| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 | 2100 ROSS AVENUE, SUITE 1200 DALLAS, TX 75201 | HCC LIFE INSURANCE COMPANY | — | $20K | $20K | 4.60% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | SUN LIFE ASSURANCE COMPANY OF CANADA | $13K | — | $13K | 13.09% |
| PATRICIA G ZOELLER3 | P.O. BOX 181 KINGMAN, KS 67068 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5K | — | $5K | 8.03% |
| TERESA BURNETT3 Filed as: TERESA L BURNETT | 1112 JAMES ST. DERBY, KS 67037 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 2.82% |
| BRIAN M LEITZEL3 | 7920 W KELLO DRIVE, SUITE 102 WICHITA, KS 67209 | CONTINENTAL AMERICAN INSURANCE COMPANY | $961 | — | $961 | 1.61% |
| CALEB GILMOUR3 | 515 S. MAIN STREET, SUITE 501 WICHITA, KS 67202 | CONTINENTAL AMERICAN INSURANCE COMPANY | $689 | — | $689 | 1.15% |
| JUSTIN C CARSON3 | 7701 E KELLOGG, SUITE 680 WICHITA, KS 67207 | CONTINENTAL AMERICAN INSURANCE COMPANY | $311 | — | $311 | 0.52% |
| BRAD J SCHUMACHER3 | 2804 COUNTRY LANE HAYS, KS 67601 | CONTINENTAL AMERICAN INSURANCE COMPANY | $298 | — | $298 | 0.50% |
| RUSTY J HELIN3 | 515 SOUTH MAIN, SUITE 10 WICHITA, KS 67202 | CONTINENTAL AMERICAN INSURANCE COMPANY | $178 | — | $178 | 0.30% |
| NATHAN L HARRISON3 | 16024 MANCHES TERRACE ROAD, SUITE 111 ELLISVILLE, MO 63011 | CONTINENTAL AMERICAN INSURANCE COMPANY | $123 | — | $123 | 0.21% |
| MARK ALAN BRYANT3 Filed as: MARK A BRYANT | 9122 W BIRCH LANE WICHITA, KS 67212 | CONTINENTAL AMERICAN INSURANCE COMPANY | $81 | — | $81 | 0.14% |
| KATHY WIEDEMANN3 | 229 E. WILLIAM, SUITE 501 WICHITA, KS 67202 | CONTINENTAL AMERICAN INSURANCE COMPANY | $77 | — | $77 | 0.13% |
| KENNETH D MORRIS JR3 | 5410 PLYMOUTH DRIVE LAWRENCE, KS 66049 | CONTINENTAL AMERICAN INSURANCE COMPANY | $49 | — | $49 | 0.08% |
| JOHN A BACON3 | 11630 W. 158TH TERRACE OVERLAND PARK, KS 66221 | CONTINENTAL AMERICAN INSURANCE COMPANY | $40 | — | $40 | 0.07% |
| CHRISTOPHER THOMAS HIPP3 Filed as: CHRISTOPHER T HIPP | 718 MAIN, SUITE 205 HAYS, KS 67601 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4 | — | $4 | 0.01% |
| RUSTY J HELIN3 | 765 W. 6TH COLBY, KS 67701 | CONTINENTAL AMERICAN INSURANCE COMPANY | — | — | $0 | 0.00% |
| NATHAN L HARRISON3 Filed as: NATHAN L. HARRISON | 16024 MANCHESTER TER RD., SUITE 111 ELLISVILLE, MO 63011 | CONTINENTAL AMERICAN INSURANCE COMPANY | — | — | $0 | 0.00% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | EYEMED VISION CARE | $2K | — | $2K | 9.96% |
| JAMES HOMER COOK3 | 1050 N GRETCHEN LANE WICHITA, KS 67206 | AFLAC | $962 | — | $962 | 4.51% |
| PATRICIA ZOELLER3 | PO BOX 181 KINGMAN, KS 67068 | AFLAC | $486 | $41 | $527 | 2.47% |
| BRIAN L PORTER3 | 8021 E DRESDEN LANE WICHITA, KS 67207 | AFLAC | $316 | — | $316 | 1.48% |
| JOHN G CATE3 | 4246 N SWEET BAY STREET WICHITA, KS 67226 | AFLAC | $307 | — | $307 | 1.44% |
