| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARTHA P BUESS3 Filed as: MARTHA P. BUESS | 2948 E. RAY AVE. SALINA, KS 67401 | AFLAC | $3K | $135 | $3K | 4.15% |
| LENETTA DENT3 | PO BOX 423 WILSON, KS 67490 | AFLAC | $3K | $58 | $3K | 4.06% |
| JODY HIPP3 Filed as: JODY K. HIPP | PO BOX 1587 HAYS, KS 67601 | AFLAC | $2K | $39 | $2K | 2.62% |
| TAMMY L LOCKHART3 Filed as: TAMMY L. LOCKHART | 1004 N. 4TH ST. LINCOLN, KS 67455 | AFLAC | $2K | $0 | $2K | 2.45% |
| BRAD J SCHUMACHER3 Filed as: BRAD J. SCHUMACHER | 2804 COUNTRY LN. HAYS, KS 67601 | AFLAC | $874 | $0 | $874 | 1.10% |
| DAVID J WINDHOLZ3 Filed as: DAVID J. WINDHOLZ | 102 W. 15TH ST. HAYS, KS 67601 | AFLAC | $826 | $38 | $864 | 1.09% |
| JANET LONG3 | 1848 190TH AVE. PENOKEE, KS 67659 | AFLAC | $219 | $0 | $219 | 0.28% |
| WILLINGHAM INC3 Filed as: WILLINGHAM INC. | 1502 N. METCALF LOUISBURG, KS 66053 | AFLAC | $206 | $0 | $206 | 0.26% |
| VONDA OLDHAM CAPO3 | 1617 ORCHARD LN. HIDEAWAY, TX 75771 | AFLAC | $159 | $0 | $159 | 0.20% |
| NATHAN L HARRISON3 Filed as: NATHAN L. HARRISON | 16024 MANCHESTER RD. 2ND FLOOR STE. 200 ELLISVILLE, MO 63011 | AFLAC | $145 | $0 | $145 | 0.18% |
| SHAWN D SCHWARZ3 Filed as: SHAWN D. SCHWARZ | 1010 DOWNING AVE. STE. 20 HAYS, KS 67601 | AFLAC | $99 | $0 | $99 | 0.12% |
| KENNETH D MORRIS JR3 Filed as: KENNETH D. MORRIS JR. | 5410 PLYMOUTH DR. LAWRENCE, KS 66049 | AFLAC | $43 | $0 | $43 | 0.05% |
| JOHN A BACON3 Filed as: JOHN A. BACON | 1025 DURHAM GARDEN CT. O FALLON, MO 63368 | AFLAC | $18 | $0 | $18 | 0.02% |
| LYNN E MOLLER3 Filed as: LYNN E. MOLLER | 332 E. 1ST ST. N. WICHITA, KS 67202 | AFLAC | $13 | $0 | $13 | 0.02% |
| TERRY S DECKER3 Filed as: TERRY S. DECKER | RT. 2 BOX 22 TURPIN, OK 73950 | AFLAC | $13 | $0 | $13 | 0.02% |
| GAIL MOEDER3 | 1712 RIVIERA DR. GREAT BEND, KS 67530 | AFLAC | $9 | $0 | $9 | 0.01% |
| CORY METTLEN3 | 5067 N. PRAIRIE RIDGE RD. SALINA, KS 67401 | AFLAC | $7 | $0 | $7 | 0.01% |
| SUE C TUCKER3 Filed as: SUE C. TUCKER | 1224 PEACOCK AVE. STE. 205 COLUMBUS, GA 31906 | AFLAC | $7 | $0 | $7 | 0.01% |
| JOHN A BACON3 Filed as: JOHN A. BACON | 13716 PARKHILL OVERLAND PARK, KS 66221 | AFLAC | $7 | $0 | $7 | 0.01% |
| CHRISTOPHER THOMAS HIPP3 | 1601 MEADOW LN. HAYS, KS 67601 | AFLAC | $6 | $0 | $6 | 0.01% |
| ALICE JAYLENE CHREST3 | 326 MARLA ST. GREAT BEND, KS 67530 | AFLAC | $5 | $0 | $5 | 0.01% |
| JORDAN J SHARP3 Filed as: JORDAN J. SHARP | 125 W. 6TH COLBY, KS 67701 | AFLAC | $4 | $0 | $4 | 0.01% |
| BRIAN MILLS3 | 1402 W. LUCY WEBB RD. RAYMORE, MO 64083 | AFLAC | $3 | $0 | $3 | 0.00% |
| JONI S WOBORNY BUNKER3 Filed as: JONI S. WOBORNY BUNKER | 1837 VIRGINIA DR. MANHATTAN, KS 66502 | AFLAC | $2 | $0 | $2 | 0.00% |
| LEIGH ANNE SEEMAN3 | PO BOX 418 LARNED, KS 67550 | AFLAC | $2 | $0 | $2 | 0.00% |
| THE MILLER GROUP3 | 6363 COLLEGE BLVD SUITE 400 OVERLAND PARK, KS 66211 | DELTA DENTAL OF KANSAS, INC. | $2K | $0 | $2K | 4.12% |
| 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 | $1K | $6K | 18.18% |
| BENEFIT ADVISORS NETWORK LLC3 | 6830 COCHRAN ROAD SOLON, OH 44139 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $437 | $437 | 1.33% |
| 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 | $876 | $5K | 18.05% |
| BENEFIT ADVISORS NETWORK LLC3 | 6830 COCHRAN ROAD SOLON, OH 44139 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $365 | $365 | 1.27% |
| 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 | 117 | 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) | 117 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF KANSAS, INC. | 48 | $37K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 121 | $33K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 121 | $29K |
| Other(3 contracts, 3 carriers) | AFLAC | 121 | $115K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 121 | — |
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.