETT3 | 1112 JAMES ST. DERBY, KS 67037 | AFLAC | $216 | — | $216 | 0.68% |
| WILLINGHAM INC3 Filed as: WILLINGHAM INC. | 1502 N METCALF LOUISBERG, KS 66053 | AFLAC | $138 | — | $138 | 0.44% |
| BRAD J SCHUMACHER3 Filed as: BRAD J. SCHUMACHER | 718 MAIN STREET, SUITE 205 HAYS, KS 67601 | AFLAC | $123 | — | $123 | 0.39% |
| JUSTIN C CARSON3 Filed as: JUSTIN C. CARSON | 7701 E KELLOGG, SUITE 680 WICHITA, KS 67207 | AFLAC | $68 | — | $68 | 0.22% |
| ROBERT GELSZAT3 | 11251 E BELLAIRE STREET WICHITA, KS 67207 | AFLAC | $53 | — | $53 | 0.17% |
| INSURANCE INTERMEDIARIES INC3 Filed as: INSURANCE INTERMEDIARIES INC. | 280 N HIGH STREET, SUITE 300 COLUMBUS, OH 43215 | AFLAC | $45 | — | $45 | 0.14% |
| KATHY WIEDEMANN3 | 220 HIGH VIEW DRIVE BOULDER, CO 80304 | AFLAC | $43 | — | $43 | 0.14% |
| NATHAN L HARRISON3 Filed as: NATHAN L. HARRISON | 16024 MANCHESTER TER RD., 2ND FL., STE. 200 ELLISVILLE, MO 63011 | AFLAC | $32 | — | $32 | 0.10% |
| JOSEPH WESLEY WILLINGHAM3 | 1502 N METCALF ROAD LOUISBURG, KS 66053 | AFLAC | $28 | — | $28 | 0.09% |
| KEVIN D SEAL3 Filed as: KEVIN D. SEAL | PO BOX 6 ARLINGTON, KS 67514 | AFLAC | $11 | — | $11 | 0.03% |
| ALAN D HURT3 Filed as: ALAN D. HURT | PO BOX 277 MOUND CITY, KS 66056 | AFLAC | $4 | — | $4 | 0.01% |
| JAMES E SHEPARD3 Filed as: JAMES E. SHEPARD | 11150 GREENWOOD STREET, APT 323 LENEXA, KS 66215 | AFLAC | $3 | — | $3 | 0.01% |
| KEVIN D SEAL3 | 107 W MAIN STREET ARLINGTON, KS 67514 | AFLAC | $1 | — | $1 | 0.00% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 600 KANSAS CITY, MO 64112 | EYE MED | $1K | — | $1K | 9.12% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 600 KANSAS CITY, MO 64112 | EYE MED | $11 | — | $11 | 8.40% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUECROSS AND BLUESHIELD OF KANSAS EIN 48-0952857 ADMINISTRATOR | Contract Administrator Service code 13 | — | $80K |
| DELTA DENTAL OF KANSAS, INC. EIN 48-0793267 ADMINISTRATOR | Contract Administrator Service code 13 | — | $11K |
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 | 208 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 8 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 216 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision(2 contracts) | EYE MED | 254 | $14K |
| Life insurance | SUN LIFE AND HEALTH INSURANCE COMPANY | 214 | $81K |
| Long-term disability | SUN LIFE AND HEALTH INSURANCE COMPANY | 214 | $81K |
| Stop-loss / reinsurancereinsurance | BLUECROSS AND BLUESHIELD OF KANSAS | 360 | $255K |
| Other(2 contracts, 2 carriers) | SUN LIFE AND HEALTH INSURANCE COMPANY | 214 | $112K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 360 | — |
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.