| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 615 E BRITTON RD OKLAHOMA CITY, OK 73114 | AETNA | $25K | — | $25K | 3.59% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAHER BENEFIT SVCS-WICHITA | 10333 E 21ST ST N SUITE 104 WICHITA, KS 67226 | DELTA DENTAL OF KANSAS, INC. | $3K | — | $3K | 5.20% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 10333 E 21ST ST N SUITE 104 WICHITA, KS 67206 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $9K | $978 | $10K | 22.17% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2345 GRAND BLVD SUITE 200 KANSAS CITY, MO 64108 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | — | $3K | 7.41% |
| CALEB GILMOUR3 | 515 S MAIN SUITE 501 WICHITA, KS 67202 | CONTINENTAL AMERICAN INSURANCE COMPANY | $330 | — | $330 | 0.89% |
| MICHAEL D CHRISMAN3 | 515 S MAIN ST SUITE 105 WICHITA, KS 67202 | CONTINENTAL AMERICAN INSURANCE COMPANY | $264 | — | $264 | 0.71% |
| JUSTIN C CARSON3 | 7701 E KELLOGG SIUITE 680 WICHITA, KS 67207 | CONTINENTAL AMERICAN INSURANCE COMPANY | $180 | — | $180 | 0.48% |
| KATHY A WIEDEMANN3 | 229 E WILLIAM #501 WICHITA, KS 67202 | CONTINENTAL AMERICAN INSURANCE COMPANY | $141 | — | $141 | 0.38% |
| BRIAN TEICHMANN3 Filed as: BRIAN B TEICHMANN | 1100 N AIRPORT ROAD SUITE 114 HUTCHINSON, KS 67502 | CONTINENTAL AMERICAN INSURANCE COMPANY | $119 | — | $119 | 0.32% |
| CURTIS D CROSSON3 | 10509 W SNOKOMO RD HUTCHINSON, KS 67502 | CONTINENTAL AMERICAN INSURANCE COMPANY | $95 | — | $95 | 0.26% |
| BRAD J SCHUMACHER3 | 2804 COUNTRY LANE HAYS, KS 67601 | CONTINENTAL AMERICAN INSURANCE COMPANY | $83 | — | $83 | 0.22% |
| JULIAN DUARTE3 | 412 N MYRTLE ST EUREKA, KS 67045 | CONTINENTAL AMERICAN INSURANCE COMPANY | $63 | — | $63 | 0.17% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 8110 E 32ND STREET N SUITE 100 WICHITA, KS 67226 | CONTINENTAL AMERICAN INSURANCE COMPANY | $53 | — | $53 | 0.14% |
| NATHAN L HARRISON3 | 16024 MANCHESTER ROAD STE 111 ELLISVILLE, MO 63011 | CONTINENTAL AMERICAN INSURANCE COMPANY | $31 | — | $31 | 0.08% |
| KENNETH D MORRIS JR3 | 5410 PLYMOUTH DR LAWRENCE, KS 66049 | CONTINENTAL AMERICAN INSURANCE COMPANY | $14 | — | $14 | 0.04% |
| CHRISTOPHER THOMAS HIPP3 Filed as: CHRISTOPHER T HIPP | 718 MAIN, SUITE 205 HAYS, KS 67601 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6 | — | $6 | 0.02% |
| JOHN A BACON3 | 11630 W 158TH TERRACE OAKLAND PARK, KS 66221 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5 | — | $5 | 0.01% |
| B & C AGENCY INC4 | 7867 SE 197TH TER LATHAM, KS 67072 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $3K | — | $3K | 18.34% |
| JESSE RIDER4 | 1202 N OLIVE ST LEON, KS 67074 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $75 | — | $75 | 0.41% |
| ALYSSA J BABINEAUX4 | 808 N SHERMAN AVE LIBERAL, KS 67901 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $34 | — | $34 | 0.19% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 10333 E 21ST ST N SUITE 104 WICHITA, KS 67206 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $247 | $2K | 22.27% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 10333 E 21ST ST N SUITE 104 WICHITA, KS 67206 | SURENCY LIFE AND HEALTH | $1K | — | $1K | 11.29% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 10333 E 21ST ST N SUITE 104 WICHITA, KS 67206 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $999 | $136 | $1K | 18.18% |
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 | 159 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 159 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA | 166 | $696K |
| Dental | DELTA DENTAL OF KANSAS, INC. | 100 | $66K |
| Vision | SURENCY LIFE AND HEALTH | 71 | $11K |
| Life insurance(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 143 | $51K |
| Short-term disability(2 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 212 | $48K |
| Other(2 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 212 | $55K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 212 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.