| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC4 Filed as: USI MIDWEST LLC - WICHITA | PO BOX 62889 VIRGINIA BEACH, VA 23466 | EYEMED VISION CARE | $4K | — | $4K | 9.21% |
| USI INSURANCE SERVICES LLC | PO BOX 62817 VIRGINIA BEACH, VA 23466 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 15.00% |
| KANSAS HEALTH SERVICE CORP | 215 SE 8TH AVE TOPEKA, KS 66603 | MEDICAL AIR SERVICES ASSOCIATION, INC | $2K | — | $2K | 12.70% |
| GAIL A COE | 4600 N FARMSTEAD BELAIRE, KS 67220 | CONTINENTAL AMERICAN INSURANCE COMPANY | $694 | — | $694 | 7.07% |
| JUSTIN C CARSON | 7701 E KELLOGG, SUITE 680 WICHITA, KS 67207 | CONTINENTAL AMERICAN INSURANCE COMPANY | $159 | — | $159 | 1.62% |
| CALEB GILMOUR | 515 S MAIN, SUITE 501 WICHITA, KS 67202 | CONTINENTAL AMERICAN INSURANCE COMPANY | $94 | — | $94 | 0.96% |
| USI INSURANCE SERVICES LLC | 245 N WACO STREET, SUITE 412 WICHITA, KS 67202 | CONTINENTAL AMERICAN INSURANCE COMPANY | $75 | — | $75 | 0.76% |
| KEVIN D INGWERSON Filed as: KEVIN INGWERSON | 208 S PUTTER DR ANDOVER, KS 67002 | CONTINENTAL AMERICAN INSURANCE COMPANY | $59 | — | $59 | 0.60% |
| JULIAN DUARTE | 412 N MYRTLE ST EUREKA, KS 67045 | CONTINENTAL AMERICAN INSURANCE COMPANY | $52 | — | $52 | 0.53% |
| SCOTT D SWIMMER | 4553 W 138TH TERR LEAWOOD, KS 66049 | CONTINENTAL AMERICAN INSURANCE COMPANY | $40 | — | $40 | 0.41% |
| BRANDON M UNREIN | 15275 SW INDIANOLA RD AUGUSTA, KS 67010 | CONTINENTAL AMERICAN INSURANCE COMPANY | $33 | — | $33 | 0.34% |
| KENNETH D MORRIS JR | 5410 PLYMOUTH DR LAWRANCE, KS 66049 | CONTINENTAL AMERICAN INSURANCE COMPANY | $33 | — | $33 | 0.34% |
| KATHY A WIEDEMANN | 229 E WILLIAM, #501 WICHITA, KS 67202 | CONTINENTAL AMERICAN INSURANCE COMPANY | $33 | — | $33 | 0.34% |
| NATHAN L HARRISON | 16024 MANCHESTER RD, STE 111 ELLISVILLE, MO 63011 | CONTINENTAL AMERICAN INSURANCE COMPANY | $25 | — | $25 | 0.25% |
| JACQUELINE L KENNEDY | 151 S WESFIELD WICHITA, KS 67209 | CONTINENTAL AMERICAN INSURANCE COMPANY | $18 | — | $18 | 0.18% |
| BRIAN M LEITZEL Filed as: BRIAN LEITZEL | 7920 W KELOGG DR, STE 102 WICHITA, KS 67209 | CONTINENTAL AMERICAN INSURANCE COMPANY | $11 | — | $11 | 0.11% |
| HOLLY A. TIMMERMEYER Filed as: HOLLY A COE | 4164 DANBURY ST BELAIRE, KS 67220 | CONTINENTAL AMERICAN INSURANCE COMPANY | $9 | — | $9 | 0.09% |
| BRAD J SCHUMACHER | 2804 COUNTRY LANE HAYS, KS 67601 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2 | — | $2 | 0.02% |
| MICHAEL PLETT | 1616 AVENUE H ELLSWORTH, KS 67439 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.01% |
| BROWN AND BROWN OF FLORIDA, INC. Filed as: SAMUEL GREG BROWN | 4008 BLUESEM STREET MAIZE, KS 67101 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.01% |
| CHRISTOPHER THOMAS HIPP Filed as: CHRISTOPHER T HIPP | 718 MAIN, SUITE 205 HAYS, KS 67601 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.01% |
| JOHN A BACON | 11630 W 158TH TERRACE OAKLAND PARK, KS 66221 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MERITAIN HEALTH EIN 16-1264154 | Claims processing; Insurance services Service code 12 | 300 CORPORATE PARKWAY AMHERST, NY 14226 | $263K |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 673 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 673 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CONTINENTAL AMERICAN INSURANCE COMPANY | 4 | $10K |
| Dental | DELTA DENTAL | 466 | $33K |
| Vision | EYEMED VISION CARE | 824 | $44K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 673 | $13K |
| Stop-loss / reinsurancereinsurance | GRANULAR INSURANCE COMPANY | 447 | $448K |
| Other | MEDICAL AIR SERVICES ASSOCIATION, INC | 72 | $13K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 824 | — |
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.