| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MICHAEL D CHRISMAN3 Filed as: MICHAEL CHRISMAN | 515 S MAIN ST, STE 105 WICHITA, KS 67202 | AFLAC | $4K | — | $4K | 6.07% |
| ROBERT GELSZAT3 | 11251 E BELLAIRE ST WICHITA, KS 67207 | AFLAC | $1K | — | $1K | 2.24% |
| MICHAEL D CHRISMAN3 Filed as: MICHAEL CHRISMAN | 229 E WILLIAM ST, STE 501 WICHITA, KS 67202 | AFLAC | $840 | — | $840 | 1.29% |
| KATHY WIEDEMANN3 | 220 HIGH VIEW DR BOULDER, CO 80304 | AFLAC | $718 | — | $718 | 1.10% |
| JAMES HOMER COOK3 Filed as: JAMES COOK | 1050 N GRETCHEN LN WICHITA, KS 67206 | AFLAC | $702 | — | $702 | 1.08% |
| CALEB GILMOUR3 | 310 W CENTRAL AVE, STE D ANDOVER, KS 67002 | AFLAC | $402 | — | $402 | 0.62% |
| ROBERT L WINFREY3 Filed as: ROBERT WINFREY | 11520 W NANTUCKET CIR WICHITA, KS 67212 | AFLAC | $310 | — | $310 | 0.48% |
| NATHAN HARRISON3 | 16024 MANCHESTER RD, 2ND FL STE 200 ELLISVILLE, MO 63011 | AFLAC | $215 | — | $215 | 0.33% |
| MARC HOMAN3 | 11828 W CENTRAL AVE, STE 100 WICHITA, KS 67212 | AFLAC | $189 | — | $189 | 0.29% |
| BRIAN PORTER3 | 8021 E DRESDEN LN WICHITA, KS 67207 | AFLAC | $176 | — | $176 | 0.27% |
| TERRY S DECKER3 Filed as: TERRY DECKER | RT 2 BOX 22 TURPIN, OK 73950 | AFLAC | $108 | — | $108 | 0.17% |
| BRAD SCHUMACHER3 | 718 MAIN ST, STE 205 HAYS, KS 67601 | AFLAC | $107 | — | $107 | 0.16% |
| NICOLE E ROONEY3 Filed as: NICOLE FLETCHER | 8815 W NANTUCKET ST WICHITA, KS 67212 | AFLAC | $99 | — | $99 | 0.15% |
| NICOLE E ROONEY3 Filed as: NICOLE ROONEY | 227 N PINE ST GODDARD, KS 67052 | AFLAC | $73 | — | $73 | 0.11% |
| KENNETH MORRIS JR3 | 5410 PLYMOUTH DR LAWRENCE, KS 66049 | AFLAC | $65 | — | $65 | 0.10% |
| WILLINGHAM INC3 Filed as: WILLINGHAM INC. | 1502 N METCALF LOUISBURG, KS 66053 | AFLAC | $52 | — | $52 | 0.08% |
| TERRIE J ENSLINGER3 Filed as: TERRIE ENSLINGER | 10720 E 63RD ST S DERBY, KS 67037 | AFLAC | $52 | — | $52 | 0.08% |
| JOHN G CATE3 Filed as: JOHN CATE | 4246 N SWEET BAY ST WICHITA, KS 67226 | AFLAC | $50 | — | $50 | 0.08% |
| SCOTT SWIMMER3 | 4553 WEST 138TH TERRACE LEAWOOD, KS 66224 | AFLAC | $33 | — | $33 | 0.05% |
| CHRISTOPHER THOMAS HIPP3 Filed as: CHRISTOPHER HIPP | 718 MAIN ST, STE 205 HAYS, KS 67601 | AFLAC | $33 | — | $33 | 0.05% |
| STACY THOMPSON3 | 6801 W PAR LN, APT 1017 WICHITA, KS 67212 | AFLAC | $33 | — | $33 | 0.05% |
| JULIAN DUARTE3 | 412 N MYRTLE ST EUREKA, KS 67045 | AFLAC | $27 | — | $27 | 0.04% |
| JOHN A BACON3 Filed as: JOHN BACON | 1025 DURHAM GARDEN CT OFALLON, MO 63368 | AFLAC | $22 | — | $22 | 0.03% |
| GARY WILLINGHAM3 | 8116 STATE ROAD 66 ZOLFO SPRINGS, FL 33690 | AFLAC | $18 | — | $18 | 0.03% |
| WILLIAM K TEICHGRAEBER3 Filed as: WILLIAM TEICHGRAEBER | 931 167TH ST EUREKA, KS 67045 | AFLAC | $17 | — | $17 | 0.03% |
| MARK FRIEHE3 | 4611 S 96TH ST, STE 101 OMAHA, NE 68127 | AFLAC | $14 | — | $14 | 0.02% |
| MARSHA SETZKORN MEYER3 | 2649 LIMESTONE TAMPA, KS 67483 | AFLAC | $14 | — | $14 | 0.02% |
| BRIAN M LEITZEL3 Filed as: BRIAN LEITZEL | 544 S RIDGE RD, STE 104 WICHITA, KS 67209 | AFLAC | $13 | — | $13 | 0.02% |
| JOHN A BACON3 Filed as: JOHN BACON | 1267 LEIGHTON HOLLOW DR DARDENNE PRAIRIE, MO 63368 | AFLAC | $9 | — | $9 | 0.01% |
| MATTHEW GANT3 | 2501 W 18TH AVE, STE A EMPORIA, KS 66801 | AFLAC | $8 | — | $8 | 0.01% |
| CHARLES CABLE3 | 909 N MAIZE RD, UNIT 308 WICHITA, KS 67212 | AFLAC | $5 | — | $5 | 0.01% |
| BRIAN MILLS3 | 1402 W LUCY WEBB RD RAYMORE, MO 64083 | AFLAC | $4 | — | $4 | 0.01% |
| JONI S WOBORNY BUNKER3 Filed as: JONI WOBORNY BUNKER | 1837 VIRGINA DR MANHATTAN, KS 56502 | AFLAC | $3 | — | $3 | 0.00% |
| JON KRAATZ3 | 118 SABINE ST PORTLAND, TX 78374 | AFLAC | $1 | — | $1 | 0.00% |
| IMA, INC.3 | P.O. BOX 2992 WICHITA, KS 67201 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | $903 | $4K | 13.03% |
| ASSUREX3 Filed as: ASSUREX AGENCY INC. | 175 SOUTH THIRD ST, STE 800 COLUMBUS, OH 43215 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $266 | $266 | 0.83% |
| IMA, INC.3 | P.O. BOX 2992 WICHITA, KS 67201 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | $604 | $3K | 11.80% |
| ASSUREX3 Filed as: ASSUREX AGENCY INC. | 175 SOUTH THIRD ST, STE 800 COLUMBUS, OH 43215 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $178 | $178 | 0.83% |
| IMA, INC.3 | P.O. BOX 2992 WICHITA, KS 67201 | SURENCY LIFE AND HEALTH | $1K | — | $1K | 10.00% |
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 | 129 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 131 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 286 | $1.3M |
| Dental | DELTA DENTAL OF KANSAS, INC. | 127 | $103K |
| Vision | SURENCY LIFE AND HEALTH | 61 | $11K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 129 | $21K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 129 | $32K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF KANSAS | 286 | $1.3M |
| Other(2 contracts, 2 carriers) | AFLAC | 129 | $87K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 286 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.