| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | 245 NORTH WACO STREET, SUITE 412 WICHITA, KS 67202 | BLUE CROSS AND BLUE SHIELD OF KANSAS | $25K | $0 | $25K | 2.63% |
| USI INSURANCE SERVICES LLC3 | 245 NORTH WACO STREET, SUITE 412 WICHITA, KS 67202 | DELTA DENTAL OF KANSAS, INC. | $824 | $0 | $824 | 1.23% |
| JACK M. GRAHAM3 | 245 NORTH WACO STREET, SUITE 300 WICHITA, KS 67202 | KANSAS CITY LIFE INSURANCE COMPANY | $4K | $0 | $4K | 11.73% |
| USI INSURANCE SERVICES LLC3 | 245 NORTH WACO STREET, SUITE 412 WICHITA, KS 67202 | SURENCY LIFE AND HEALTH | $1K | $0 | $1K | 9.80% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES AND OTHERS | 245 NORTH WACO STREET, SUITE 412 WICHITA, KS 67202 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 11.96% |
| ROBERT GELSZAT3 | 11251 EAST BELLAIRE WICHITA, KS 67207 | CONTINENTAL AMERICAN INSURANCE COMPANY | $173 | $0 | $173 | 1.52% |
| CALEB GILMOUR3 | 515 SOUTH MAIN, SUITE 501 WICHITA, KS 67202 | CONTINENTAL AMERICAN INSURANCE COMPANY | $13 | $0 | $13 | 0.11% |
| KENNETH D MORRIS JR3 Filed as: KENNETH D. MORRIS, JR. | 5410 PLYMOUTH DRIVE LAWRENCE, KS 66049 | CONTINENTAL AMERICAN INSURANCE COMPANY | $7 | $0 | $7 | 0.06% |
| JOHN A BACON3 Filed as: JOHN A. BACON | 1267 LEIGHTON HOLLOW DRIVE DARDENNE PRAIRIE, MO 63368 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6 | $0 | $6 | 0.05% |
| JACQUELINE L KENNEDY3 Filed as: JACQUELINE L. KENNEDY | 151 SOUTH WESTFIELD WICHITA, KS 67209 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4 | $0 | $4 | 0.04% |
| BRAD J SCHUMACHER3 Filed as: BRAD J. SCHUMACHER | PO BOX 762 HAYS, KS 67601 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2 | $0 | $2 | 0.02% |
| BRIAN PORTER3 | 8021 EAST DRESDEN LANE WICHITA, KS 67207 | AFLAC | $261 | $0 | $261 | 3.03% |
| ALAN T SCHUMACHER3 Filed as: ALAN SCHUMACHER | 9225 EAST WILSON ESTATES COURT WICHITA, KS 67206 | AFLAC | $183 | $0 | $183 | 2.12% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES AND OTHERS | PO BOX 206 WICHITA, KS 67201 | AFLAC | $117 | $0 | $117 | 1.36% |
| MARC HOMAN3 | 11828 WEST CENTRAL AVENUE SUITE 100 WICHITA, KS 67212 | AFLAC | $95 | $0 | $95 | 1.10% |
| ROBERT GELSZAT3 | 11251 EAST BELLAIRE STREET WICHITA, KS 67207 | AFLAC | $61 | $0 | $61 | 0.71% |
| WILLINGHAM INC3 Filed as: WILLINGHAM, INC. | 1502 NORTH METCALF LOUISBERG, KS 66053 | AFLAC | $56 | $0 | $56 | 0.65% |
| GAIL COE3 | 4600 FARMSTEAD COURT BEL AIRE, KS 67220 | AFLAC | $47 | $0 | $47 | 0.55% |
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 | 123 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 126 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 221 | $947K |
| Dental | DELTA DENTAL OF KANSAS, INC. | 82 | $67K |
| Vision | SURENCY LIFE AND HEALTH | 65 | $14K |
| Life insurance | KANSAS CITY LIFE INSURANCE COMPANY | 122 | $32K |
| Short-term disability | KANSAS CITY LIFE INSURANCE COMPANY | 122 | $32K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF KANSAS | 221 | $947K |
| Other(3 contracts, 3 carriers) | KANSAS CITY LIFE INSURANCE COMPANY | 122 | $52K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 221 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.