| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JOHN G CATE3 Filed as: JOHN CATE | 4246 N SWEET BAY ST WICHITA, KS 67226 | AFLAC | $2K | — | $2K | 3.27% |
| LARRY BARR3 | 6950 KENTFORD CIRCLE WICHITA, KS 67226 | AFLAC | $1K | — | $1K | 2.75% |
| GAIL COE3 | 4600 N FARMSTEAD CT BEL AIRE, KS 67220 | AFLAC | $1K | — | $1K | 2.70% |
| SAMUEL A MCFALL3 Filed as: SAMUEL MCFALL | 609 NORTH BROADWAY ST SUITE 200 WICHITA, KS 67214 | AFLAC | $614 | — | $614 | 1.21% |
| HOLLY A. TIMMERMEYER3 Filed as: HOLLY TIMMERMEYER | 3259 N WOODLAND ST WICHITA, KS 67204 | AFLAC | $318 | — | $318 | 0.63% |
| ROMEO VEGA INSURANCE INC3 | 5567 STATE HWY U ROGERSVILLE, MO 65742 | AFLAC | $240 | — | $240 | 0.47% |
| WILLINGHAM INC3 | 1502 N METCALF LOUISBURG, KS 66053 | AFLAC | $230 | — | $230 | 0.45% |
| KITTY CORNELL3 | 1719 BRANDON WOODS DR LAWRENCE, KS 66047 | AFLAC | $191 | — | $191 | 0.38% |
| GARY WILLINGHAM3 | 8116 STATE ROAD 66 ZOLFO SPRINGS, FL 33890 | AFLAC | $145 | — | $145 | 0.29% |
| SCOTT SWIMMER3 | 4553 WEST 138TH TERRACE LEAWOOD, KS 66224 | AFLAC | $140 | — | $140 | 0.28% |
| MICHAEL PLETT3 | 1515 AVENUE H ELLSWORTH, KS 67439 | AFLAC | $99 | — | $99 | 0.20% |
| NATHAN HARRISON3 | 16024 MANCHESTER RD 2ND FLOOR STE 200 ELLISVILLE, MO 63011 | AFLAC | $98 | — | $98 | 0.19% |
| GAIL E RUSS3 | 1433 SUNWAY OKLAHOMA CITY, OK 73127 | AFLAC | $82 | — | $82 | 0.16% |
| MARK FRIEHE3 | 4811 S 96TH ST STE 101 OMAHA, NE 68127 | AFLAC | $64 | — | $64 | 0.13% |
| BRIAN TEICHMANN3 | 1100 AIRPORT RD STE 114 HUTCHINSON, KS 67501 | AFLAC | $58 | — | $58 | 0.11% |
| CURTIS R HARRIS3 Filed as: CURTIS HARRIS | 4810 FORT STOCKTON DR CORPUS CHRISTI, TX 78413 | AFLAC | $57 | — | $57 | 0.11% |
| MARC HOMAN3 | 11828 W CENTRAL AVE STE 100 WICHITA, KS 67212 | AFLAC | $56 | — | $56 | 0.11% |
| DAVID M COUGHLIN3 Filed as: DAVID COUGHLIN | 751 HEBRON PARKWAY STE 220 LEWISVILLE, TX 75057 | AFLAC | $44 | — | $44 | 0.09% |
| DEWAYNE GOLDWYN SIMPSON3 Filed as: DEWAYNE SIMPSON | 4204 COPPER ROCK DR EDMOND, OK 73025 | AFLAC | $40 | — | $40 | 0.08% |
| JANE MCNUFF3 | 12800 S MUSTANG RD MUSTANG, OK 73084 | AFLAC | $30 | — | $30 | 0.06% |
| DEBORAH JOHNSON3 | 441915 E HIGHWAY 60 VINITA, OK 74301 | AFLAC | $28 | — | $28 | 0.06% |
| JAMES HOMER COOK3 Filed as: JAMES COOK | 1050 N GRETCHEN LN WICHITA, KS 67206 | AFLAC | $24 | — | $24 | 0.05% |
| DUANE E ROBBINS3 Filed as: DUANE ROBBINS | 3002 SILVER ASPEN PL RAPID CITY, SD 57702 | AFLAC | $21 | — | $21 | 0.04% |
| OWENMYRTLE INC3 | 1811 ST. ANDREWS DRIVE STE 22 LAWRENCE, KS 66047 | AFLAC | $18 | — | $18 | 0.04% |
| BRIAN PORTER3 | 8021 E DRESDEN LN WICHITA, KS 67207 | AFLAC | $15 | — | $15 | 0.03% |
