| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES INC | 80 S. 8TH ST., STE 700 MINNEAPOLIS, MN 55402 | DELTA DENTAL OF KANSAS, INC. | $15K | — | $15K | 5.00% |
| HAYS COMPANIES, INC.3 Filed as: HAYS GROUP INC | 80 SOUTH 8TH STREET MINNEAPOLIS, MN 55317 | PRUDENTIAL | $36K | $16K | $51K | 21.54% |
| AXA ASSISTANCE, USA5 | 112 S MICHIGAN AVE SUITE 1100 CHICAGO, IL 60603 | PRUDENTIAL | — | $124 | $124 | 0.05% |
| 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 | 3.39% |
| SAIDA K SOSA3 | 4511 S FLORA CT WICHITA, KS 67215 | AFLAC | $3K | $47 | $3K | 6.76% |
| ROBERT GELSZAT3 | 11251 E BELLAIRE ST WICHITA, KS 67207 | AFLAC | $2K | $198 | $2K | 5.22% |
| BRIAN M LEITZEL3 | 7920 W KELLOGG DR STE 103 WICHITA, KS 67209 | AFLAC | $1K | $24 | $1K | 2.44% |
| CALEB GILMOUR3 Filed as: CALEB J GILMOUR | 515 S MAIN ST STE 105 WICHITA, KS 67202 | AFLAC | $650 | $30 | $680 | 1.49% |
| JAMES HOMER COOK3 | 1050 N GRETCHEN LN WICHITA, KS 67206 | AFLAC | $360 | — | $360 | 0.79% |
| KATHY WIEDEMANN3 | 220 HIGH VIEW DR BOULDER, CO 80304 | AFLAC | $221 | — | $221 | 0.49% |
| SMM BENEFITS INC3 | 11408 W 72ND TER SHAWNEE, KS 66203 | AFLAC | $94 | $40 | $134 | 0.29% |
| BRIAN L PORTER3 | 8021 E DRESDEN LN WICHITA, KS 67207 | AFLAC | $96 | — | $96 | 0.21% |
| BRAD SCHUMACHER3 | 2804 COUNTRY LN HAYS, KS 67601 | AFLAC | $94 | — | $94 | 0.21% |
| STEVEN S HENRY3 | 9140 YORK LN HAYSVILLE, KS 67060 | AFLAC | $63 | $28 | $91 | 0.20% |
| MARC LUTHER HOMAN3 | 11828 W CENTRAL AVE STE 100 WICHITA, KS 67212 | AFLAC | $86 | — | $86 | 0.19% |
| TERRIE J ENSLINGER3 | 10720 E 63RD ST S DERBY, KS 67037 | AFLAC | $74 | — | $74 | 0.16% |
| TERRY S DECKER3 | RR 2 BOX 22 TURPIN, OK 73950 | AFLAC | $52 | — | $52 | 0.11% |
| GARY L ENSLINGER3 | 10720 E 63RD ST S DERBY, KS 67037 | AFLAC | $43 | — | $43 | 0.09% |
| NATHAN HARRISON3 | 16024 MANCHESTER RD 2ND FLOOR STE 200 ELLISVILLE, MO 63011 | AFLAC | $39 | — | $39 | 0.09% |
| GARY SCOTT NELLIS3 | 10607 1/2 WOODBRIDGE ST TOLUCA LAKE, CA 91602 | AFLAC | $35 | — | $35 | 0.08% |
| WILLINGHAM INC3 | 1502 N METCALF RD LOUISBURG, KS 66053 | AFLAC | $34 | — | $34 | 0.07% |
| MICHAEL D CHRISMAN3 | 515 S MAIN ST STE 105 WICHITA, KS 67202 | AFLAC | $25 | $6 | $31 | 0.07% |
| JON R OVERACRE3 Filed as: JON OVERACRE | 10502 W 133RD TER APT 107 OVERLAND PARK, KS 66213 | AFLAC | $21 | $8 | $29 | 0.06% |
| KENNETH D MORRIS JR3 | 5410 PLYMOUTH DR LAWRENCE, KS 66049 | AFLAC | $27 | — | $27 | 0.06% |
| ALFRED RIETKERK3 | 3120 NE 47TH ST FT LAUDERDALE, FL 33308 | AFLAC | $25 | — | $25 | 0.05% |
| ROBERT L WINFREY3 | 11520 W NANTUCKET CIR WICHITA, KS 67212 | AFLAC | $25 | — | $25 | 0.05% |
| WYLIE S ERNATT3 | 7505 E KILLARNEY CT WICHITA, KS 67206 | AFLAC | $21 | — | $21 | 0.05% |
