| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP OF WICHITA | 7570 W 21ST ST N STE A, BLDG 1038 WICHITA, KS 67205 | DELTA DENTAL OF KANSAS, INC. | $17K | — | $17K | 6.10% |
| HAYS COMPANIES, INC.3 Filed as: HAYS GROUP INC | 80 SOUTH 8TH STREET MINNEAPOLIS, MN 55317 | PRUDENTIAL | $31K | $9K | $40K | 19.36% |
| AXA ASSISTANCE, USA5 | 112 S MICHIGAN AVE SUITE 1100 CHICAGO, IL 60603 | PRUDENTIAL | — | $131 | $131 | 0.06% |
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP OF KANSAS CITY LLC | 7570 W 21ST ST N, STE A, BLDG 1038 WICHITA, KS 67205 | VISION SERVICE PLAN | $2K | — | $2K | 3.69% |
| ROBERT GELSZAT3 | 11251 E BELLAIRE ST WICHITA, KS 67207 | AFLAC | $3K | $270 | $4K | 12.40% |
| CALEB GILMOUR3 Filed as: CALEB J GILMOUR | 515 S MAIN ST STE 105 WICHITA, KS 67202 | AFLAC | $278 | $54 | $332 | 1.16% |
| BRIAN M LEITZEL3 | 544 S RIDGE RD, STE 104 WICHITA, KS 67209 | AFLAC | $276 | $54 | $330 | 1.15% |
| JAMES HOMER COOK3 | 1050 N GRETCHEN LN WICHITA, KS 67206 | AFLAC | $318 | — | $318 | 1.11% |
| STEVEN S HENRY3 | 9140 YORK LN HAYSVILLE, KS 67060 | AFLAC | $196 | — | $196 | 0.68% |
| KATHY WIEDEMANN3 | 220 HIGH VIEW DR BOULDER, CO 80304 | AFLAC | $170 | — | $170 | 0.59% |
| SAIDA K SOSA3 | 4511 S FLORA CT WICHITA, KS 67215 | AFLAC | $161 | — | $161 | 0.56% |
| SHIRLEY MISCEVICH3 | 11408 W 72ND TER SHAWNEE, KS 66203 | AFLAC | $127 | — | $127 | 0.44% |
| BRIAN M LEITZEL3 | 7920 W KELLOGG DR, STE 103 WICHITA, KS 67209 | AFLAC | $110 | — | $110 | 0.38% |
| SMM BENEFITS INC3 | 11408 W 72ND TER SHAWNEE, KS 66203 | AFLAC | $95 | — | $95 | 0.33% |
| BRAD SCHUMACHER3 | 2804 COUNTRY LN HAYS, KS 67601 | AFLAC | $74 | — | $74 | 0.26% |
| BRIAN L PORTER3 | 8021 E DRESDEN LN WICHITA, KS 67207 | AFLAC | $69 | — | $69 | 0.24% |
| MARC LUTHER HOMAN3 | 11828 W CENTRAL AVE, STE 100 WICHITA, KS 67212 | AFLAC | $63 | — | $63 | 0.22% |
| TERRIE J ENSLINGER3 | 10720 E 63RD ST S DERBY, KS 67037 | AFLAC | $52 | — | $52 | 0.18% |
| BRIAN M LEITZEL3 | 7920 W KELLOGG DR, STE 103 WICHITA, KS 67209 | AFLAC | $51 | — | $51 | 0.18% |
| MICHELLE R SMITH3 | 5050 N MAIZE RD, APT 1011 MAIZE, KS 67101 | AFLAC | $49 | — | $49 | 0.17% |
| MICHAEL D CHRISMAN3 | 515 S MAIN ST, STE 105 WICHITA, KS 67202 | AFLAC | $47 | — | $47 | 0.16% |
| TERRY S DECKER3 | RR2 BOX 22 TURPIN, OK 73950 | AFLAC | $35 | — | $35 | 0.12% |
| JON R OVERACRE3 | 10502 W 133RD TER, APT 107 OVERLAND PARK, KS 66213 | AFLAC | $34 | — | $34 | 0.12% |
| GARY L ENSLINGER3 | 10720 E 63RD ST S DERBY, KS 67037 | AFLAC | $31 | — | $31 | 0.11% |
| NATHAN L HARRISON3 | 16024 MANCHESTER RD 2ND FLOOR STE 200 ELLISVILLE, MO 63011 | AFLAC | $26 | — | $26 | 0.09% |
| WILLINGHAM INC3 Filed as: WILLINGHAM INC. | 1502 N METCALF LOUISBURG, KS 66053 | AFLAC | $25 | — | $25 | 0.09% |
| GARY SCOTT NELLIS3 | 10607 1/2 WOODBRIDGE ST TOLUCA LAKE, CA 91602 | AFLAC | $23 | — | $23 | 0.08% |
| KENNETH MORRIS JR3 | 5410 PLYMOUTH DR LAWRENCE, KS 66049 | AFLAC | $21 | — | $21 | 0.07% |
| JOHN A BACON3 | 13716 PARKHILL OVERLAND PARK, KS 66221 | AFLAC | $18 | — | $18 | 0.06% |
