| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | 312 ELM STREET, 24TH FLOOR CINCINNATI, OH 45202 | AETNA LIFE INSURANCE COMPANY | $0 | $48K | $48K | 4.17% |
| USI INSURANCE SERVICES LLC3 | 245 NORTH WACO STREET, SUITE 412 WICHITA, KS 67202 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $10K | $609 | $11K | 15.15% |
| THOMAS CHRISTOPHER SMITH3 | PO BOX 6650 METAIRIE, LA 70009 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $963 | $99 | $1K | 1.52% |
| USI INSURANCE SERVICES LLC3 | 245 NORTH WACO STREET, SUITE 412 WICHITA, KS 67202 | DELTA DENTAL OF KANSAS, INC. | $4K | $0 | $4K | 6.25% |
| JEANNE MCMILLEN3 Filed as: JEANNE MCMILLEN AND OTHER AGENTS | 2544 NORTH COOLIDGE AVENUE WICHITA, KS 67204 | AFLAC | $3K | $0 | $3K | 4.38% |
| BRIAN M LEITZEL3 Filed as: BRIAN LEITZEL | 7920 WEST KELLOGG DRIVE, SUITE 102 WICHITA, KS 67209 | AFLAC | $3K | $141 | $3K | 4.31% |
| MARK ALAN BRYANT3 Filed as: MARK BRYANT | 9122 WEST BIRCH LANE WICHITA, KS 67212 | AFLAC | $2K | $0 | $2K | 3.93% |
| CALEB GILMOUR3 | 515 SOUTH MAIN STREET, SUITE 105 WICHITA, KS 67202 | AFLAC | $839 | $53 | $892 | 1.42% |
| JUSTIN C CARSON3 Filed as: JUSTIN CARSON | 7701 EAST KELLOGG DRIVE, SUITE 680 WICHITA, KS 67207 | AFLAC | $820 | $0 | $820 | 1.31% |
| CHARLES ANTHONY LOVE3 Filed as: CHARLES LOVE | 1104 WEST FRANKLIN STREET WICHITA, KS 67203 | AFLAC | $760 | $53 | $813 | 1.29% |
| ELIZABETH RIOS3 | PO BOX 75101 WICHITA, KS 67275 | AFLAC | $588 | $31 | $619 | 0.99% |
| USI INSURANCE SERVICES LLC3 | 245 NORTH WACO STREET, SUITE 412 WICHITA, KS 67202 | SURENCY LIFE AND HEALTH | $2K | $0 | $2K | 10.00% |
| USI INSURANCE SERVICES LLC3 | 245 NORTH WACO STREET, SUITE 412 WICHITA, KS 67202 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $591 | $34 | $625 | 19.90% |
| THOMAS CHRISTOPHER SMITH3 | PO BOX 6650 METAIRIE, LA 70009 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $253 | $18 | $271 | 8.63% |
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 | 217 | 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) | 217 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE COMPANY | 163 | $1.2M |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF KANSAS, INC. | 131 | $127K |
| Vision | SURENCY LIFE AND HEALTH | 111 | $15K |
| Life insurance(3 contracts, 3 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 217 | $136K |
| Short-term disability(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 217 | $133K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 217 | $70K |
| Prescription drug | AETNA LIFE INSURANCE COMPANY | 163 | $1.2M |
| Other(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 217 | $133K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 217 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.