| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LENETTA DENT3 | PO BOX 423 WILSON, KS 67490 | AFLAC | $4K | $226 | $4K | 3.91% |
| MARTHA P BUESS3 | 2948 E RAY AVE SALINA, KS 67401 | AFLAC | $3K | — | $3K | 3.05% |
| JODY HIPP3 | PO BOX 1587 HAYS, KS 67601 | AFLAC | $3K | $46 | $3K | 2.46% |
| DAVID J WINDHOLZ3 | 102 W 15TH ST HAYS, KS 67601 | AFLAC | $2K | $45 | $2K | 1.84% |
| BRAD J SCHUMACHER3 | 718 MAIN ST STE 205 HAYS, KS 67601 | AFLAC | $1K | $45 | $2K | 1.47% |
| WILLINGHAM INC3 | 1502 N METCALF LOUISBURG, KS 66053 | AFLAC | $342 | — | $342 | 0.33% |
| VONDA OLDHAM CAPO3 | PO BOX 1198 LINDALE, TX 75771 | AFLAC | $325 | — | $325 | 0.31% |
| JANET LONG3 | 1848 190TH AVE PENOKEE, KS 67659 | AFLAC | $258 | — | $258 | 0.25% |
| NATHAN L HARRISON3 | 16024 MANCHESTER RD 2ND FLOOR STE 200 ELLISVILLE, MO 63011 | AFLAC | $236 | — | $236 | 0.23% |
| SHAWN D SCHWARZ3 | 1010 DOWNING AVE STE 20 HAYS, KS 67601 | AFLAC | $174 | — | $174 | 0.17% |
| MRS TROY E JOHNSTON3 | PO BOX 2303 SALINA, KS 67402 | AFLAC | $20 | — | $20 | 0.02% |
| CORY METTLEN3 | 2412 EDGEHILL RD SALINA, KS 67401 | AFLAC | $8 | — | $8 | 0.01% |
| SCOTT W LUTY3 | 524 E 30TH AVE HUTCHINSON, KS 67502 | AFLAC | $7 | — | $7 | 0.01% |
| MARC LUTHER HOMAN3 | 11828 W CENTRAL AVE STE 100 WICHITA, KS 67212 | AFLAC | $4 | — | $4 | 0.00% |
| THE MILLER GROUP3 | 6363 COLLEGE BLVD, SUITE 400 OVERLAND PARK, KS 66211 | DELTA DENTAL OF KANSAS, INC. | $1K | — | $1K | 2.96% |
| ROBERT E. MILLER INSURANCE AGENCY3 Filed as: ROBERT E MILLER INSURANCE AGENCY | 6363 COLLEGE BLVD STE 400 LEAWOOD, KS 66211 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $6K | — | $6K | 15.00% |
| ROBERT E. MILLER INSURANCE AGENCY3 Filed as: ROBERT E MILLER INSURANCE AGENCY | 6363 COLLEGE BLVD STE 400 LEAWOOD, KS 66211 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $5K | — | $5K | 14.99% |
| JOHN L. WOOD3 Filed as: JOHN WOOD | PO BOX 3408 SALINA, KS 67402 | HARTFORD LIFE AND ACCIDENT | $436 | — | $436 | 14.99% |
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 | 98 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 2 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 100 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF KANSAS, INC. | 54 | $41K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 135 | $40K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 135 | $40K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 135 | $32K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS AND BLUE SHIELD OF KANSAS | 253 | $243K |
| Other(2 contracts, 2 carriers) | AFLAC | 127 | $107K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 253 | — |
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.