| 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 | 3.51% |
| LARRY BARR3 | 6950 KENTFORD CIRCLE WICHITA, KS 67226 | AFLAC | $1K | — | $1K | 2.77% |
| GAIL COE3 | 4600 N FARMSTEAD CT BEL AIRE, KS 67220 | AFLAC | $1K | — | $1K | 2.43% |
| SAMUEL A MCFALL3 Filed as: SAMUEL MCFALL | 609 NORTH BROADWAY ST SUITE 200 WICHITA, KS 67214 | AFLAC | $609 | — | $609 | 1.24% |
| HOLLY A. TIMMERMEYER3 Filed as: HOLLY TIMMERMEYER | 201 E 12TH ST HAYS, KS 67601 | AFLAC | $281 | — | $281 | 0.57% |
| ROMEO VEGA INSURANCE INC3 | 5567 STATE HWY U ROGERSVILLE, MO 65742 | AFLAC | $243 | — | $243 | 0.50% |
| WILLINGHAM INC3 | 1502 N METCALF LOUISBURG, KS 66053 | AFLAC | $229 | — | $229 | 0.47% |
| KITTY CORNELL3 | 1719 BRANDON WOODS DR LAWRENCE, KS 66047 | AFLAC | $198 | — | $198 | 0.40% |
| GARY WILLINGHAM3 | 8116 STATE ROAD 66 ZOLFO SPRINGS, FL 33890 | AFLAC | $152 | — | $152 | 0.31% |
| SCOTT SWIMMER3 | 4553 WEST 138TH TERRACE LEAWOOD, KS 66224 | AFLAC | $149 | — | $149 | 0.30% |
| MICHAEL PLETT3 | 1616 AVENUE H ELLSWORTH, KS 67439 | AFLAC | $104 | — | $104 | 0.21% |
| GAIL E RUSS3 | 1433 SUNWAY OKLAHOMA CITY, OK 73127 | AFLAC | $89 | — | $89 | 0.18% |
| NATHAN HARRISON3 | 16024 MANCHESTER RD 2ND FLOOR STE 200 ELLISVILLE, MO 63011 | AFLAC | $79 | — | $79 | 0.16% |
| MARK FRIEHE3 | 4811 S 96TH ST STE 101 OMAHA, NE 68127 | AFLAC | $67 | — | $67 | 0.14% |
| BRIAN TEICHMANN3 | 5804 W 50TH AVE HUTCHINSON, KS 67502 | AFLAC | $63 | — | $63 | 0.13% |
| MARC HOMAN3 | 11828 W CENTRAL AVE STE 100 WICHITA, KS 67212 | AFLAC | $61 | — | $61 | 0.12% |
| CURTIS R HARRIS3 Filed as: CURTIS HARRIS | 4810 FORT STOCKTON DR CORPUS CHRISTI, TX 78413 | AFLAC | $59 | — | $59 | 0.12% |
| DAVID M COUGHLIN3 Filed as: DAVID COUGHLIN | 751 HEBRON PARKWAY STE 220 LEWISVILLE, TX 75057 | AFLAC | $45 | — | $45 | 0.09% |
| DEWAYNE GOLDWYN SIMPSON3 Filed as: DEWAYNE SIMPSON | 4204 COPPER ROCK DR EDMOND, OK 73025 | AFLAC | $43 | — | $43 | 0.09% |
| DEBORAH JOHNSON3 | 441915 E HIGHWAY 60 VINITA, OK 74301 | AFLAC | $31 | — | $31 | 0.06% |
| JANE MCNUFF3 | 12800 S MUSTANG RD MUSTANG, OK 73084 | AFLAC | $28 | — | $28 | 0.06% |
| JAMES HOMER COOK3 Filed as: JAMES COOK | 1050 N GRETCHEN LN WICHITA, KS 67206 | AFLAC | $26 | — | $26 | 0.05% |
| DUANE E ROBBINS3 Filed as: DUANE ROBBINS | 2669 CAVERN RD RAPID CITY, SD 57702 | AFLAC | $22 | — | $22 | 0.04% |
| OWENMYRTLE INC3 | 1811 ST. ANDREWS DRIVE STE 22 LAWRENCE, KS 66047 | AFLAC | $20 | — | $20 | 0.04% |
| BRIAN PORTER3 | 8021 E DRESDEN LN WICHITA, KS 67207 | AFLAC | $16 | — | $16 | 0.03% |
| STEPHEN W SIMPSON3 Filed as: STEPHEN SIMPSON | 541 CONQUISTADOR CT EDMOND, OK 73025 | AFLAC | $9 | — | $9 | 0.02% |
| USI INSURANCE SERVICES LLC3 | PO BOX 206 WICHITA, KS 67201 | AFLAC | $6 | — | $6 | 0.01% |
| LESTER RAY BLACKSHEAR3 Filed as: LESTER BLACKSHEAR | 9192 SE 168TH COOK PL THE VILLAGES, FL 32162 | AFLAC | $5 | — | $5 | 0.01% |
