| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 2100 ROSS AVENUE SUITE 1200 DALLAS, TX 75201 | HCC LIFE INSURANCE COMPANY | $36K | — | $36K | 5.00% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 2100 ROSS AVENUE SUITE 1200 DALLAS, TX 75201 | SURENCY LIFE AND HEALTH | $8K | — | $8K | 9.99% |
| GAIL A COE3 | 4600 N FARMSTEAD BEL AIRE, KS 67220 | CONTINENTAL AMERICAN INSURANCE COMPANY | $555 | — | $555 | 2.47% |
| JUSTIN C CARSON3 | 13614 E MOUNT VERNON RD WICHITA, KS 67230 | CONTINENTAL AMERICAN INSURANCE COMPANY | $386 | — | $386 | 1.72% |
| BRIAN M LEITZEL3 | PO BOX 162 CHENEY, KS 67025 | CONTINENTAL AMERICAN INSURANCE COMPANY | $201 | — | $201 | 0.89% |
| JOHN E WETIG3 Filed as: JOHN EUGENE WETIG JR | 103 S ROUPP ST HESSTON, KS 67062 | CONTINENTAL AMERICAN INSURANCE COMPANY | $182 | — | $182 | 0.81% |
| KATHY A WIEDEMANN3 | 229 E. WILLIAM #501 WICHITA, KS 67202 | CONTINENTAL AMERICAN INSURANCE COMPANY | $180 | — | $180 | 0.80% |
| SAIDA K SOSA3 Filed as: SAIDA K SOSA-ARREDONDO | 4511 S FLORA CT WICHITA, KS 67215 | CONTINENTAL AMERICAN INSURANCE COMPANY | $163 | — | $163 | 0.72% |
| JULIAN DUARTE3 | 412 N MYRTLE ST EUREKA, KS 67045 | CONTINENTAL AMERICAN INSURANCE COMPANY | $157 | — | $157 | 0.70% |
| CALEB GILMOUR3 Filed as: CALEB J GILMOUR | 220 SWEETGUM CT ANDOVER, KS 67002 | CONTINENTAL AMERICAN INSURANCE COMPANY | $106 | — | $106 | 0.47% |
| JACQUELENE L. KENNEDY3 Filed as: JACQUELENE L KENNEDY | 412 MAIN ST MCCRACKEN, KS 67556 | CONTINENTAL AMERICAN INSURANCE COMPANY | $97 | — | $97 | 0.43% |
| KEVIN D INGWERSON3 | 208 S PUTTER DR ANDOVER, KS 67002 | CONTINENTAL AMERICAN INSURANCE COMPANY | $66 | — | $66 | 0.29% |
| NICOLE E ROONEY3 | 227 N PINE ST GODDARD, KS 67052 | CONTINENTAL AMERICAN INSURANCE COMPANY | $40 | — | $40 | 0.18% |
| KENNETH D MORRIS JR3 | 5410 PLYMOUTH DR LAWRENCE, KS 66049 | CONTINENTAL AMERICAN INSURANCE COMPANY | $21 | — | $21 | 0.09% |
| JOHN A BACON3 | 30837 SPRING VALLEY RD PAOLA, KS 66071 | CONTINENTAL AMERICAN INSURANCE COMPANY | $18 | — | $18 | 0.08% |
| CHRISTOPHER THOMAS HIPP3 Filed as: CHRISTOPHER T HIPP | 718 MAIN SUITE 205 HAYS, KS 67601 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2 | — | $2 | 0.01% |
| JOHN G CATE3 | 4246 N SWEET BAY ST WICHITA, KS 67226 | AFLAC | $550 | — | $550 | 3.78% |
| GAIL A COE3 | 4600 N FARMSTEAD CT BEL AIRE, KS 67220 | AFLAC | $374 | — | $374 | 2.57% |
| LARRY BARR3 Filed as: LARRY J BARR | 6950 KENTFORD CIRCLE WICHITA, KS 67226 | AFLAC | $314 | — | $314 | 2.16% |
| SAMUEL A MCFALL3 | 609 NORTH BROADWAY AVE SUITE 200 WICHITA, KS 67214 | AFLAC | $193 | — | $193 | 1.33% |
| HOLLY A. TIMMERMEYER3 Filed as: HOLLY A TIMMERMEYER | 4327 N BARTON CREEK CIR WICHITA, KS 67226 | AFLAC | $112 | — | $112 | 0.77% |
| SCOTT D SWIMMER3 | 4553 WEST 138TH TERRACE LEAWOOD, KS 66224 | AFLAC | $70 | — | $70 | 0.48% |
| WILLINGHAM INC3 | 35354 MISSION BELLEVIEW RD LOUISBURG, KS 66053 | AFLAC | $69 | — | $69 | 0.47% |
| ROMEO VEGA INSURANCE INC3 Filed as: ROMEO VEGA | 5567 STATE HWY U ROGERSVILLE, MO 65742 | AFLAC | $46 | — | $46 | 0.32% |
