| 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 | $3K | $318 | $3K | 5.73% |
| ROBERT GELSZAT3 | 11251 E BELLAIRE ST WICHITA, KS 67207 | AFLAC | $1K | — | $1K | 1.86% |
| CALEB GILMOUR3 | 515 S MAIN ST, STE 105 WICHITA, KS 67202 | AFLAC | $497 | $87 | $584 | 1.00% |
| AUSTIN HUGHES GAST3 Filed as: AUSTIN GAST | 515 S MAIN ST STE 105 WICHITA, KS 67202 | AFLAC | $562 | — | $562 | 0.97% |
| JAMES HOMER COOK3 Filed as: JAMES COOK | 1050 N GRETCHEN LN WICHITA, KS 67206 | AFLAC | $507 | — | $507 | 0.87% |
| JULIAN DUARTE3 | 412 N MYRTLE ST EUREKA, KS 67045 | AFLAC | $348 | $140 | $488 | 0.84% |
| STEVEN S HENRY3 Filed as: STEVEN HENRY | 9140 YORK LN HAYSVILLE, KS 67060 | AFLAC | $453 | — | $453 | 0.78% |
| KATHY WIEDEMANN3 | 220 HIGH VIEW DR BOULDER, CO 80304 | AFLAC | $439 | — | $439 | 0.76% |
| ROBERT L WINFREY3 Filed as: ROBERT WINFREY | 11520 W NANTUCKET CIR WICHITA, KS 67212 | AFLAC | $255 | — | $255 | 0.44% |
| NATHAN HARRISON3 | 16024 MANCHESTER RD, 2ND FL STE 200 ELLISVILLE, MO 63011 | AFLAC | $164 | — | $164 | 0.28% |
| MARC HOMAN3 | 11828 W CENTRAL AVE, STE 100 WICHITA, KS 67212 | AFLAC | $142 | — | $142 | 0.24% |
| BRIAN PORTER3 | 8021 E DRESDEN LN WICHITA, KS 67207 | AFLAC | $140 | — | $140 | 0.24% |
| TERRY S DECKER3 Filed as: TERRY DECKER | RR 2 BOX 22 TURPIN, OK 73950 | AFLAC | $98 | — | $98 | 0.17% |
| BRAD SCHUMACHER3 | 2804 COUNTRY LN HAYS, KS 67601 | AFLAC | $65 | — | $65 | 0.11% |
| TERRIE J ENSLINGER3 Filed as: TERRIE ENSLINGER | 10720 E 63RD ST S DERBY, KS 67037 | AFLAC | $65 | — | $65 | 0.11% |
| NICOLE E ROONEY3 Filed as: NICOLE ROONEY | 227 N PINE ST GODDARD, KS 67052 | AFLAC | $36 | $25 | $61 | 0.10% |
| TANNER R KING3 Filed as: TANNER KING | 1909 N NICKELTON ST WICHITA, KS 67235 | AFLAC | $53 | — | $53 | 0.09% |
| KENNETH MORRIS JR3 | 5410 PLYMOUTH DR LAWRENCE, KS 66049 | AFLAC | $50 | — | $50 | 0.09% |
| BRIAN M LEITZEL3 Filed as: BRIAN LEITZEL | 7920 W KELLOGG DR, STE 103 WICHITA, KS 67209 | AFLAC | $35 | $9 | $44 | 0.08% |
| WILLINGHAM INC3 Filed as: WILLINGHAM INC. | 1502 N METCALF RD LOUISBURG, KS 66053 | AFLAC | $31 | — | $31 | 0.05% |
| SCOTT SWIMMER3 | 4553 WEST 138TH TER LEAWOOD, KS 66224 | AFLAC | $25 | — | $25 | 0.04% |
| CHRISTOPHER THOMAS HIPP3 Filed as: CHRISTOPHER HIPP | 1601 MEADOW LN HAYS, KS 67601 | AFLAC | $24 | — | $24 | 0.04% |
| NICOLE E ROONEY3 Filed as: NICOLE FLETCHER | 8815 W NANTUCKET ST WICHITA, KS 67212 | AFLAC | $23 | — | $23 | 0.04% |
| JOHN A BACON3 Filed as: JOHN BACON | 11630 W 158TH TER OVERLAND PARK, KS 66221 | AFLAC | $15 | — | $15 | 0.03% |
| TANNER R KING3 Filed as: TANNER KING | 3617 WHISPERING BROOK CT WICHITA, KS 67220 | AFLAC | $15 | — | $15 | 0.03% |
| MARSHA SETZKORN MEYER3 | 2649 LIMESTONE TAMPA, KS 67483 | AFLAC | $13 | — | $13 | 0.02% |
| JENNIFER M WOFFORD3 Filed as: JENNIFER WOFFORD | 2231 S UPLAND HILLS CT WICHITA, KS 67235 | AFLAC | $12 | — | $12 | 0.02% |
| MARK FRIEHE3 | 11218 JOHN GALT BLVD, STE 101 OMAHA, NE 68137 | AFLAC | $12 | — | $12 | 0.02% |
| WILLIAM K TEICHGRAEBER3 Filed as: WILLIAM TEICHGRAEBER | 931 167TH ST EUREKA, KS 67045 | AFLAC | $10 | — | $10 | 0.02% |
| JOHN A BACON3 Filed as: JOHN BACON | 13716 PARKHILL OVERLAND PARK, KS 66221 | AFLAC | $9 | — | $9 | 0.02% |
| JOHN G CATE3 Filed as: JOHN CATE | 4246 N SWEET BAY ST WICHITA, KS 67226 | AFLAC | $8 | — | $8 | 0.01% |
| MATTHEW GANT3 | 2501 W 18TH AVE, STE A EMPORIA, KS 66801 | AFLAC | $8 | — | $8 | 0.01% |
| GARY GIARRATANO3 | 13309 W 73RD ST SHAWNEE, KS 66216 | AFLAC | $6 | — | $6 | 0.01% |
| GARY WILLINGHAM3 | 6033 STRAFFORD OAKS DR SEBRING, FL 33875 | AFLAC | $6 | — | $6 | 0.01% |
| BRIAN MILLS3 | 1402 W LUCY WEBB RD RAYMORE, MO 64083 | AFLAC | $4 | — | $4 | 0.01% |
| BRIAN M LEITZEL3 Filed as: BRIAN LEITZEL | 7920 W KELLOG DR STE 102 WICHITA, KS 67209 | AFLAC | $3 | — | $3 | 0.01% |
| JONI S WOBORNY BUNKER3 Filed as: JONI WOBORNY BUNKER | 1837 VIRGINA DR MANHATTAN, KS 66502 | AFLAC | $3 | — | $3 | 0.01% |
| IMA, INC.3 | P.O. BOX 2992 WICHITA, KS 67201 | HARTFORD LIFE AND ACCIDENT | $8K | — | $8K | 15.00% |
| IMA, INC.3 | 1705 17TH STREET, SUITE 100 DENVER, CO 80202 | HARTFORD LIFE AND ACCIDENT | — | $90 | $90 | 0.17% |
| 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 | 121 | 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) | 123 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 262 | $1.5M |
| Dental | DELTA DENTAL OF KANSAS, INC. | 121 | $100K |
| Vision | SURENCY LIFE AND HEALTH | 68 | $14K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 124 | $54K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 124 | $54K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF KANSAS | 262 | $1.5M |
| Other(2 contracts, 2 carriers) | AFLAC | 124 | $112K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 262 | — |
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.