| SCOTT D SWIMMER3 | 4553 W 138TH TER LEAWOOD, KS 66224 | AFLAC | $20 | — | $20 | 0.04% |
| JOHN A BACON3 | 11630 W 158TH TER OVERLAND PARK, KS 66221 | AFLAC | $20 | — | $20 | 0.04% |
| JULIAN DUARTE3 | 412 N MYRTLE ST EUREKA, KS 67045 | AFLAC | $19 | — | $19 | 0.04% |
| TERESA BURNETT3 | 1112 E JAMES ST DERBY, KS 67037 | AFLAC | $18 | — | $18 | 0.04% |
| JOHN G CATE3 | 4246 N SWEET BAY ST WICHITA, KS 67226 | AFLAC | $16 | — | $16 | 0.04% |
| GARY WAYNE WILLINGHAM3 | 6033 STRAFFORD OAKS DR SEBRING, FL 33875 | AFLAC | $16 | — | $16 | 0.04% |
| NIVES JELICH3 | 2720 APPLEWOOD RD GERING, NE 69341 | AFLAC | $15 | — | $15 | 0.03% |
| KAREN M HUGHES3 | 3120 NE 47TH ST FORT LAUDERDALE, FL 33308 | AFLAC | $13 | — | $13 | 0.03% |
| WILLIAM K TEICHGRAEBER3 | 931 167TH ST EUREKA, KS 67045 | AFLAC | $10 | — | $10 | 0.02% |
| ROMEO VEGA INSURANCE INC3 Filed as: ROMEO VEGA | 5567 STATE HIGHWAY U ROGERSVILLE, MO 65742 | AFLAC | $6 | — | $6 | 0.01% |
| ALAN D HURT3 | PO BOX 277 MOUND CITY, KS 66056 | AFLAC | $5 | — | $5 | 0.01% |
| ASHLE BURNETT3 | 1112 E JAMES ST DERBY, KS 67037 | AFLAC | $4 | — | $4 | 0.01% |
| ROMEO VEGA INSURANCE INC3 | 5567 STATE HWY U ROGERSVILLE, MO 65742 | AFLAC | $4 | — | $4 | 0.01% |
| JOSEPH A BUZZELLO3 | 9018 BALBOA BLVD STE 254 NORTHRIDGE, CA 91325 | AFLAC | $4 | — | $4 | 0.01% |
| JOHN A BACON3 | 13716 PARKHILL OVERLAND PARK, KS 66221 | AFLAC | $4 | — | $4 | 0.01% |
| CHRISTOPHER THOMAS HIPP3 | 1601 MEADOW LN HAYS, KS 67601 | AFLAC | $3 | — | $3 | 0.01% |
| BRIAN MILLS3 | 1402 W LUCY WEBB RD RAYMORE, MO 64083 | AFLAC | $3 | — | $3 | 0.01% |
| JONI S WOBORNY BUNKER3 | 1837 VIRGINIA DR MANHATTAN, KS 66502 | AFLAC | $2 | — | $2 | 0.00% |
| ALLISON FARRIS WENDELBERGER3 | 207 SANTA FE DR WALNUT CREEK, CA 94598 | AFLAC | $1 | — | $1 | 0.00% |
| B & C AGENCY INC4 | 7867 SE 197TH TER LATHAM, KS 67072 | PRE-PAID LEGAL SERVICES, INC DBA LEGALSHIELD | $4K | — | $4K | 27.75% |
| MEGAN R JONES4 | 16261 SE COLE CREEK RD LEON, KS 67074 | PRE-PAID LEGAL SERVICES, INC DBA LEGALSHIELD | $123 | — | $123 | 0.81% |
| SEAN O'SHEA4 | 1008 CHIMNEY CT MESQUITE, TX 75181 | PRE-PAID LEGAL SERVICES, INC DBA LEGALSHIELD | $33 | — | $33 | 0.22% |
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 | 359 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 363 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF KANSAS, INC. | 312 | $302K |
| Vision | VISION SERVICE PLAN | 314 | $55K |
| Life insurance | PRUDENTIAL | 359 | $238K |
| Short-term disability | PRUDENTIAL | 359 | $238K |
| Long-term disability | PRUDENTIAL | 359 | $238K |
| Other(4 contracts, 4 carriers) | PRUDENTIAL | 359 | $303K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 359 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.