| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BRIAN M LEITZEL | 7920 W KELLOGG DR STE 102 WICHITA, KS 67209 | AFLAC | — | — | $0 | — |
| MARK ALAN BRYANT | 9122 W BIRCH LN WICHITA, KS 67212 | AFLAC | — | — | $0 | — |
| SUE C TUCKER | 9856 US HIGHWAY 29 N CUSSETA, AL 36852 | AFLAC | — | — | $0 | — |
| BRIAN MILLS | 1402 W LUCY WEBB RD RAYMORE, MS 64083 | AFLAC | — | — | $0 | — |
| CHRISTOPHER THOMAS HIPP | 1601 MEADOW LN HAYS, KS 67601 | AFLAC | — | — | $0 | — |
| TERRY S DECKER | RR 2 BOX 22 TURPIN, OK 73950 | AFLAC | — | — | $0 | — |
| JOHN A BACON | 30837 SPRING VALLEY RD PAOLA, KS 66071 | AFLAC | — | — | $0 | — |
| SHAWN D SCHWARZ | 1010 DOWNING AVE STE 20 HAYS, KS 67601 | AFLAC | — | — | $0 | — |
| DOUGLAS R SCHENKEL | 2205 WASHINGTON ST GREAT BEND, KS 67530 | AFLAC | — | — | $0 | — |
| IRA A CAPE | 2304 FRANKLIN ST GREAT BEND, KS 67530 | AFLAC | — | — | $0 | — |
| LEIGH ANNE SEEMAN | PO BOX 418 LARNED, KS 67550 | AFLAC | — | — | $0 | — |
| KENNETH D MORRIS JR | 5410 PLYMOUTH DE LAWRENCE, KS 66049 | AFLAC | — | — | $0 | — |
| CALL INSURANCE SERV INC Filed as: CALL INSURANCE SRV INC | PO BOX 1090 GREAT BEND, KS 67530 | AFLAC | — | — | $0 | — |
| MADONNA L HASKINS | PO BOX 1376 DODGE CITY, KS 67801 | AFLAC | — | — | $0 | — |
| ALICE JAYLENE CHREST | 88 NE 25 RD GREAT BEND, KS 67530 | AFLAC | — | — | $0 | — |
| RUSTY J HELIN | 2012 SE 9TH ST MOORE, OK 73160 | AFLAC | — | — | $0 | — |
| GARY GIARRATANO | 13309 W 73RD ST SHAWNEE, KS 66216 | AFLAC | — | — | $0 | — |
| NATHAN L HARRISON | 2 CITYPLACE DE STE 30 CREVE COEUR, MO 63141 | AFLAC | — | — | $0 | — |
| GINGER D YOUNG | 8233 W MEADOW PASS WICHITA, KS 67205 | AFLAC | — | — | $0 | — |
| DAN STECKLEIN | 2011 CENTRAL AVE LOWER LEVEL SOUTH DODGE CITY, KS 67801 | AFLAC | — | — | $0 | — |
| GARY WAYNE WILLINGHAM | 6033 STRAFFORD OAKS DR SEBRING, FL 33875 | AFLAC | — | — | $0 | — |
| MITCHELL K HANEY & ASSOC INC | 701 MCKINLEY ST GREAT BEND, KS 67530 | AFLAC | — | — | $0 | — |
| JOHN C MAGNUSON | 507 S CORONADO AVE LINSBORG, KS 67456 | AFLAC | — | — | $0 | — |
| PATRICIA ZOELLER | PO BOX 181 KINGMAN, KS 67068 | AFLAC | — | — | $0 | — |
| REBECCA S MOLLER | PO BOX 463 ASHLAND, KS 67831 | AFLAC | — | — | $0 | — |
| BRAD J SCHUMACHER | 2804 COUNTRY LN HAYS, KS 67601 | AFLAC | — | — | $0 | — |
| KATHY WIEDEMANN | 222 HIGH VIEW DR BOULDER, CO 80304 | AFLAC | — | — | $0 | — |
| WILLINGHAM INC Filed as: WILLINGHAM INC, | 35354 MISSON BELLEVIEW RD LOUISBURG, KS 66053 | AFLAC | — | — | $0 | — |
| ASHLE BURNETT | 1112 E JAMES ST DERBY, KS 67037 | AFLAC | — | — | $0 | — |
| RUSTY J HELIN Filed as: RUSTY J HELLIN | 125 W 6TH ST COLBY, KS 67701 | AFLAC | — | — | $0 | — |
| BRANDON M UNREIN | 15275 SW INDIANOLA RD AUGUSTA, KS 67010 | AFLAC | — | — | $0 | — |
| JUSTIN C CARSON | 7701 E KELLOGG DR WICHITIA, KS 67207 | AFLAC | — | — | $0 | — |
| CALEB GILMOUR Filed as: CALEB J GILMOUR | 515 S MAIN ST STE 105 WICHITA, KS 67202 | AFLAC | — | — | $0 | — |
| MARC LUTHER HOMAN | 11828 W CENTRAL AVE STE 100 WICHITA, KS 67212 | AFLAC | — | — | $0 | — |
| LYNN E MOLLER | 4527 ENGLISH HOLLY DR FAIRFAX, VA 22030 | AFLAC | — | — | $0 | — |
| TERESA BURNETT | 1112 E JAMES ST DERBY, KS 67037 | AFLAC | — | — | $0 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF KANSAS EIN 48-0952857 SERVICE PROVIDER | Contract Administrator Service code 13 | 1133 SW TOPEKA BLVD TOPEKA, KS 66629 | $98K |
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 | 168 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 168 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF KANSAS | 165 | $351K |
| Dental | DELTA DENTAL OF KANSAS, INC. | 139 | $62K |
| Life insurance | ADVANCE INSURANCE COMPANY OF KANSAS | 168 | $15K |
| Long-term disability | AFLAC | 0 | $0 |
| Prescription drug | BLUE CROSS BLUE SHIELD OF KANSAS | 165 | $351K |
| Other(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF KANSAS | 168 | $366K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 168 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.