| WILLIAM O CORNELL3 | 121 LIME RD NE LAKE PLACID, FL 33852 | AFLAC | $45 | — | $45 | 0.31% |
| MICHAEL PLETT3 Filed as: MICHAEL W PLETT | 1616 AVENUE H ELLSWORTH, KS 67439 | AFLAC | $45 | — | $45 | 0.31% |
| GARY WAYNE WILLINGHAM3 | 6033 STRAFFORD OAKS DRIVE SEBRING, FL 33875 | AFLAC | $32 | — | $32 | 0.22% |
| MARK FRIEHE3 Filed as: MARK E FRIEHE | 11329 P ST SUITE 120 OMAHA, NE 68137 | AFLAC | $31 | — | $31 | 0.21% |
| NATHAN L HARRISON3 | 5301 E VISTA RICA ST PARADISE VALLEY, AZ 85253 | AFLAC | $30 | — | $30 | 0.21% |
| DEBORAH JOHNSON3 Filed as: DEBORAH A JOHNSON | 441915 E HIGHWAY 60 VINITA, OK 74301 | AFLAC | $28 | — | $28 | 0.19% |
| JANE M MCNEFF3 | 12800 S MUSTANG RD MUSTANG, OK 73064 | AFLAC | $26 | — | $26 | 0.18% |
| MARC LUTHER HOMAN3 | 11828 W CENTRAL AVE STE 100 WICHITA, KS 67212 | AFLAC | $19 | — | $19 | 0.13% |
| DAVID M COUGHLIN3 | 1400 SUN COOPER DR LAS VEGAS, NV 89117 | AFLAC | $14 | — | $14 | 0.10% |
| STEPHEN W SIMPSON3 | 540 CELTIC CT EDMOND, OK 73025 | AFLAC | $8 | — | $8 | 0.05% |
| DEWAYNE GOLDWYN SIMPSON3 Filed as: DEWAYNE GOLWYN SIMPSON | 4204 COPPER ROCK DR EDMOND, OK 73025 | AFLAC | $7 | — | $7 | 0.05% |
| CURTIS R HARRIS3 | 7410 CANIS DR CORPUS CHRISTI, TX 78412 | AFLAC | $6 | — | $6 | 0.04% |
| USI INSURANCE SERVICES LLC3 | 245 N WACO ST STE 412 WICHITA, KS 67202 | AFLAC | $6 | — | $6 | 0.04% |
| RICHARD W. CORNELL3 Filed as: RICHARD W CORNELL | 317 STOCKADE ST LAWRENCE, KS 66049 | AFLAC | $5 | — | $5 | 0.03% |
| LESTER RAY BLACKSHEAR3 | 9192 SE 168TH COOK PL THE VILLAGES, FL 32162 | AFLAC | $4 | — | $4 | 0.03% |
| TERRY S DECKER3 | 123401 EW 6 RD TURPIN, OK 73950 | AFLAC | $3 | — | $3 | 0.02% |
| BRIAN MILLS3 | 1402 W LUCY WEBB RD RAYMORE, MO 64083 | AFLAC | $3 | — | $3 | 0.02% |
| LYNN E MOLLER3 | 4527 ENGLISH HOLLY DR FAIRFAX, VA 22030 | AFLAC | $3 | — | $3 | 0.02% |
| KENNETH D MORRIS JR3 | 5410 PLYMOUTH DR LAWRENCE, KS 66049 | AFLAC | $3 | — | $3 | 0.02% |
| JONI S WOBORNY BUNKER3 | 4601 LICHEN LN MANHATTAN, KS 66503 | AFLAC | $2 | — | $2 | 0.01% |
| JOHN C KRAATZ3 | 118 SABINE ST PORTLAND, TX 78374 | AFLAC | $1 | — | $1 | 0.01% |
| JOHN A BACON3 | 30837 SPRING VALLEY RD PAOLA, KS 66071 | AFLAC | $1 | — | $1 | 0.01% |
| SUE C TUCKER3 | — | AFLAC | $1 | — | $1 | 0.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UMR, INC. EIN 39-1995276 NONE | Claims processing Service code 12 | — | $435K |
| EPIPHANY RX, LLC EIN 36-4855405 NONE | Claims processing Service code 12 | — | $158K |
| EMPLOYEE BENEFITS CORPORATION EIN 39-2044064 NONE | Contract Administrator; Claims processing Service code 12 | — | $3K |
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 | 844 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 844 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF KANSAS, INC. | 706 | $0 |
| Vision | SURENCY LIFE AND HEALTH | 550 | $82K |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | TOKIO MARINE | 693 | $1.4M |
| Other(2 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 44 | $37K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 706 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.