| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GLENN E FISHER3 | 10500 E BERKELEY SQ PKAY S-240 WICHITA, KS 67206 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $5K | — | $5K | 6.86% |
| GLENN E FISHER3 | 8621 E 21ST STE 150 WICHITA, KS 67206 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 15.00% |
| GLENN E FISHER3 | 8621 E 21ST STE 150 WICHITA, KS 67206 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 15.00% |
| SAIDA K SOSA3 Filed as: SAIDA SOSA | 4511 S FLORA CT WICHITA, KS 67215 | AFLAC | $2K | — | $2K | 14.47% |
| MICHAEL PLETT3 | 1616 AVENUE H ELLSWORTH, KS 67439 | AFLAC | $405 | — | $405 | 3.73% |
| BRIAN M LEITZEL3 Filed as: BRIAN LEITZEL | 7920 W KELLOGG DR STE 103 WICHITA, KS 67209 | AFLAC | $309 | — | $309 | 2.85% |
| CALEB GILMOUR3 | 515 S MAIN ST STE 105 WICHITA, KS 67202 | AFLAC | $251 | — | $251 | 2.31% |
| GAIL COE3 | 4600 FARMSTEAD CT BEL AIRE, KS 67220 | AFLAC | $187 | — | $187 | 1.72% |
| BRIAN M LEITZEL3 Filed as: BRIAN LEITZEL | 4201 SPRING DR CHENEY, KS 67025 | AFLAC | $83 | — | $83 | 0.77% |
| SAMUAL MCFALL3 | 609 N BROADWAY AVE STE 200 WICHITA, KS 67214 | AFLAC | $69 | — | $69 | 0.64% |
| TERESA BURNETT3 | 1112 E JAMES ST DERBY, KS 67037 | AFLAC | $37 | — | $37 | 0.34% |
| SCOTT D SWIMMER3 Filed as: SCOTT SWIMMER | 4553 W 138TH TER LEAWOOD, KS 66224 | AFLAC | $31 | — | $31 | 0.29% |
| WILLINGHAM INC3 | 35354 MISSION BELLEVIEW RD LOUISBURG, KS 66053 | AFLAC | $27 | — | $27 | 0.25% |
| MICHAEL D CHRISMAN3 | 515 S MAIN ST STE 105 WICHITA, KS 67202 | AFLAC | $23 | — | $23 | 0.21% |
| NATHAN HARRISON3 | 5301 E VISTA RICA ST PARADISE VALLEY, AZ 85253 | AFLAC | $22 | — | $22 | 0.20% |
| MARC LUTHER HOMAN3 | 11828 W CENTRAL AVE STE 100 WICHITA, KS 67212 | AFLAC | $7 | — | $7 | 0.06% |
| KATHY WIEDEMANN3 | 222 HIGH VIEW DRIVE BOULDER, CO 80304 | AFLAC | $6 | — | $6 | 0.06% |
| BRAD J SCHUMACHER3 | 2804 COUNTRY LN HAYS, KS 67601 | AFLAC | $4 | — | $4 | 0.04% |
| TERRY S DECKER3 | 123401 EW 6 RD TURPIN, OK 73950 | AFLAC | $4 | — | $4 | 0.04% |
| CHRISTOPHER THOMAS HIPP3 | 1601 MEADOW LANE HAYS, KS 67601 | AFLAC | $1 | — | $1 | 0.01% |
| KENNETH D MORRIS JR3 Filed as: KENNETH D MORRS JR | 5410 PLYMOUTH DR LAWRENCE, KS 66049 | AFLAC | $1 | — | $1 | 0.01% |
| GLENN E FISHER3 | 10500 E BERKELEY SQ PKAY S-240 WICHITA, KS 67206 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $785 | — | $785 | 12.79% |
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 | 114 | 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) | 114 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 273 | $965K |
| Dental | DELTA DENTAL OF KANSAS, INC. | 257 | $86K |
| Life insurance(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 114 | $22K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 25 | $18K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 113 | $68K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF KANSAS | 273 | $965K |
| Other(3 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 114 | $33K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 273 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.