| ELLA OGLESBY3 | 10002 SUMMER WOODS CT MOBILE, AL 36695 | AFLAC | $5 | — | $5 | 0.01% |
| TERRY S DECKER3 Filed as: TERRY DECKER | RT 2 BOX 22 TURPIN, OK 73950 | AFLAC | $3 | — | $3 | 0.01% |
| LYNN E MOLLER3 Filed as: LYNN MOLLER | 332 1ST ST N WICHITA, KS 67202 | AFLAC | $2 | — | $2 | 0.00% |
| KENNETH MORRIS JR3 | 5410 PLYMOUTH DR LAWRENCE, KS 66049 | AFLAC | $1 | — | $1 | 0.00% |
| BRIAN MILLS3 | 1402 W LUCY WEBB RD RAYMORE, MO 64083 | AFLAC | $1 | — | $1 | 0.00% |
| JONI S WOBORNY BUNKER3 Filed as: JONI WOBORNY BUNKER | 1837 VIRGINIA DR MANHATTAN, KS 66502 | AFLAC | $1 | — | $1 | 0.00% |
| JOHN A BACON3 Filed as: JOHN BACON | 1267 LEIGHTON HOLLOW DR DARDENNE PRAIRIE, MO 63368 | AFLAC | $1 | — | $1 | 0.00% |
| JON KRAATZ3 Filed as: JON KRATZ | 118 SABINE ST PORTLAND, TX 78374 | AFLAC | $1 | — | $1 | 0.00% |
| SUE TUCKER3 | 1224 PEACOCK AVE SUITE 205 COLUMBUS, GA 31906 | AFLAC | $1 | — | $1 | 0.00% |
| JOHN C MAGNUSON3 Filed as: JOHN MAGNUSON | PO BOX 8 LINDSBORG, KS 67456 | AFLAC | $1 | — | $1 | 0.00% |
| GAIL A COE3 | 4600 N FARMSTEAD BEL AIRE, KS 67220 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 4.93% |
| JUSTIN C CARSON3 | 7701 E KELLOGG SUITE 680 WICHITA, KS 67207 | CONTINENTAL AMERICAN INSURANCE COMPANY | $883 | — | $883 | 3.21% |
| KATHY A WIEDEMANN3 | 229 E WILLIAM STE 501 WICHITA, KS 67202 | CONTINENTAL AMERICAN INSURANCE COMPANY | $427 | — | $427 | 1.55% |
| KEVIN D INGWERSON3 | 208 S POTTER DR ANDOVER, KS 67002 | CONTINENTAL AMERICAN INSURANCE COMPANY | $122 | — | $122 | 0.44% |
| NATHAN L HARRISON3 | 16024 MANCHESTER ROAD SUITE 111 ELLISVILLE, MO 63011 | CONTINENTAL AMERICAN INSURANCE COMPANY | $112 | — | $112 | 0.41% |
| BRAD J SCHUMACHER3 | PO BOX 762 HAYS, KS 67601 | CONTINENTAL AMERICAN INSURANCE COMPANY | $48 | — | $48 | 0.17% |
| KENNETH D MORRIS JR3 | 5410 PLYMOUTH DR LAWRENCE, KS 66049 | CONTINENTAL AMERICAN INSURANCE COMPANY | $48 | — | $48 | 0.17% |
| JOHN A BACON3 | 1267 LEIGHTON HOLLOW DRIVE DARDENNE PRAIRIE, MO 63368 | CONTINENTAL AMERICAN INSURANCE COMPANY | $37 | — | $37 | 0.13% |
| CHRISTOPHER THOMAS HIPP3 Filed as: CHRISTOPHER T HIPP | 718 MAIN SUITE 205 HAYS, KS 67601 | CONTINENTAL AMERICAN INSURANCE COMPANY | $8 | — | $8 | 0.03% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 NONE | Contract Administrator Service code 13 | — | $225K |
| SURENCY LIFE AND HEALTH EIN 26-1969006 NONE | Insurance services Service code 23 | — | $12K |
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 | 897 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 897 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF KANSAS, INC. | 649 | $0 |
| Stop-loss / reinsurancereinsurance | AETNA LIFE INSURANCE COMPANY | 622 | $398K |
| Other(2 contracts, 2 carriers) | AFLAC | 99 | $77K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 649 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.