| JOHN G CATE3 | 4246 N SWEET BAY ST WICHITA, KS 67226 | AFLAC | $18 | — | $18 | 0.06% |
| ALFRED RIETKERK3 | 3120 NE 47TH ST FT LAUDERDALE, FL 33308 | AFLAC | $17 | — | $17 | 0.06% |
| ROBERT L WINFREY3 | 11520 NANTUCKET CIR WICHITA, KS 67212 | AFLAC | $17 | — | $17 | 0.06% |
| SCOTT D SWIMMER3 | 4553 W 138TH TER LEAWOOD, KS 66224 | AFLAC | $15 | — | $15 | 0.05% |
| WYLIE S ERNATT3 | 7505 E KILLARNEY CT WICHITA, KS 67206 | AFLAC | $14 | — | $14 | 0.05% |
| DAVID M COUGHLIN3 | 10160 BRISTOL DR RANCHO CUCAMONGA, CA 91737 | AFLAC | $13 | — | $13 | 0.05% |
| WILLIAM O CORNELL3 | 121 LIME RD NE LAKE PLACID, FL 33852 | AFLAC | $13 | — | $13 | 0.05% |
| JULIAN DUARTE3 | 412 N MYRTLE ST EUREKA, KS 67045 | AFLAC | $13 | — | $13 | 0.05% |
| TERESA BURNETT3 | 1112 E JAMES ST DERBY, KS 67037 | AFLAC | $12 | — | $12 | 0.04% |
| GARY WAYNE WILLINGHAM3 | 6033 STRAFFORD OAKS DR SEBRING, FL 33875 | AFLAC | $11 | — | $11 | 0.04% |
| NIVES JELICH3 | 2720 APPLEWOOD RD GERING, NE 69341 | AFLAC | $10 | — | $10 | 0.03% |
| KAREN M HUGHES3 | 3120 NE 47TH ST FT LAUDERDALE, FL 33308 | AFLAC | $9 | — | $9 | 0.03% |
| ROMEO VEGA INSURANCE INC3 | 5567 STATE HIGHWAY U ROGERSVILLE, MO 65742 | AFLAC | $7 | — | $7 | 0.02% |
| WILLIAM K TEICHGRAEBER3 | 931 167TH ST EUREKA, KS 67045 | AFLAC | $7 | — | $7 | 0.02% |
| ALAN D HURT3 | PO BOX 277 MOUND CITY, KS 66056 | AFLAC | $3 | — | $3 | 0.01% |
| ASHLIE BURNETT3 | 1112 E JAMES ST DERBY, KS 67037 | AFLAC | $3 | — | $3 | 0.01% |
| CHRISTOPHER THOMAS HIPP3 | 1601 MEADOW LN HAYS, KS 67601 | AFLAC | $3 | — | $3 | 0.01% |
| JOSEPH A BUZZELLO3 | 9018 BALBOA BLVD, STE 254 NORTHRIDGE, CA 91325 | AFLAC | $3 | — | $3 | 0.01% |
| BRIAN MILLS3 | 1402 W LUCY WEBB RD RAYMORE, MO 64083 | AFLAC | $2 | — | $2 | 0.01% |
| JONI S WOBORNY BUNKER3 | 1837 VIRGINA DR MANHATTAN, KS 66502 | AFLAC | $1 | — | $1 | 0.00% |
| B & C AGENCY INC4 | 7867 SE 197TH TER LATHAM, KS 67072 | PRE-PAID LEGAL SERVICES, INC DBA LEGALSHIELD | $5K | — | $5K | 40.24% |
| MEGAN R JONES4 | 16261 SE COLE CREEK RD LEON, KS 67074 | PRE-PAID LEGAL SERVICES, INC DBA LEGALSHIELD | $150 | — | $150 | 1.10% |
| CHRISTOPHER M. WARD4 Filed as: CHRISTOPHER M WARD | 1355 S LINCOLN ST DENVER, CO 80210 | PRE-PAID LEGAL SERVICES, INC DBA LEGALSHIELD | $28 | — | $28 | 0.21% |
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 | 338 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 341 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 716 | $2.7M |
| Dental | DELTA DENTAL OF KANSAS, INC. | 294 | $283K |
| Vision | VISION SERVICE PLAN | 300 | $51K |
| Life insurance | PRUDENTIAL | 338 | $205K |
| Short-term disability | PRUDENTIAL | 338 | $205K |
| Long-term disability | PRUDENTIAL | 338 | $205K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF KANSAS | 716 | $2.7M |
| Other(4 contracts, 4 carriers) | PRUDENTIAL | 338 | $252K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 716 | — |
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."
No prospect flags tripped on this filing.