| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SHARA L PERRY | 106 DOWNING STREET MORRILL, KS 66515 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 5.44% |
| CONSTANCE N SCHMIDT | 924 S 6TH ST ATCHISON, KS 66002 | CONTINENTAL AMERICAN INSURANCE COMPANY | $814 | — | $814 | 3.70% |
| REBECCA EIGENMAN Filed as: REBECCA F EIGENMAN | 3025 SW MCCLURE ROAD TOPEKA, KS 66614 | CONTINENTAL AMERICAN INSURANCE COMPANY | $756 | — | $756 | 3.43% |
| PERRY AND CARROLL INC.3 Filed as: PERRY W HENAULT | 2443 SE CUVIER ST TECUMSEH, KS 66542 | CONTINENTAL AMERICAN INSURANCE COMPANY | $401 | — | $401 | 1.82% |
| BRIAN MILLS3 Filed as: BRIAN A MILLS | 1402 W LUCY WEBB ROAD RAYMORE, MO 64083 | CONTINENTAL AMERICAN INSURANCE COMPANY | $242 | — | $242 | 1.10% |
| FRANK M KING IV | 9605 115TH TER OVERLAND PARK, KS 66210 | CONTINENTAL AMERICAN INSURANCE COMPANY | $212 | — | $212 | 0.96% |
| JULIA HADORN Filed as: JULIA R HADORN | 10778 SOUTH CARBONDALE ST OLATHE, KS 66061 | CONTINENTAL AMERICAN INSURANCE COMPANY | $98 | — | $98 | 0.45% |
| BRAD J SCHUMACHER | PO BOX 762 HAYS, KS 67601 | CONTINENTAL AMERICAN INSURANCE COMPANY | $97 | — | $97 | 0.44% |
| RWI BENEFITS LLC3 Filed as: RWI BENEFITS, LLC | PO BOX 2427 JOPLIN, MO 64803 | CONTINENTAL AMERICAN INSURANCE COMPANY | $88 | — | $88 | 0.40% |
| ROBERT M WEAVER3 | PO BOX 2427 JOPLIN, MO 64803 | CONTINENTAL AMERICAN INSURANCE COMPANY | $59 | — | $59 | 0.27% |
| OWENMYRTLE INC3 Filed as: OWENMYRTLE INC. | 1611 ST. ANDREWS DR, STE 22 LAWRENCE, KS 66047 | CONTINENTAL AMERICAN INSURANCE COMPANY | $47 | — | $47 | 0.21% |
| JAMES B PAYNE3 | 820 LINCOLN BALDWIN CITY, KS 66006 | CONTINENTAL AMERICAN INSURANCE COMPANY | $46 | — | $46 | 0.21% |
| NATHAN L HARRISON | 16024 MACHESTER ROAD, STE 111 ELLISVILLE, MO 63011 | CONTINENTAL AMERICAN INSURANCE COMPANY | $45 | — | $45 | 0.20% |
| KENNETH D MORRIS JR3 | 5410 PLYMOUTH DR LAWRENCE, KS 66049 | CONTINENTAL AMERICAN INSURANCE COMPANY | $37 | — | $37 | 0.17% |
| CHRISTOPHER THOMAS HIPP3 Filed as: CHRISTOPHER T HIPP | 718 MAIN, STE 205 HAYS, KS 67601 | CONTINENTAL AMERICAN INSURANCE COMPANY | $34 | — | $34 | 0.15% |
| ALYSON M LINSCOTT | 5228 EISENHOWER PL LAWRENCE, KS 66049 | CONTINENTAL AMERICAN INSURANCE COMPANY | $30 | — | $30 | 0.14% |
| ARICCA F WALLACE3 | 2957 NEVADA ST MANHATTAN, KS 66502 | CONTINENTAL AMERICAN INSURANCE COMPANY | $29 | — | $29 | 0.13% |
| KRISTY GRAMLICH INC3 Filed as: KRISTY L GRAMLICH | 9131 N BOOTH COURT KANSAS CITY, MO 64157 | CONTINENTAL AMERICAN INSURANCE COMPANY | $21 | — | $21 | 0.10% |
| JEREMY FRYE & ASSOCIATES INC3 Filed as: JEREMY FRYE & ASSOCIATE, INC. | 1508 CHURCH ROAD, SUITE B LIBERTY, MO 64068 | CONTINENTAL AMERICAN INSURANCE COMPANY | $13 | — | $13 | 0.06% |
| SAM A MILLS | 1402 W LUCY WEBB ROAD RAYMORE, MO 66047 | CONTINENTAL AMERICAN INSURANCE COMPANY | $11 | — | $11 | 0.05% |
| JOHN A BACON3 | 1267 LEIGHTON HOLLOW DRIVE DARDENNE PRAIRIE, MO 63368 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2 | — | $2 | 0.01% |
| JANET ZENTMIRE RIGSBY3 Filed as: JANET Z LANGE | 801 MELANAE CT LIBERTY, MO 64068 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| JENNIFER L BOYD (SMITH)3 Filed as: JENNIFER L BOYD | 319 N MAIN ST, STE 130 SPRINGFIELD, MO 65806 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| CONSTANCE I LAGER3 | 5109 NE 55TH TERR KANSAS CITY, MO 64119 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
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 | 185 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 185 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 150 | $696K |
| Dental | BLUE CROSS AND BLUE SHIELD OF KANSAS | 150 | $696K |
| Vision | VISION SERVICE PLAN | 115 | $21K |
| Life insurance | ADVANCE INSURANCE COMPANY OF KANSAS | 185 | $12K |
| Short-term disability | CONTINENTAL AMERICAN INSURANCE COMPANY | 155 | $22K |
| Long-term disability | CONTINENTAL AMERICAN INSURANCE COMPANY | 155 | $22K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF KANSAS | 150 | $696K |
| Other(2 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 185 | $34K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 185 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.