| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LENETTA DENT3 | PO BOX 423 WILSON, KS 67490 | AFLAC | $3K | $59 | $3K | 3.65% |
| MARTHA P BUESS3 | 2948 E RAY AVE SALINA, KS 67401 | AFLAC | $2K | $240 | $2K | 3.03% |
| JODY HIPP3 | PO BOX 1587 HAYS, KS 67601 | AFLAC | $2K | $64 | $2K | 2.33% |
| DAVID J WINDHOLZ3 | 102 W 15TH ST HAYS, KS 67601 | AFLAC | $1K | $88 | $1K | 1.63% |
| BRAD J SCHUMACHER3 | 718 MAIN ST STE 205 HAYS, KS 67601 | AFLAC | $920 | — | $920 | 1.29% |
| WILLINGHAM INC3 | 1502 N METCALF LOUISBURG, KS 66053 | AFLAC | $204 | — | $204 | 0.29% |
| JANET LONG3 | 1848 190TH AVE PENOKEE, KS 67659 | AFLAC | $199 | — | $199 | 0.28% |
| VONDA OLDHAM CAPO3 | 1617 ORCHARD LN HIDEAWAY, TX 75771 | AFLAC | $189 | — | $189 | 0.27% |
| NATHAN L HARRISON3 | 16024 MANCHESTER RD 2ND FLOOR STE 200 ELLISVILLE, MO 63011 | AFLAC | $162 | — | $162 | 0.23% |
| SHAWN D SCHWARZ3 | 1010 DOWNING AVE STE 20 HAYS, KS 67601 | AFLAC | $101 | — | $101 | 0.14% |
| GAIL MOEDER3 | 1712 RIVIERA DR GREAT BEND, KS 67530 | AFLAC | $63 | — | $63 | 0.09% |
| KENNETH D MORRIS JR3 | 5410 PLYMOUTH DR LAWRENCE, KS 66049 | AFLAC | $23 | — | $23 | 0.03% |
| ALICE JAYLENE CHREST3 | 326 MARLA ST GREAT BEND, KS 67530 | AFLAC | $16 | — | $16 | 0.02% |
| JOHN A BACON3 | 1267 LEIGHTON HOLLOW DR DARDENNE PRAIRIE, MO 63368 | AFLAC | $13 | — | $13 | 0.02% |
| LEIGH ANNE SEEMAN3 Filed as: LEIGH ANNE STELTER | PO BOX 418 LARNED, KS 67550 | AFLAC | $10 | — | $10 | 0.01% |
| LYNN E MOLLER3 | 332 E 1ST ST N WICHITA, KS 67202 | AFLAC | $6 | — | $6 | 0.01% |
| CORY METTLEN3 | 2412 EDGEHILL RD SALINA, KS 67401 | AFLAC | $6 | — | $6 | 0.01% |
| TERRY S DECKER3 | RT 2 BOX 22 TURPIN, OK 73950 | AFLAC | $6 | — | $6 | 0.01% |
| SUE C TUCKER3 | 1224 PEACOCK AVE SUITE 205 COLUMBUS, GA 31906 | AFLAC | $4 | — | $4 | 0.01% |
| CHRISTOPHER THOMAS HIPP3 | 718 MAIN ST STE 205 HAYS, KS 67601 | AFLAC | $4 | — | $4 | 0.01% |
| BRIAN MILLS3 | 1402 W LUCY WEBB RD RAYMORE, MO 64083 | AFLAC | $1 | — | $1 | 0.00% |
| JONI S WOBORNY BUNKER3 | 1837 VIRGINIA DR MANHATTAN, KS 66502 | AFLAC | $1 | — | $1 | 0.00% |
| THE MILLER GROUP3 | 6363 COLLEGE BLVD, SUITE 400 OVERLAND PARK, KS 66211 | DELTA DENTAL OF KANSAS, INC. | $2K | — | $2K | 4.20% |
| 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 | $619 | $5K | 16.94% |
| 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 | $4K | $464 | $4K | 16.73% |
| 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 | 92 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 96 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF KANSAS, INC. | 48 | $40K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 117 | $32K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 117 | $32K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 117 | $27K |
| Other(3 contracts, 3 carriers) | AFLAC | 117 | $106K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 117 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.