| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CRYSTAL IBC LLC3 | 2000 WEST LOOP SOUTH SUITE 2150 HOUSTON, TX 77027 | DELTA DENTAL OF KANSAS, INC. | $2K | — | $2K | 2.01% |
| BRITTNEY SAMMS3 | 14073 US HIGHWAY 160 WINFIELD, KS 67156 | AFLAC | $14K | $256 | $14K | 17.71% |
| JULIAN DUARTE3 | 412 N MYRTLE ST EUREKA, KS 67045 | AFLAC | $2K | — | $2K | 2.96% |
| JEREMIAH D POPELKA3 | 315 HOUSTON ST STE C MANHATTAN, KS 66502 | AFLAC | $2K | $52 | $2K | 2.80% |
| CALEB GILMOUR3 Filed as: CALEB J GILMOUR | 515 S MAIN ST STE 105 WICHITA, KS 67202 | AFLAC | $1K | $57 | $1K | 1.57% |
| CHRISTINE GRAY3 | 5629 SW HOPKINS SWITCH RD EL DORADO, KS 67042 | AFLAC | $634 | $8 | $642 | 0.80% |
| PAULETTE ROSARIO SANTOS3 | 515 S MAIN ST STE 105 WICHITA, KS 67202 | AFLAC | $79 | $15 | $94 | 0.12% |
| JOHN E WETIG3 | 115 N MAIN ST STE 1 MCPHERSON, KS 67460 | AFLAC | $31 | $5 | $36 | 0.05% |
| GEORGIA THARP3 | 117 DD50 RD FALL RIVER, KS 67047 | AFLAC | $25 | — | $25 | 0.03% |
| GAIL A COE3 | 4600 FARMSTEAD CT BEL AIRE, KS 67220 | AFLAC | $3 | — | $3 | 0.00% |
| JUSTIN C CARSON3 | 7701 E KELLOGG DR STE 680 WICHITA, KS 67207 | AFLAC | $3 | — | $3 | 0.00% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICE LLC | PO BOX 206 WICHITA, KS 67201 | AFLAC | $3 | — | $3 | 0.00% |
| USI INSURANCE SERVICES LLC3 | PO BOX 206 WICHITA, KS 67201 | AFLAC | $3 | — | $3 | 0.00% |
| KATHY WIEDEMANN3 | 220 HIGH VIEW DR BOULDER, CO 80304 | AFLAC | $2 | — | $2 | 0.00% |
| HOLLY A. TIMMERMEYER3 Filed as: HOLLY A TIMMERMEYER | 4164 DANBURY ST BEL AIRE, KS 67220 | AFLAC | $2 | — | $2 | 0.00% |
| MICHAEL GRANT3 | 400 NOYACK ROAD SOUTH HAMPTON, NY 11968 | KANSAS CITY LIFE INSURANCE COMPANY | $7K | — | $7K | 16.71% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES | 701 B ST FL 6 SAN DIEGO, CA 92101 | VISION SERVICE PLAN | $589 | — | $589 | 2.42% |
| MICHAEL GRANT3 | 400 NOYACK ROAD SOUTH HAMPTON, NY 11968 | KANSAS CITY LIFE INSURANCE COMPANY | $3K | — | $3K | 14.27% |
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. | 118 | $101K |
| Vision | VISION SERVICE PLAN | 83 | $24K |
| Life insurance | KANSAS CITY LIFE INSURANCE COMPANY | 137 | $21K |
| Long-term disability | KANSAS CITY LIFE INSURANCE COMPANY | 137 | $21K |
| Other(3 contracts, 2 carriers) | AFLAC | 137 | $145K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 137 | — |
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.