| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MICHAEL D CHRISMAN3 Filed as: MICHAEL CHRISMAN | 229 E WILLIAM ST, STE 501 WICHITA, KS 67202 | AFLAC | $6K | $460 | $6K | 8.63% |
| NICOLE E ROONEY3 Filed as: NICOLE FLETCHER | 8815 W NANTUCKET ST WICHITA, KS 67212 | AFLAC | $2K | $8 | $2K | 3.09% |
| ROBERT GELSZAT3 | 11251 E BELLAIRE ST WICHITA, KS 67207 | AFLAC | $2K | — | $2K | 2.47% |
| KATHY WIEDEMANN3 | 220 HIGH VIEW DR BOULDER, CO 80304 | AFLAC | $1K | $92 | $2K | 2.13% |
| JAMES HOMER COOK3 Filed as: JAMES COOK | 1050 N GRETCHEN LN WICHITA, KS 67206 | AFLAC | $894 | — | $894 | 1.21% |
| ROBERT L WINFREY3 Filed as: ROBERT WINFREY | 415 S GREENWOOD ST, STE 2 WICHITA, KS 67211 | AFLAC | $389 | — | $389 | 0.53% |
| NATHAN HARRISON3 | 16024 MANCHESTER RD, 2ND FL STE 200 ELLISVILLE, MO 63011 | AFLAC | $261 | — | $261 | 0.35% |
| MARC HOMAN3 | 11828 W CENTRAL AVE, STE 100 WICHITA, KS 67212 | AFLAC | $228 | — | $228 | 0.31% |
| BRIAN PORTER3 | 8021 E DRESDEN LN WICHITA, KS 67207 | AFLAC | $219 | — | $219 | 0.30% |
| BRAD SCHUMACHER3 | 718 MAIN ST, STE 205 HAYS, KS 67601 | AFLAC | $122 | $92 | $214 | 0.29% |
| TERRY S DECKER3 | RT 2 BOX 22 TURPIN, OK 73950 | AFLAC | $119 | — | $119 | 0.16% |
| JOHN G CATE3 Filed as: JOHN CATE | 4246 N SWEET BAY ST WICHITA, KS 67226 | AFLAC | $74 | — | $74 | 0.10% |
| WILLINGHAM INC3 | 1502 N METCALF LOUISBURG, KS 66053 | AFLAC | $69 | — | $69 | 0.09% |
| TONY WILBECK3 | 1733 N WESTFIELD ST WICHITA, KS 67212 | AFLAC | $49 | — | $49 | 0.07% |
| SCOTT SWIMMER3 | 4553 WEST 138TH TERRACE LEAWOOD, KS 66224 | AFLAC | $46 | — | $46 | 0.06% |
| STEVEN S HENRY3 Filed as: STEVEN HENRY | 9140 YORK LANE HAYSVILLE, KS 67060 | AFLAC | $42 | — | $42 | 0.06% |
| GARY WILLINGHAM3 | 8118 STATE ROAD 66 ZOLFO SPRINGS, FL 33890 | AFLAC | $29 | — | $29 | 0.04% |
| MARK FRIEHE3 Filed as: MARK E FRIEHE | 4611 S 96TH ST, STE 101 OMAHA, NE 68127 | AFLAC | $21 | — | $21 | 0.03% |
| WILLIAM K TEICHGRAEBER3 Filed as: WILLIAM TEICHGRAEBER | 931 167TH ST EUREKA, KS 67045 | AFLAC | $18 | — | $18 | 0.02% |
| MARSHA SETZKORN MEYER3 | 2649 LIMESTONE TAMPA, KS 67483 | AFLAC | $14 | — | $14 | 0.02% |
| CALEB GILMOUR3 | 310 W CENTRAL AVE, STE D ANDOVER, KS 67002 | AFLAC | $9 | — | $9 | 0.01% |
| MATTHEW GANT3 | 2501 W 18TH AVE, STE A EMPORIA, KS 66801 | AFLAC | $8 | — | $8 | 0.01% |
| IMA, INC.3 Filed as: IMA INC | PO BOX 2992 WICHITA, KS 67201 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | — | $4K | 10.69% |
| ASSUREX3 Filed as: ASSUREX AGENCY INC | 175 SOUTH THIRD STREET, STE 800 COLUMBUS, OH 43215 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $599 | $599 | 1.50% |
| IMA, INC.3 Filed as: IMA INC | PO BOX 2992 WICHITA, KS 67201 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 9.89% |
| ASSUREX3 Filed as: ASSUREX AGENCY INC | 175 SOUTH THIRD STREET, STE 800 COLUMBUS, OH 43215 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $401 | $401 | 1.50% |
| IMA, INC.3 Filed as: IMA INC | PO BOX 2992 WICHITA, KS 67201 | SURENCY LIFE AND HEALTH | $194 | — | $194 | 1.64% |
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 | 136 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 136 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | COVENTRY HEALTH CARE OF KANSAS, INC. | 158 | $1.1M |
| Dental | DELTA DENTAL OF KANSAS, INC. | 123 | $102K |
| Vision | SURENCY LIFE AND HEALTH | 59 | $12K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 136 | $27K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 136 | $40K |
| Other(2 contracts, 2 carriers) | AFLAC | 136 | $101K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 158 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.