| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BRITTNEY SAMMS3 | 14073 US HIGHWAY 160 WINFIELD, KS 67156 | DELTA DENTAL OF KANSAS, INC. | $2K | — | $2K | 2.04% |
| BRITTNEY SAMMS3 | 14073 US HIGHWAY 160 WINFIELD, KS 67156 | AFLAC | $14K | $256 | $14K | 21.93% |
| JEREMIAH D POPELKA3 | 315 HOUSTON ST STE C MANHATTAN, KS 66502 | AFLAC | $5K | — | $5K | 8.03% |
| CHRISTINE GRAY3 | 5629 SW HOPKINS SWITCH RD EL DORADO, KS 67042 | AFLAC | $3K | — | $3K | 4.36% |
| CALEB GILMOUR3 Filed as: CALEB J GILMOUR | 515 S MAIN ST STE 105 WICHITA, KS 67202 | AFLAC | $3K | — | $3K | 3.91% |
| CALEB GILMOUR3 Filed as: CALEB J GILMOUR | 310 W CENTRAL AVE STE D ANDOVER, KS 67002 | AFLAC | $909 | — | $909 | 1.41% |
| PAULETTE ROSARIO SANTOS3 | 515 S MAIN ST STE 105 WICHITA, KS 67202 | AFLAC | $100 | — | $100 | 0.16% |
| JOHN E WETIG3 | 115 N MAIN ST STE 1 MCPHERSON, KS 67460 | AFLAC | $17 | — | $17 | 0.03% |
| GAIL A COE3 | 4600 FARMSTEAD CT BEL AIRE, KS 67220 | AFLAC | $7 | — | $7 | 0.01% |
| JULIAN DUARTE3 | 412 N MYRTLE ST EUREKA, KS 67045 | AFLAC | $7 | — | $7 | 0.01% |
| JUSTIN C CARSON3 | 7701 E KELLOGG DR STE 680 WICHITA, KS 67207 | AFLAC | $6 | — | $6 | 0.01% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICE LLC | PO BOX 206 WICHITA, KS 67201 | AFLAC | $6 | — | $6 | 0.01% |
| KATHY WIEDEMANN3 | 220 HIGH VIEW DR BOULDER, CO 80304 | AFLAC | $4 | — | $4 | 0.01% |
| HOLLY A. TIMMERMEYER3 Filed as: HOLLY A TIMMERMEYER | 201 E 12TH ST HAYS, KS 67601 | AFLAC | $4 | — | $4 | 0.01% |
| HOLLY A. TIMMERMEYER3 Filed as: HOLLY A TIMMERMEYER | 4164 DANBURY ST BEL AIRE, KS 67220 | AFLAC | $1 | — | $1 | 0.00% |
| USI INSURANCE SERVICES LLC3 | PO BOX 206 WICHITA, KS 67201 | AFLAC | $1 | — | $1 | 0.00% |
| KYLIE HURTIG3 | 8110 E 32ND ST N STE 100 WITCHITA, KS 67226 | KANSAS CITY LIFE INSURANCE COMPANY | $5K | — | $5K | 14.31% |
| CRYSTAL IBC LLC3 | 32 OLD SLIP FL 17 NEW YORK, NY 10005 | VISION SERVICE PLAN | $200 | — | $200 | 0.83% |
| KYLIE HURTIG3 | 8110 E 32ND ST N STE 100 WITCHITA, KS 67226 | KANSAS CITY LIFE INSURANCE COMPANY | $3K | — | $3K | 14.85% |
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 | 137 | 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) | 137 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF KANSAS, INC. | 130 | $97K |
| Vision | VISION SERVICE PLAN | 89 | $24K |
| Life insurance | KANSAS CITY LIFE INSURANCE COMPANY | 144 | $19K |
| Long-term disability | KANSAS CITY LIFE INSURANCE COMPANY | 144 | $19K |
| Other(3 contracts, 2 carriers) | AFLAC | 144 | $121K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 144 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.