| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LENETTA DENT3 | PO BOX 423 WILSON, KS 67490 | AFLAC | $2K | $76 | $2K | 2.79% |
| MARTHA P BUESS3 | 2948 E RAY AVE SALINA, KS 67401 | AFLAC | $1K | $209 | $2K | 2.72% |
| TAMMY L LOCKHART3 | 1004 N 4TH ST LINCOLN, KS 67455 | AFLAC | $1K | $81 | $1K | 2.19% |
| JODY HIPP3 Filed as: JODY K HIPP | PO BOX 1587 HAYS, KS 67601 | AFLAC | $796 | — | $796 | 1.38% |
| BRAD J SCHUMACHER3 | 2804 COUNTRY LN HAYS, KS 67601 | AFLAC | $495 | — | $495 | 0.86% |
| DAVID J WINDHOLZ3 | 102 W 15TH ST HAYS, KS 67601 | AFLAC | $351 | — | $351 | 0.61% |
| JK SHARP INC3 | 125 W 6TH ST COLBY, KS 67701 | AFLAC | $265 | $61 | $326 | 0.56% |
| WILLINGHAM INC3 | 35354 MISSION BELLEVIEW RD LOUISBURG, KS 66053 | AFLAC | $121 | — | $121 | 0.21% |
| NICOLE M MCKINNEY3 | 613 STADEL RD MANHATTAN, KS 66502 | AFLAC | $96 | — | $96 | 0.17% |
| ROBERT BURNS FAUGHT JR3 | PO BOX 4566 TOPEKA, KS 66604 | AFLAC | $89 | — | $89 | 0.15% |
| NATHAN L HARRISON3 | 2 CITYPLACE DR STE 30 CREVE COEUR, MO 63141 | AFLAC | $82 | — | $82 | 0.14% |
| VONDA OLDHAM CAPO3 | 1617 ORCHARD LN HIDEAWAY, TX 75771 | AFLAC | $72 | — | $72 | 0.12% |
| SHAWN D SCHWARZ3 | 1010 DOWNING AVE STE 20 HAYS, KS 67601 | AFLAC | $66 | — | $66 | 0.11% |
| RYAN DAVID WINDHOLZ3 | 102 W 15TH ST HAYS, KS 67601 | AFLAC | $37 | — | $37 | 0.06% |
| GERALD L SCHUMACHER3 | 5560 N STRECKFUS TRL SALINA, KS 67401 | AFLAC | $32 | — | $32 | 0.06% |
| KENNETH D MORRIS JR3 | 5410 PLYMOUTH DR LAWRENCE, KS 66049 | AFLAC | $29 | — | $29 | 0.05% |
| JOHN A BACON3 | 30837 SPRING VALLEY ROAD PAOLA, KS 66071 | AFLAC | $19 | — | $19 | 0.03% |
| JAMES C FLETCHER3 | 131 N SANTA FE AVE STE 140 SALINA, KS 67401 | AFLAC | $17 | — | $17 | 0.03% |
| JON R OVERACRE3 | 10502 W 133RD TER APT 107 OVERLAND PARK, KS 66213 | AFLAC | $16 | — | $16 | 0.03% |
| TERRY S DECKER3 | RR 2 BOX 22 TURPIN, OK 73950 | AFLAC | $8 | — | $8 | 0.01% |
| LYNN E MOLLER3 | 4527 ENGLISH HOLLY DR FAIRFAX, VA 22030 | AFLAC | $7 | — | $7 | 0.01% |
| GWEN AYLWARD3 Filed as: GWEN A AYLWARD | 2777 LANDMARK DR LONGFORD, KS 67458 | AFLAC | $6 | — | $6 | 0.01% |
| CHRISTOPHER THOMAS HIPP3 | 1601 MEADOW LN HAYS, KS 67601 | AFLAC | $4 | — | $4 | 0.01% |
| BRIAN MILLS3 | 1402 W LUCY WEBB RD RAYMORE, MO 64083 | AFLAC | $2 | — | $2 | 0.00% |
| SUE C TUCKER3 | 9856 US HIGHWAY 29 N CUSSETA, AL 36852 | AFLAC | $1 | — | $1 | 0.00% |
| JONI S WOBORNY BUNKER3 | 1837 VIRGINIA DR MANHATTAN, KS 66502 | AFLAC | $1 | — | $1 | 0.00% |
| ROBERT E. MILLER INSURANCE AGENCY3 Filed as: ROBERT E MILLER INS AGENCY INC | 6363 COLLEGE BLVD SUUITE 400 OVERLAND PARK, KS 66211 | DELTA DENTAL OF KANSAS INC | $1K | — | $1K | 3.06% |
| ROBERT E. MILLER INSURANCE AGENCY3 Filed as: ROBERT E MILLER INS AGENCY INC | 6363 COLLEGE BLVD SUITE 400 OVERLAND PARK, KS 66211 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $2K | $6K | 21.32% |
| NATIONAL BENEFIT CENTER3 | 6830 COCHRAN ROAD SOLON, OH 44139 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $843 | $843 | 3.16% |
| ROBERT E. MILLER INSURANCE AGENCY3 Filed as: ROBERT E MILLER INS AGENCY INC | 6363 COLLEGE BLVD SUITE 400 OVERLAND PARK, KS 66211 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $1K | $4K | 21.33% |
| NATIONAL BENEFIT CENTER3 | 6830 COCHRAN ROAD SOLON, OH 44139 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $553 | $553 | 3.16% |
| ROBERT E. MILLER INSURANCE AGENCY3 Filed as: ROBERT E MILLER INS AGENCY INC | 6363 COLLEGE BLVD SUITE 400 OVERLAND PARK, KS 66211 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $986 | $3K | 22.06% |
| NATIONAL BENEFIT CENTER3 | 6830 COCHRAN ROAD SOLON, OH 44139 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $493 | $493 | 3.53% |
| JOHN L. WOOD3 Filed as: JOHN WOOD | PO BOX 3408 SALINA, KS 67402 | HARTFORD LIFE AND ACCIDENT | $313 | — | $313 | 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 | 120 | 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) | 120 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF KANSAS INC | 61 | $48K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 120 | $17K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 120 | $27K |
| Other(4 contracts, 3 carriers) | AFLAC | 120 | $91K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 120 | — |
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.