| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WANDA SNYDER3 | 5609 POWERCAT PLACE MANHATTAN, KS 66503 | AFLAC | $11K | $335 | $11K | 13.79% |
| JURGENSMEIER FINANCIAL SERVICES INC3 | 2813 WESTPORT PLAZA DRIVE TOPEKA, KS 66614 | AFLAC | $3K | $0 | $3K | 3.26% |
| KAREN J COMPTON3 Filed as: KAREN COMPTON | 2630 FARM BUREAU ROAD SUITE A MANHATTAN, KS 66502 | AFLAC | $2K | $21 | $2K | 2.87% |
| GWEN AYLWARD3 | 2630 FARM BUREAU ROAD SUITE A MANHATTAN, KS 66502 | AFLAC | $2K | $76 | $2K | 2.63% |
| BRAD SCHUMACHER3 | 2804 COUNTRY LANE HAYS, KS 67601 | AFLAC | $1K | $78 | $1K | 1.71% |
| JONI S WOBORNY BUNKER3 Filed as: JONI WOBORNY BUNKER | 1837 VIRGINIA DRIVE MANHATTAN, KS 66502 | AFLAC | $1K | $46 | $1K | 1.39% |
| JAMES M FLETCHER3 Filed as: JAMES FLETCHER | 131 N SANTA FE AVENUE SUITE 140 SALINA, KS 67401 | AFLAC | $995 | $55 | $1K | 1.31% |
| NATHAN HARRISON3 | 16024 MANCHESTER ROAD 2ND FLOOR, SUITE 200 ELLISVILLE, MO 63011 | AFLAC | $395 | $4 | $399 | 0.50% |
| ARRICA WALLACE3 | 5100 CANYON ROAD MANHATTAN, KS 66503 | AFLAC | $371 | $0 | $371 | 0.46% |
| RUSSELL BUNKER3 | 1837 VIRGINIA DRIVE MANHATTAN, KS 66502 | AFLAC | $220 | $0 | $220 | 0.28% |
| PERRY HENAULT3 | 4323 SW MISTY HARBOR DRIVE TOPEKA, KS 66610 | AFLAC | $158 | $13 | $171 | 0.21% |
| MICHEAL STORRER3 | 114 HOLLIDAY STREET OSAGE CITY, KS 66523 | AFLAC | $76 | $0 | $76 | 0.10% |
| FRANK I SCHELLINGERHOUT3 Filed as: FRANK SCHELLINGERHOUT | 9 SUNNYFIELD ROAD SAINT PETERS, MO 63376 | AFLAC | $60 | $14 | $74 | 0.09% |
| DOUGLAS R SCHENKEL3 Filed as: DOUGLAS SCHENKEL | 2205 WASHINGTON STREET GREAT BEND, KS 67530 | AFLAC | $51 | $0 | $51 | 0.06% |
| JAMES B PAYNE3 Filed as: JAMES PAYNE | 820 LINCOLN STREET BALDWIN CITY, KS 66006 | AFLAC | $37 | $0 | $37 | 0.05% |
| MICHEAL ELLIS3 | 532 GARRICK PLACE OFALLON, MO 63368 | AFLAC | $30 | $4 | $34 | 0.04% |
| DEBORAH SITZE3 | 25 AUTUMN COURT MOSCOW MILLS, MO 63362 | AFLAC | $26 | $6 | $32 | 0.04% |
| GEISLER INCORPORATED3 | 1795 CLARKSON ROAD SUITE 301 CHESTERFIELD, MO 63017 | AFLAC | $17 | $4 | $21 | 0.03% |
| BRIAN MILLS3 | 1402 W LUCY WEBB ROAD RAYMORE, MO 64083 | AFLAC | $16 | $2 | $18 | 0.02% |
| CONSTANCE N SCHMIDT3 Filed as: CONSTANCE SCHMIDT | 924 S 6TH STREET ATCHISON, KS 66002 | AFLAC | $14 | $0 | $14 | 0.02% |
| IRA A CAPE3 Filed as: IRA CAPE | 1411 18TH STREET GREAT BEND, KS 67530 | AFLAC | $13 | $0 | $13 | 0.02% |
| CAROL E SIEFKES3 Filed as: CAROL SIEFKES | 1317 NE 70TH AVENUE HUDSON, KS 67545 | AFLAC | $12 | $0 | $12 | 0.02% |
| PEOPLES BENEFIT GROUP LLC3 | 1414 SW ASHWORTH PLACE TOPEKA, KS 666043741 | DELTA DENTAL OF KANSAS, INC. | $1K | $0 | $1K | 2.18% |
| PEOPLES BENEFIT GROUP LLC3 | 1414 SW ASHWORTH PLACE TOPEKA, KS 666043741 | SURENCY LIFE AND HEALTH | $2K | $0 | $2K | 10.00% |
| PEOPLES BENEFIT GROUP LLC3 | 1414 SW ASHWORTH PLACE TOPEKA, KS 666043741 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $0 | $2K | 15.00% |
| PEOPLES BENEFIT GROUP LLC3 | 1414 SW ASHWORTH PLACE TOPEKA, KS 666043741 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $0 | $1K | 10.00% |
| PEOPLES BENEFIT GROUP LLC3 | 1414 SW ASHWORTH PLACE TOPEKA, KS 666043741 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $554 | $0 | $554 | 10.00% |
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 | 137 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 137 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 258 | $867K |
| Dental(2 contracts, 2 carriers) | AFLAC | 118 | $148K |
| Vision | SURENCY LIFE AND HEALTH | 86 | $15K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 137 | $17K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 113 | $91K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF KANSAS | 258 | $867K |
| Other(2 contracts, 2 carriers) | AFLAC | 137 | $85K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 258 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.