| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARTHA P BUESS3 | 2948 E RAY AVE SALINA, KS 67401 | AFLAC | $3K | — | $3K | 5.15% |
| LENETTA DENT3 | PO BOX 423 WILSON, KS 67490 | AFLAC | $1K | — | $1K | 2.05% |
| TAMMY L LOCKHART3 | 1004 N 4TH ST LINCOLN, KS 67455 | AFLAC | $645 | — | $645 | 1.21% |
| JODY HIPP3 Filed as: JODY K HIPP | PO BOX 1587 HAYS, KS 67601 | AFLAC | $623 | — | $623 | 1.17% |
| STACIE JUENEMANN3 Filed as: STACIE L JUENEMANN | 2630 FARM BUREAU RD STE B MANHATTAN, KS 66502 | AFLAC | $432 | — | $432 | 0.81% |
| BRAD J SCHUMACHER3 | 2804 COUNTRY LN HAYS, KS 67601 | AFLAC | $425 | — | $425 | 0.80% |
| NICOLE M MCKINNEY3 | 613 STADEL RD MANHATTAN, KS 66502 | AFLAC | $398 | — | $398 | 0.75% |
| DAVID J WINDHOLZ3 | PO BOX 1225 HAYS, KS 67601 | AFLAC | $284 | — | $284 | 0.53% |
| ROBERT BURNS FAUGHT JR3 | PO BOX 4566 TOPEKA, KS 66604 | AFLAC | $97 | — | $97 | 0.18% |
| WILLINGHAM INC3 | 35354 MISSION BELLEVIEW RD LOUISBURG, KS 66053 | AFLAC | $93 | — | $93 | 0.17% |
| JORDAN J SHARP3 | 1473 TOULON AVE HAYS, KS 67601 | AFLAC | $92 | — | $92 | 0.17% |
| VONDA OLDHAM CAPO3 | 1617 ORCHARD LN HIDEAWAY, TX 75771 | AFLAC | $79 | — | $79 | 0.15% |
| NATHAN HARRISON3 | 5301 E VISTA RICA ST PARADISE VALLEY, AZ 85253 | AFLAC | $73 | — | $73 | 0.14% |
| GERALD L SCHUMACHER3 | 5560 N STRECKFUS TRL SALINA, KS 67401 | AFLAC | $45 | — | $45 | 0.08% |
| SHAWN D SCHWARZ3 | 1010 DOWNING AVE STE 20 HAYS, KS 67601 | AFLAC | $33 | — | $33 | 0.06% |
| KENNETH D MORRIS JR3 | 5410 PLYMOUTH DR LAWRENCE, KS 66049 | AFLAC | $29 | — | $29 | 0.05% |
| JAMES C FLETCHER3 | 131 N SANTA FE AVE STE 140 SALINA, KS 67401 | AFLAC | $24 | — | $24 | 0.05% |
| JOHN A BACON3 | 30837 SPRING VALLEY RD PAOLA, KS 66071 | AFLAC | $18 | — | $18 | 0.03% |
| JON R OVERACRE3 | 10502 W 133RD TER APT 107 OVERLAND PARK, KS 66213 | AFLAC | $17 | — | $17 | 0.03% |
| GWEN AYLWARD3 Filed as: GWEN A AYLWARD | 2777 LANDMARK DR LONGFORD, KS 67458 | AFLAC | $12 | — | $12 | 0.02% |
| RANDY WEBER3 | 2010 MAIN STREET TER HAYS, KS 67601 | AFLAC | $12 | — | $12 | 0.02% |
| TERRY S DECKER3 | 123401 EW 6 RD TURPIN, OK 73950 | AFLAC | $7 | — | $7 | 0.01% |
| LYNN E MOLLER3 | 4527 ENGLISH HOLLY DR FAIRFAX, VA 22030 | AFLAC | $5 | — | $5 | 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 | $1 | — | $1 | 0.00% |
| SUE C TUCKER3 | 9856 US HIGHWAY 29 N CUSSETA, AL 36852 | AFLAC | $1 | — | $1 | 0.00% |
| CHERYL MAUS3 Filed as: CHERYL ANN MAUS | PO BOX 236 LEBANON, KS 66952 | AFLAC | $1 | — | $1 | 0.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2345 GRAND BLVD STE 400 KANSAS CITY, MO 64108 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $0 | $4K | 15.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | NATIONAL INCENTIVE 736 S STONE AVE LA GRANGE, IL 60525 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $1K | $1K | 4.08% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2345 GRAND BLVD STE 400 KANSAS CITY, MO 64108 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $0 | $3K | 15.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | NATIONAL INCENTIVE 736 S STONE AVE LA GRANGE, IL 60525 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $726 | $726 | 4.11% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2345 GRAND BLVD STE 400 KANSAS CITY, MO 64108 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $0 | $2K | 15.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | NATIONAL INCENTIVE 736 S STONE AVE LA GRANGE, IL 60525 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $517 | $517 | 4.18% |
| JOHN L. WOOD3 Filed as: JOHN WOOD & ASSOCIATES | 1112 ALBERT AVE SALINA, KS 674023408 | HARTFORD LIFE AND ACCIDENT | $313 | $0 | $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 | 108 | 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) | 108 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 109 | $30K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 109 | $27K |
| Other(3 contracts, 3 carriers) | AFLAC | 109 | $73K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 109 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.