| ANDREW COE3 | 4600 FARMSTEAD CT BEL AIRE, KS 67220 | AFLAC | $13 | — | $13 | 0.03% |
| STEPHEN W SIMPSON3 Filed as: STEPHEN SIMPSON | 541 CONQUISTADOR CT EDMOND, OK 73025 | AFLAC | $8 | — | $8 | 0.02% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF GREATER KANSAS INC | PO BOX 206 WICHITA, KS 67201 | AFLAC | $6 | — | $6 | 0.01% |
| LESTER RAY BLACKSHEAR3 Filed as: LESTER BLACKSHEAR | 500 E FORT KING ST STE A OCALA, FL 34471 | AFLAC | $4 | — | $4 | 0.01% |
| ELLA OGLESBY3 | 10002 SUMMER WOODS CT MOBILE, AL 36695 | AFLAC | $4 | — | $4 | 0.01% |
| DARREN WARREN3 | 13504 N 2320 RD GOTEBO, OK 73041 | AFLAC | $4 | — | $4 | 0.01% |
| JULIE C TRULUCK INC3 | 8721 CYPRESS RESERVE CIR ORLANDO, FL 32836 | AFLAC | $1 | — | $1 | 0.00% |
| TRULUCK & ASSOCIATES INC3 | 8721 CYPRESS RESERVE CIR RIVERVIEW, FL 32836 | AFLAC | $1 | — | $1 | 0.00% |
| GAIL A COE3 | 4600 N FARMSTEAD BEL AIRE, KS 67220 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 7.29% |
| JUSTIN C CARSON3 | 7701 E KELLOGG SUITE 680 WICHITA, KS 67207 | CONTINENTAL AMERICAN INSURANCE COMPANY | $997 | — | $997 | 3.76% |
| KATHY A WIEDEMANN3 | 229 E WILLIAM STE 501 WICHITA, KS 67202 | CONTINENTAL AMERICAN INSURANCE COMPANY | $501 | — | $501 | 1.89% |
| KEVIN D INGWERSON3 | 9402 E 43RD CIR N WICHITA, KS 67226 | CONTINENTAL AMERICAN INSURANCE COMPANY | $134 | — | $134 | 0.51% |
| NATHAN L HARRISON3 | 16024 MANCHESTER ROAD SUITE 111 ELLISVILLE, MO 63011 | CONTINENTAL AMERICAN INSURANCE COMPANY | $123 | — | $123 | 0.46% |
| BRAD J SCHUMACHER3 | PO BOX 762 HAYS, KS 67601 | CONTINENTAL AMERICAN INSURANCE COMPANY | $67 | — | $67 | 0.25% |
| KENNETH D MORRIS JR3 | 5410 PLYMOUTH DR LAWRENCE, KS 66049 | CONTINENTAL AMERICAN INSURANCE COMPANY | $62 | — | $62 | 0.23% |
| JOHN A BACON3 | 1267 LEIGHTON HOLLOW DRIVE DARDENNE PRAIRIE, MO 63368 | CONTINENTAL AMERICAN INSURANCE COMPANY | $40 | — | $40 | 0.15% |
| CHRISTOPHER THOMAS HIPP3 Filed as: CHRISTOPHER T HIPP | 718 MAIN SUITE 205 HAYS, KS 67601 | CONTINENTAL AMERICAN INSURANCE COMPANY | $20 | — | $20 | 0.08% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| SURENCY LIFE AND HEALTH EIN 26-1969006 NONE | Direct payment from the plan; Insurance services Service code 23 | — | $11K |
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 | 954 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 954 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF KANSAS, INC. | 633 | $0 |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF KANSAS | 1,359 | $624K |
| Other(2 contracts, 2 carriers) | AFLAC | 108 | $77K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,359 | — |
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.