| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS-WICHITA | 8110 E 32ND STREET, SUITE 100 WICHITA, KS 67226 | DELTA DENTAL OF KANSAS, INC. | $4K | — | $4K | — |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS-WICHITA | 8110 E 32ND STREET, SUITE 100 WICHITA, KS 67226 | SURENCY LIFE AND HEALTH | $280 | — | $280 | — |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS-WICHITA | 8110 E 32ND STREET, SUITE 100 WICHITA, KS 67226 | SURENCY LIFE AND HEALTH | $1K | — | $1K | — |
| BRIAN TEICHMANN3 | 1100 AIRPORT RD STE 114 HUTCHINSON, KS 67501 | AFLAC | $63 | — | $63 | — |
| MICHAEL HOWELL3 | 1501 N ROCKY CREED RD WICHITA, KS 67230 | AFLAC | $54 | — | $54 | — |
| BRAD J SCHUMACHER3 | 718 MAIN ST STE 205 HAYS, KS 67601 | AFLAC | $32 | — | $32 | — |
| NATHAN L HARRISON | 16024 MANCHESTER RD 2ND FLOOR STE 200 ELLISVILLE, MO 63011 | AFLAC | — | — | $0 | — |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2345 GRAND BLVD STE 200 KANSAS CITY, MO 64108 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6K | — | $6K | — |
| CRAIG HOWELL3 | 229 EAST WILLIAM SUITE 501 WICHITA, KS 67202 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5K | — | $5K | — |
| JUSTIN C CARSON3 | 7701 E KELLOGG SUITE 680 WICHITA, KS 67207 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | — |
| KATHY A WIEDEMANN3 | 229 E WILLIAM #501 WICHITA, KS 67202 | CONTINENTAL AMERICAN INSURANCE COMPANY | $849 | — | $849 | — |
| BRIAN TEICHMANN3 Filed as: BRIAN B TEICHMANN | 1100 N AIRPORT ROAD SUITE 114 HUTCHINSON, KS 67502 | CONTINENTAL AMERICAN INSURANCE COMPANY | $274 | — | $274 | — |
| BRAD J SCHUMACHER3 | PO BOX 762 HAYS, KS 67601 | CONTINENTAL AMERICAN INSURANCE COMPANY | $253 | — | $253 | — |
| CURTIS D CROSSON3 Filed as: CURTIS D CROUSSON | 10509 W SNOKOMO RD HUTCHINSON, KS 67502 | CONTINENTAL AMERICAN INSURANCE COMPANY | $172 | — | $172 | — |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES, INC | 8110 E 32ND STREET, SUITE 100 WICHITA, KS 67226 | CONTINENTAL AMERICAN INSURANCE COMPANY | $166 | — | $166 | — |
| LESLIE B BERGSTROM3 | 317 GRAND AVE PLAINS, KS 67869 | CONTINENTAL AMERICAN INSURANCE COMPANY | $79 | — | $79 | — |
| KENNETH D MORRIS JR3 | 5410 PLYMOUTH DR LAWRENCE, KS 66049 | CONTINENTAL AMERICAN INSURANCE COMPANY | $62 | — | $62 | — |
| NATHAN L HARRISON3 | 16024 MANCHESTER ROAD STE 111 ELLISVILLE, MO 63011 | CONTINENTAL AMERICAN INSURANCE COMPANY | $58 | — | $58 | — |
| CHRISTOPHER THOMAS HIPP3 Filed as: CHRISTOPHER T HIPP | 718 MAIN SUITE 205 HAYS, KS 67601 | CONTINENTAL AMERICAN INSURANCE COMPANY | $38 | — | $38 | — |
| JOHN A BACON3 | 1267 LEIGHTON HOLLOW DRIVE DARDEENE PRAIRIE, MO 63368 | CONTINENTAL AMERICAN INSURANCE COMPANY | $17 | — | $17 | — |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 8110 E 32ND STREET N, STE 100 WICHITA, KS 67226 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | — | $1K | — |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 8110 E 32ND STREET N, STE 100 WICHITA, KS 67226 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $8K | — | $8K | — |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 8110 E 32ND STREET N, STE 100 WICHITA, KS 67226 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | — | $3K | — |
| ROBERT L. PILCHER4 Filed as: ROBERT L PILCHER | 7867 SE 197TH TER LATHAM, KS 67072 | PRE-PAID LEGAL SERVICES, INC DBA LEGALSHIELD | $5K | — | $5K | — |
| ROBERT L. PILCHER4 Filed as: ROBERT L PILCHER | 7867 SE 197TH TER LATHAM, KS 67072 | PRE-PAID LEGAL SERVICES, INC DBA LEGALSHIELD | $3K | — | $3K | — |
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 | 181 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 181 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 209 | $0 |
| Dental | DELTA DENTAL OF KANSAS, INC. | 113 | $0 |
| Vision(2 contracts) | SURENCY LIFE AND HEALTH | 65 | $0 |
| Life insurance(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 194 | $0 |
| Short-term disability(3 contracts, 3 carriers) | AFLAC | 158 | $0 |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 209 | $0 |
| Other(3 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 158 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 209 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.