| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: USI MIDWEST LLC | 200 SUMMIT LAKE DRIVE #350 VALHALLA, NY 10595 | BERKLEY LIFE & HEALTH INS CO | $54K | — | $54K | 14.95% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62889 VIRGINIA BEACH, VA 23466 | UNUM LIFE INSURANCE CO OF AMERICA | $10K | $2K | $12K | 6.03% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62817 VIRGINIA BEACH, VA 23466 | UNUM LIFE INSURANCE CO OF AMERICA | $3K | $2K | $5K | 2.61% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62889 VIRGINIA BEACH, VA 23466 | UNUM LIFE INSURANCE CO OF AMERICA | $6K | $796 | $7K | 10.83% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62817 VIRGINIA BEACH, VA 23466 | UNUM LIFE INSURANCE CO OF AMERICA | $4K | $504 | $4K | 6.62% |
| GAIL A COE3 | 4600 N FARMSTEAD BEL AIRE, KS 67220 | CONTINENTAL AMERICAN INS CO | $3K | — | $3K | 5.26% |
| JUSTIN C CARSON3 | 7701 E KELLOGG, STE 680 WICHITA, KS 67002 | CONTINENTAL AMERICAN INS CO | $2K | — | $2K | 3.59% |
| USI INSURANCE SERVICES LLC3 | 245 N WACO, SUITE 300 WICHITA, KS 67211 | CONTINENTAL AMERICAN INS CO | $2K | — | $2K | 3.34% |
| KEVIN D INGWERSON3 | 208 S POTTER DR ANDOVER, KS 67002 | CONTINENTAL AMERICAN INS CO | $1K | — | $1K | 2.16% |
| KATHY A WIEDEMANN3 | 229 E WILLIAM SUITE 501 WICHITA, KS 67202 | CONTINENTAL AMERICAN INS CO | $984 | — | $984 | 1.70% |
| SCOTT D SWIMMER3 | 4553 WEST 138TH TERRACE LEAWOOD, KS 66224 | CONTINENTAL AMERICAN INS CO | $214 | — | $214 | 0.37% |
| KENNETH D MORRIS JR3 | 5410 PLYMOUTH DR LAWRENCE, KS 66049 | CONTINENTAL AMERICAN INS CO | $213 | — | $213 | 0.37% |
| NATHAN L HARRISON3 | 16024 MANCHESTER RD, STE 111 ELLISVILLE, MO 63011 | CONTINENTAL AMERICAN INS CO | $142 | — | $142 | 0.25% |
| HOLLY A. TIMMERMEYER3 Filed as: HOLLY A COE | 4600 N FARMSTEAD CT BEL AIRE, KS 67220 | CONTINENTAL AMERICAN INS CO | $113 | — | $113 | 0.20% |
| BRAD J SCHUMACHER3 | PO BOX 762 HAYS, KS 67601 | CONTINENTAL AMERICAN INS CO | $43 | — | $43 | 0.07% |
| CHRISTOPHER THOMAS HIPP3 Filed as: CHRISTOPHER T HIPP | 718 MAIN, SUITE 205 HAYS, KS 67601 | CONTINENTAL AMERICAN INS CO | $41 | — | $41 | 0.07% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: SAMUEL G BROWN | 4008 N BLUESTEM ST MAIZE, KS 67101 | CONTINENTAL AMERICAN INS CO | $30 | — | $30 | 0.05% |
| MICHAEL PLETT3 | 1616 AVENUE H ELLSWORTH, KS 67439 | CONTINENTAL AMERICAN INS CO | $27 | — | $27 | 0.05% |
| JOHN A BACON3 | 1267 LEIGHTON HOLLOW DR DARDENNE PRAIRIE, MO 63368 | CONTINENTAL AMERICAN INS CO | $24 | — | $24 | 0.04% |
| CALEB GILMOUR3 | 229 E WILLIAMS ST, STE 501 WICHITA, KS 67202 | CONTINENTAL AMERICAN INS CO | $1 | — | $1 | 0.00% |
| BENEFIT MANAGEMENT, INC.3 Filed as: BENEFIT MANAGEMENT, INC | 2015 16TH ST GREAT BEND, KS 67530 | SYMETRA LIFE INSURANCE CO | — | $2K | $2K | 681.23% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENEFIT MANAGEMENT INC EIN 48-1168746 | Claims processing; Contract Administrator Service code 12 | 2015 16TH STREET GREAT BEND, KS 67530 | $84K |
| WPPA DBA PROVIDRS CARE EIN 48-1009834 | Claims processing Service code 12 | 1102 S HILLSIDE WICHITA, KS 67211 | $29K |
| ENVISION PHARMACEUTICAL EIN 05-0570786 | Claims processing Service code 12 | 2181 E AURORA RD STE 201 TWINSBURG, OH 44087 | $13K |
| MEDWATCH, LLC EIN 16-1662117 | Contract Administrator Service code 13 | PO BOX 952679 LAKE MARY, FL 32795 | $6K |
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 | 609 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 609 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BERKLEY LIFE & HEALTH INS CO | 750 | $364K |
| Dental | DELTA DENTAL | 425 | $28K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE CO OF AMERICA | 609 | $266K |
| Long-term disability | UNUM LIFE INSURANCE CO OF AMERICA | 609 | $200K |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | BERKLEY LIFE & HEALTH INS CO | 750 | $364K |
| Other(3 contracts, 2 carriers) | UNUM LIFE INSURANCE CO OF AMERICA | 609 | $323K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 750 | — |
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.