| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MICHAEL D CHRISMAN3 | 515 S MAIN ST, STE 105 WICHITA, KS 67202 | AFLAC | $3K | $175 | $3K | 5.14% |
| ROBERT GELSZAT3 | 11251 E BELLAIRE ST WICHITA, KS 67207 | AFLAC | $785 | — | $785 | 1.50% |
| CALEB GILMOUR3 Filed as: CALEB J GILMOUR | 515 S MAIN ST, STE 105 WICHITA, KS 67202 | AFLAC | $385 | $35 | $420 | 0.81% |
| JAMES HOMER COOK3 | 1050 N GRETCHEN LN WICHITA, KS 67206 | AFLAC | $404 | — | $404 | 0.77% |
| KATHY WIEDEMANN3 | 222 HIGH VIEW DR BOULDER, CO 80304 | AFLAC | $343 | — | $343 | 0.66% |
| ROBERT L WINFREY3 | 11520 W NANTUCKET CIR WHICHITA, KS 67212 | AFLAC | $261 | — | $261 | 0.50% |
| JULIAN DUARTE3 | 412 N MYRTLE ST EUREKA, KS 67045 | AFLAC | $221 | — | $221 | 0.42% |
| NATHAN L HARRISON3 | 16024 MANCHESTER RD 2ND FLOOR, STE 200 ELLISVILLE, MO 63011 | AFLAC | $122 | — | $122 | 0.23% |
| BRIAN L PORTER3 | 8021 E DRESDEN LN WICHITA, KS 67207 | AFLAC | $119 | — | $119 | 0.23% |
| MARC LUTHER HOMAN3 | 11828 W CENTRAL AVE STE 100 WICHITA, KS 67212 | AFLAC | $114 | — | $114 | 0.22% |
| STEVEN S HENRY3 | 9140 YORK LN HAYSVILLE, KS 67060 | AFLAC | $87 | — | $87 | 0.17% |
| TERRY S DECKER3 | RR 2 BOX 22 TRUPIN, OK 73950 | AFLAC | $61 | — | $61 | 0.12% |
| TERRIE J ENSLINGER3 | 10720 E 63RD ST S DERBY, KS 67037 | AFLAC | $49 | — | $49 | 0.09% |
| BRAD J SCHUMACHER3 | 2804 COUNTRY LN HAYS, KS 67601 | AFLAC | $48 | — | $48 | 0.09% |
| KENNETH D MORRIS JR3 | 5410 PLYMOUTH DR LAWRENCE, KS 66049 | AFLAC | $39 | — | $39 | 0.07% |
| BRIAN M LEITZEL3 | 7920 W KELLOGG DR STE 102 WHICHITA, KS 67209 | AFLAC | $37 | — | $37 | 0.07% |
| NICOLE E ROONEY3 | 515 S MAIN ST, STE 105 WICHITA, KS 67202 | AFLAC | $35 | — | $35 | 0.07% |
| AUSTIN HUGHES GAST3 | 515 S MAIN ST, STE 105 WICHITA, KS 67202 | AFLAC | $30 | — | $30 | 0.06% |
| WILLINGHAM INC3 Filed as: WILLINGHAM INC. | 35354 MISSION BELLEVIEW RD LOUISBURG, KY 66053 | AFLAC | $29 | — | $29 | 0.06% |
| SCOTT D SWIMMER3 | 4553 W 138TH TER LEAWOOD, KS 66224 | AFLAC | $22 | — | $22 | 0.04% |
| CHRISTOPHER THOMAS HIPP3 | 1601 MEADOW LN HAYS, KS 67601 | AFLAC | $20 | — | $20 | 0.04% |
| NICOLE A FLETCHER3 | 8815 W NANTUCKET ST WICHITA, KS 67212 | AFLAC | $20 | — | $20 | 0.04% |
| JOHN A BACON3 | 30837 SPRING VALLEY RD PAOLA, KS 66071 | AFLAC | $18 | — | $18 | 0.03% |
| TANNER R KING3 | 1909 N NICKELTON ST WICHITA, KS 67235 | AFLAC | $13 | — | $13 | 0.02% |
| JENNIFER M WOFFORD3 | 2231 S UPLAND HILLS CT WICHITA, KS 67235 | AFLAC | $13 | — | $13 | 0.02% |
| MARK FRIEHE3 Filed as: MARK E FRIEHE | 11218 JOHN GALT BLVD STE 101 OMAHA, NE 68137 | AFLAC | $12 | — | $12 | 0.02% |
| WILLIAM K TEICHGRAEBER3 | 931 167TH ST EUREKA, KS 67226 | AFLAC | $10 | — | $10 | 0.02% |
| JOHN G CATE3 | 4246 N SWEET BAY ST WICHITA, KS 67226 | AFLAC | $9 | — | $9 | 0.02% |
| MATTHEW GANT3 | 2501 W 18TH AVE STE A EMPORIA, KS 66801 | AFLAC | $8 | — | $8 | 0.02% |
| GARY GIARRATANO3 | 13309 W 73RD ST SHAWNEE, KS 66216 | AFLAC | $7 | — | $7 | 0.01% |
| MARSHA SETZKORN MEYER3 | 2649 LIMESTONE TAMPA, KS 67483 | AFLAC | $5 | — | $5 | 0.01% |
| GARY WAYNE WILLINGHAM3 | 6033 STRAFFORD OAKS DR SEBRING, FL 33875 | AFLAC | $5 | — | $5 | 0.01% |
| BRIAN MILLS3 | 1402 W LUCY WEBB RD RAYMORE, MO 64083 | AFLAC | $3 | — | $3 | 0.01% |
| JONI S WOBORNY BUNKER3 | 1837 VIRGINIA DR MANHATTAN, KS 66502 | AFLAC | $3 | — | $3 | 0.01% |
| IMA, INC.3 Filed as: IMA INC. | PO BOX 2992 WITCHITA, KS 67201 | HARTFORD LIFE AND ACCIDENT | $5K | — | $5K | 15.00% |
| IMA, INC.3 Filed as: IMA INC. | PO BOX 2992 WITCHITA, KS 67201 | HARTFORD LIFE AND ACCIDENT | $5K | — | $5K | 15.00% |
| IMA, INC.3 Filed as: IMA INC. | PO BOX 2992 WITCHITA, KS 67201 | SURENCY LIFE AND HEALTH | $2K | — | $2K | 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 | 138 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 139 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE COMPANY | 283 | $1.4M |
| Dental | DELTA DENTAL OF KANSAS, INC. | 131 | $108K |
| Vision | SURENCY LIFE AND HEALTH | 99 | $19K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 138 | $31K |
| Short-term disability | AFLAC | 50 | $52K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 138 | $34K |
| Prescription drug | AETNA LIFE INSURANCE COMPANY | 283 | $1.4M |
| Other(3 contracts, 3 carriers) | AFLAC | 181 | $86K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 283 | — |
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."
No prospect flags tripped on this filing.