| MARC LUTHER HOMAN3 | 11828 W CENTRAL AVENUE, SUITE 100 WICHITA, KS 67212 | AFLAC | $302 | — | $302 | 1.42% |
| WILLINGHAM INC3 | 1502 N METCALF ROAD LOUISBURG, KS 66053 | AFLAC | $95 | — | $95 | 0.45% |
| BRAD J SCHUMACHER3 | 2804 COUNTRY LANE HAYS, KS 67601 | AFLAC | $70 | — | $70 | 0.33% |
| BRIAN M LEITZEL3 | 7920 W KELLOGG DRIVE, SUITE 102 WICHITA, KS 67209 | AFLAC | $61 | $8 | $69 | 0.32% |
| CALEB GILMOUR3 Filed as: CALEB J GILMOUR | 515 S MAIN STREET, SUITE 105 WICHITA, KS 67202 | AFLAC | $45 | $8 | $53 | 0.25% |
| ROBERT GELSZAT3 | 11251 E BELLAIRE STREET WICHITA, KS 67207 | AFLAC | $41 | — | $41 | 0.19% |
| JUSTIN C CARSON3 | 7701 E KELLOGG DRIVE, SUITE 680 WICHITA, KS 67207 | AFLAC | $21 | — | $21 | 0.10% |
| NATHAN L HARRISON3 | 16024 MANCHESTER ROAD 2ND FLOOR, SUITE 200 ELLISVILLE, MO 63011 | AFLAC | $21 | — | $21 | 0.10% |
| TERESA BURNETT3 | 1112 E JAMES STREET DERBY, KS 67037 | AFLAC | $15 | — | $15 | 0.07% |
| JOSEPH WESLEY WILLINGHAM3 | 1502 N METCALF ROAD LOUISBURG, KS 66053 | AFLAC | $13 | — | $13 | 0.06% |
| KEVIN D SEAL3 | 10200 W MAPLE STREET WICHITA, KS 67209 | AFLAC | $11 | — | $11 | 0.05% |
| KENNETH D MORRIS JR3 | 5410 PLYMOUTH DRIVE LAWRENCE, KS 66049 | AFLAC | $9 | — | $9 | 0.04% |
| TERRY S DECKER3 | RR 2 BOX 22 TURPIN, OK 73950 | AFLAC | $9 | — | $9 | 0.04% |
| JOHN A BACON3 | 11630 W 158TH TERRACE OVERLAND PARK, KS 66221 | AFLAC | $4 | — | $4 | 0.02% |
| KEVIN D SEAL3 | 1825 E WATERMAN STREET WICHITA, KS 67211 | AFLAC | $1 | — | $1 | 0.00% |
| BRIAN MILLS3 | 1402 W LUCY WEBB ROAD RAYMORE, MO 64083 | AFLAC | $1 | — | $1 | 0.00% |
| JONI S WOBORNY BUNKER3 | 1837 VIRGINIA DRIVE MANHATTAN, KS 66502 | AFLAC | $1 | — | $1 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UMR, INC. EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | — | $86K |
| LOCKTON COMPANIES, LLC EIN 20-3354970 BROKER | Other commissions Service code 55 | — | $27K |
| DELTA DENTAL OF KANSAS EIN 48-0793267 ADMINISTRATOR | Contract Administrator Service code 13 | — | $11K |
| NEW DIRECTIONS BEHAVIORAL HEALTH EIN 43-1698690 ADMINISTRATOR | Contract Administrator Service code 13 | — | $4K |
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 | 250 | 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) | 250 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | EYEMED VISION CARE | 369 | $22K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 235 | $97K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 235 | $97K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 157 | $426K |
| Other(3 contracts, 3 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 271 | $179K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 369 | — |
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.