| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | 245 N WACO, SUITE 412 WICHITA, KS 67202 | UNUM LIFE INSURANCE CO OF AMERICA | $8K | $3K | $11K | 6.02% |
| USI INSURANCE SERVICES LLC3 | 245 N WACO, SUITE 412 WICHITA, KS 67202 | UNUM LIFE INSURANCE CO OF AMERICA | $9K | $1K | $10K | 16.75% |
| GAIL A COE3 | 4600 N FARMSTEAD BEL AIRE, KS 67220 | CONTINENTAL AMERICAN INS CO | $3K | — | $3K | 6.35% |
| JUSTIN C CARSON3 | 7701 E KELLOGG, STE 680 WICHITA, KS 67002 | CONTINENTAL AMERICAN INS CO | $2K | — | $2K | 3.17% |
| USI INSURANCE SERVICES LLC3 | 245 N WACO, SUITE 300 WICHITA, KS 67211 | CONTINENTAL AMERICAN INS CO | $593 | — | $593 | 1.12% |
| KATHY A WIEDEMANN3 | 229 E WILLIAM SUITE 501 WICHITA, KS 67202 | CONTINENTAL AMERICAN INS CO | $572 | — | $572 | 1.08% |
| KEVIN D INGWERSON3 | 208 S POTTER DR ANDOVER, KS 67002 | CONTINENTAL AMERICAN INS CO | $394 | — | $394 | 0.74% |
| CALEB GILMOUR3 | 229 E WILLIAMS ST, STE 501 WICHITA, KS 67202 | CONTINENTAL AMERICAN INS CO | $203 | — | $203 | 0.38% |
| SCOTT D SWIMMER3 | 4553 WEST 138TH TERRACE LEAWOOD, KS 66224 | CONTINENTAL AMERICAN INS CO | $163 | — | $163 | 0.31% |
| KENNETH D MORRIS JR3 | 5410 PLYMOUTH DR LAWRENCE, KS 66049 | CONTINENTAL AMERICAN INS CO | $156 | — | $156 | 0.29% |
| NATHAN L HARRISON3 | 16024 MANCHESTER RD, STE 111 ELLISVILLE, MO 63011 | CONTINENTAL AMERICAN INS CO | $102 | — | $102 | 0.19% |
| HOLLY A. TIMMERMEYER3 Filed as: HOLLY A COE | 4600 N FARMSTEAD CT BEL AIRE, KS 67220 | CONTINENTAL AMERICAN INS CO | $53 | — | $53 | 0.10% |
| BRAD J SCHUMACHER3 | PO BOX 762 HAYS, KS 67601 | CONTINENTAL AMERICAN INS CO | $39 | — | $39 | 0.07% |
| CHRISTOPHER THOMAS HIPP3 Filed as: CHRISTOPHER T HIPP | 718 MAIN, SUITE 205 HAYS, KS 67601 | CONTINENTAL AMERICAN INS CO | $27 | — | $27 | 0.05% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: SAMUEL G BROWN | 4008 N BLUESTEM ST MAIZE, KS 67101 | CONTINENTAL AMERICAN INS CO | $15 | — | $15 | 0.03% |
| JOHN A BACON3 | 1267 LEIGHTON HOLLOW DR DARDENNE PRAIRIE, MO 63368 | CONTINENTAL AMERICAN INS CO | $15 | — | $15 | 0.03% |
| MICHAEL PLETT3 | 1616 AVENUE H ELLSWORTH, KS 67439 | CONTINENTAL AMERICAN INS CO | $13 | — | $13 | 0.02% |
| BRIAN M LEITZEL3 | 229 E WILLIAM ST, STE 501 WICHITA, KS 67207 | CONTINENTAL AMERICAN INS CO | $6 | — | $6 | 0.01% |
| JACQUELINE L KENNEDY3 | 151 S WESTFIELD WICHITA, KS 67209 | CONTINENTAL AMERICAN INS CO | $5 | — | $5 | 0.01% |
| USI INSURANCE SERVICES LLC4 Filed as: USI MIDWEST LLC - WICHITA | PO BOX 62889 VIRGINIA BEACH, VA 23466 | EYEMED VISION CARE | $4K | — | $4K | 9.97% |
| KEVIN D INGWERSON4 | 208 S POTTER DR ANDOVER, KS 67002 | PRE-PAID LEGAL SERVICES, INC | $144 | — | $144 | 3.05% |
| GAIL A COE4 | 4600 N FARMSTEAD BEL AIRE, KS 67220 | PRE-PAID LEGAL SERVICES, INC | $105 | — | $105 | 2.22% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUECROSS BLUESHIELD OF SO CAROLINA EIN 57-0287419 | Insurance services; Claims processing Service code 12 | 2501 FARAWAY DR COLUMBIA, SC 29219 | $146K |
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 | 620 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 620 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL | 441 | $30K |
| Vision | EYEMED VISION CARE | 797 | $41K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE CO OF AMERICA | 620 | $243K |
| Long-term disability | UNUM LIFE INSURANCE CO OF AMERICA | 620 | $181K |
| Other(4 contracts, 3 carriers) | UNUM LIFE INSURANCE CO OF AMERICA | 620 | $300K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 797 | — |
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.