| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 2345 GRAND BLVD, STE 900 KANSAS CITY, MO 64108 | COVENTRY HEALTH AND LIFE | $38K | — | $38K | 5.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS, INC. | 8100 E 32ND ST N, STE 100 WICHITA, KS 67226 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $6K | — | $6K | 9.90% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 2 PIERCE PLACE 14TH FLOOR ITASCA, IL 60143 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $1K | $1K | 2.14% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS-WICHITA | 8100 E 32ND ST N, STE 100 WICHITA, KS 67226 | DELTA DENTAL OF KANSAS, INC. | $4K | — | $4K | 7.39% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 8110 E 32ND ST N, STE 100 WICHITA, KS 67226 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | — | $4K | 15.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | TWO PIERCE PL ITASCA, IL 60143 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $606 | $606 | 2.08% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS-WICHITA | 8100 E 32ND ST N, STE 100 WICHITA, KS 67226 | SURENCY LIFE AND HEALTH | $1K | — | $1K | 10.00% |
| BRIAN TEICHMANN3 | 1100 AIRPORT RD, STE 114 HUTCHINSON, KS 67501 | AFLAC | $90 | — | $90 | 2.24% |
| WILLIAM K TEICHGRAEBER3 | 931 167TH ST EUREKA, KS 67045 | AFLAC | $54 | — | $54 | 1.35% |
| BRIAN L PORTER3 | 8021 E DRESDEN LN WICHITA, KS 67207 | AFLAC | $43 | — | $43 | 1.07% |
| MARC LUTHER HOMAN3 | 11828 W CENTRAL AVE, STE 100 WICHITA, KS 67212 | AFLAC | $42 | — | $42 | 1.05% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 8110 E 32ND ST N, STE 100 WICHITA, KS 67226 | AFLAC | $40 | — | $40 | 1.00% |
| ROBERT GELSZAT3 | 11251 E BELLAIRE ST WICHITA, KS 67207 | AFLAC | $38 | — | $38 | 0.95% |
| MARY TEICHGRAEBER3 Filed as: MARY L TEICHGRAEBER | 931 167TH ST EUREKA, KS 67045 | AFLAC | $37 | — | $37 | 0.92% |
| WILLINGHAM INC3 Filed as: WILLINGHAM, INC | 1502 N METCALF LOUISBURG, KS 66053 | AFLAC | $25 | — | $25 | 0.62% |
| JOHN L VAUGHN3 | 4513 W 140TH ST OVERLAND PARK, KS 66224 | AFLAC | $14 | — | $14 | 0.35% |
| NATHAN L HARRISON3 | 16024 MANCHESTER RD 2ND FLR STE 200 ELLISVILLE, MO 63011 | AFLAC | $10 | — | $10 | 0.25% |
| ALAN D HURT3 | P.O. BOX 277 MOUND CITY, KS 66056 | AFLAC | $5 | — | $5 | 0.12% |
| CARL G SHEEL3 Filed as: CARL G SHELL | P.O. BOX 771203 WICHITA, KS 67277 | AFLAC | $4 | — | $4 | 0.10% |
| GARY GIARRATANO3 | 8612 SHADY BEND RD LENEXA, KS 66227 | AFLAC | $4 | — | $4 | 0.10% |
| SAMUEL A MCFALL3 | 609 N BROADWAY ST, STE 200 WICHITA, KS 67214 | AFLAC | $4 | — | $4 | 0.10% |
| ROBERT L WINFREY3 | 415 S. GREENWOOD ST, STE 2 WICHITA, KS 67211 | AFLAC | $0 | — | $0 | 0.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS-WICHITA | 8100 E 32ND ST N, STE 100 WICHITA, KS 67226 | SURENCY LIFE AND HEALTH | $115 | — | $115 | 10.01% |
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 | 174 | 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) | 174 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COVENTRY HEALTH AND LIFE | 236 | $762K |
| Dental | DELTA DENTAL OF KANSAS, INC. | 140 | $47K |
| Vision(3 contracts, 2 carriers) | SURENCY LIFE AND HEALTH | 92 | $17K |
| Life insurance(3 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 174 | $94K |
| Short-term disability | AFLAC | 0 | $4K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 174 | $61K |
| Other(3 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 174 | $94K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 236 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.