| 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 | $5K | $22 | $5K | 8.06% |
| JULIAN DUARTE3 | 412 N MYRTLE ST EUREKA, KS 67045 | AFLAC | $2K | $31 | $2K | 2.70% |
| ROBERT GELSZAT3 | 11251 E BELLAIRE ST WICHITA, KS 67207 | AFLAC | $1K | — | $1K | 1.94% |
| CALEB GILMOUR3 | 515 S MAIN ST, STE 105 WICHITA, KS 67202 | AFLAC | $812 | $14 | $826 | 1.39% |
| NICOLE E ROONEY3 Filed as: NICOLE ROONEY | 227 N PINE ST GODDARD, KS 67052 | AFLAC | $776 | — | $776 | 1.30% |
| STACY THOMPSON3 | 6801 W PAR LN, APT 1017 WICHITA, KS 67212 | AFLAC | $474 | $32 | $506 | 0.85% |
| KATHY WIEDEMANN3 | 220 HIGH VIEW DR BOULDER, CO 80304 | AFLAC | $502 | — | $502 | 0.84% |
| JAMES HOMER COOK3 Filed as: JAMES COOK | 1050 N GRETCHEN LN WICHITA, KS 67206 | AFLAC | $493 | — | $493 | 0.83% |
| ROBERT L WINFREY3 Filed as: ROBERT WINFREY | 11520 W NANTUCKET CIR WICHITA, KS 67212 | AFLAC | $250 | — | $250 | 0.42% |
| NATHAN HARRISON3 | 16024 MANCHESTER RD, 2ND FL STE 200 ELLISVILLE, MO 63011 | AFLAC | $172 | — | $172 | 0.29% |
| MARC HOMAN3 | 11828 W CENTRAL AVE, STE 100 WICHITA, KS 67212 | AFLAC | $136 | — | $136 | 0.23% |
| BRIAN PORTER3 | 8021 E DRESDEN LN WICHITA, KS 67207 | AFLAC | $127 | — | $127 | 0.21% |
| BRIAN M LEITZEL3 Filed as: BRIAN LEITZEL | 544 S RIDGE RD, STE 104 WICHITA, KS 67209 | AFLAC | $125 | — | $125 | 0.21% |
| TERRY S DECKER3 Filed as: TERRY DECKER | RR 2 BOX 22 TURPIN, OK 73950 | AFLAC | $93 | — | $93 | 0.16% |
| BRAD SCHUMACHER3 | 2804 COUNTRY LN HAYS, KS 67601 | AFLAC | $78 | — | $78 | 0.13% |
| TERRIE J ENSLINGER3 Filed as: TERRIE ENSLINGER | 10720 E 63RD ST S DERBY, KS 67037 | AFLAC | $74 | — | $74 | 0.12% |
| KENNETH MORRIS JR3 | 5410 PLYMOUTH DR LAWRENCE, KS 66049 | AFLAC | $55 | — | $55 | 0.09% |
| WILLIAM K TEICHGRAEBER3 Filed as: WILLIAM TEICHGRAEBER | 931 167TH ST EUREKA, KS 67045 | AFLAC | $47 | — | $47 | 0.08% |
| WILLINGHAM INC3 Filed as: WILLINGHAM INC. | 1502 N METCALF RD LOUISBURG, KS 66053 | AFLAC | $31 | — | $31 | 0.05% |
| NICOLE E ROONEY3 Filed as: NICOLE FLETCHER | 8815 W NANTUCKET ST WICHITA, KS 67212 | AFLAC | $29 | — | $29 | 0.05% |
| SCOTT SWIMMER3 | 4553 WEST 138TH TERRACE LEAWOOD, KS 66224 | AFLAC | $28 | — | $28 | 0.05% |
| CHRISTOPHER THOMAS HIPP3 Filed as: CHRISTOPHER HIPP | 1601 MEADOW LN HAYS, KS 67601 | AFLAC | $27 | — | $27 | 0.05% |
| MATTHEW GANT3 | 2501 W 18TH AVE, STE A EMPORIA, KS 66801 | AFLAC | $25 | — | $25 | 0.04% |
| BRIAN M LEITZEL3 Filed as: BRIAN LEITZEL | 7920 W KELLOGG DR, STE 103 WICHITA, KS 67209 | AFLAC | $18 | — | $18 | 0.03% |
| JOHN G CATE3 Filed as: JOHN CATE | 4246 N SWEET BAY ST WICHITA, KS 67226 | AFLAC | $17 | — | $17 | 0.03% |
| JOHN A BACON3 Filed as: JOHN BACON | 13716 PARKHILL OVERLAND PARK, KS 66221 | AFLAC | $16 | — | $16 | 0.03% |
| MARSHA SETZKORN MEYER3 | 2649 LIMESTONE TAMPA, KS 67483 | AFLAC | $12 | — | $12 | 0.02% |
| JOHN A BACON3 Filed as: JOHN BACON | 1025 DURHAM GARDEN CT OFALLON, MO 63368 | AFLAC | $11 | — | $11 | 0.02% |
| JENNIFER M WOFFORD3 Filed as: JENNIFER WOFFORD | 2231 S UPLAND HILLS CT WICHITA, KS 67235 | AFLAC | $11 | — | $11 | 0.02% |
| MARK FRIEHE3 | 11218 JOHN GALT BLVD, STE 101 OMAHA, NE 68137 | AFLAC | $8 | — | $8 | 0.01% |
| GARY WILLINGHAM3 | 6033 STRAFFORD OAKS DR SEBRING, FL 33875 | AFLAC | $7 | — | $7 | 0.01% |
| GARY GIARRATANO3 | 13309 W 73RD ST SHAWNEE, KS 66216 | 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 66502 | AFLAC | $3 | — | $3 | 0.01% |
| MARK FRIEHE3 | 4611 S 96TH ST, STE 101 OMAHA, NE 68127 | AFLAC | $3 | — | $3 | 0.01% |
| CHARLES CABLE3 | 909 N MAIZE RD, UNIT 308 WICHITA, KS 67212 | AFLAC | $1 | — | $1 | 0.00% |
| IMA, INC.3 | P.O. BOX 2992 WICHITA, KS 67201 | HARTFORD LIFE AND ACCIDENT | $8K | $3K | $12K | 20.80% |
| 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 | 120 | 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) | 122 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 251 | $1.3M |
| Dental | DELTA DENTAL OF KANSAS, INC. | 112 | $105K |
| Vision | SURENCY LIFE AND HEALTH | 67 | $14K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 122 | $56K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 122 | $56K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF KANSAS | 251 | $1.3M |
| Other(2 contracts, 2 carriers) | AFLAC | 122 | $116K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 251 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.