| 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 | 4.33% |
| USI INSURANCE SERVICES LLC3 | 245 NORTH WACO STREET, SUITE 412 WICHITA, KS 67202 | DELTA DENTAL OF KANSAS, INC. | $828 | $0 | $828 | 1.25% |
| USI INSURANCE SERVICES LLC3 | 245 NORTH WACO STREET, SUITE 402 WICHITA, KS 67202 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $9K | $459 | $9K | 13.92% |
| THOMAS CHRISTOPHER SMITH3 | 2928 FOSTER CREIGHTON DRIVE NASHVILLE, TN 37204 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $256 | $13 | $269 | 0.41% |
| MARK ALAN BRYANT3 Filed as: MARK ALAN BRYANT AND OTHER AGENTS | 9122 WEST BIRCH LANE WICHITA, KS 67212 | AFLAC | $3K | $135 | $3K | 4.59% |
| JEREMY GENTRY3 Filed as: JEREMY L. GENTRY | 215 SOUTH WEST STREET BUHLER, KS 67522 | AFLAC | $2K | $195 | $2K | 3.21% |
| JERRY CARROLL GENTRY3 | 311 SOUTH WALL STREET BUHLER, KS 67522 | AFLAC | $2K | $0 | $2K | 2.87% |
| BRIAN M LEITZEL3 Filed as: BRIAN M. LEITZEL | 7920 WEST KELLOGG DRIVE, SUITE 102 WICHITA, KS 67209 | AFLAC | $2K | $35 | $2K | 2.82% |
| JOHN E WETIG3 Filed as: JOHN E. WETIG | 103 SOUTH ROUPP STREET HESTON, KS 67062 | AFLAC | $806 | $0 | $806 | 1.29% |
| JUSTIN C CARSON3 Filed as: JUSTIN C. CARSON | 7701 EAST KELLOGG DRIVE, SUITE 680 WICHITA, KS 67207 | AFLAC | $766 | $0 | $766 | 1.23% |
| JEANNE MCMILLEN3 Filed as: JEANNE A. MCMILLEN | 2544 NORTH COOLIDGE AVENUE WICHITA, KS 67204 | AFLAC | $517 | $0 | $517 | 0.83% |
| 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 402 WICHITA, KS 67202 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $83 | $0 | $83 | 3.85% |
| THOMAS CHRISTOPHER SMITH3 | 2928 FOSTER CREIGHTON DRIVE NASHVILLE, TN 37204 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $36 | $0 | $36 | 1.67% |
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 | 189 | 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) | 189 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE COMPANY | 142 | $1.1M |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF KANSAS, INC. | 115 | $129K |
| Vision | SURENCY LIFE AND HEALTH | 103 | $17K |
| Life insurance(3 contracts, 3 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 189 | $130K |
| Short-term disability(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 189 | $128K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 189 | $65K |
| Prescription drug | AETNA LIFE INSURANCE COMPANY | 142 | $1.1M |
| Other(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 189 | $128K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 189 | — |
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.