| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| IMA, INC.3 | 430 E DOUGLAS AVE. STE. 400 WICHITA, KS 67202 | UNITEDHEALTHCARE INSURANCE COMPANY | $19K | — | $19K | 3.00% |
| IMA, INC.3 | PO BOX 2992 WICHITA, KS 67201 | DELTA DENTAL OF KANSAS, INC. | $6K | — | $6K | 8.21% |
| IMA, INC.3 | PO BOX 2992 WICHITA, KS 67201 | SURENCY LIFE AND HEALTH | $2K | — | $2K | 10.00% |
| IMA, INC.3 | PO BOX 2992 WICHITA, KS 67201 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | — | $3K | 20.00% |
| IMA, INC.3 | PO BOX 2992 WICHITA, KS 67201 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 16.00% |
| IMA, INC.3 | PO BOX 2992 WICHITA, KS 67201 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $313 | — | $313 | 19.97% |
| JULIAN DUARTE3 | 412 N MYRTLE ST. EUREKA, KS 67045 | AFLAC | $450 | $107 | $557 | — |
| SHERI STINNETT3 | PO BOX 137 STROMSBURG, NE 68666 | AFLAC | $348 | $99 | $447 | — |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC. | 2345 GRAND BLVD STE 400 KANSAS CITY, MO 64108 | AFLAC | $126 | — | $126 | — |
| GEORGIA THARP3 | 117 DD50 RD FALL RIVER, KS 67047 | AFLAC | $101 | $6 | $107 | — |
| BRIAN TEICHMANN3 | 5804 W 50TH AVE HUTCHINSON, KS 67502 | AFLAC | $79 | — | $79 | — |
| CALEB GILMOUR3 Filed as: CALEB J GILMOUR | 515 S MAIN ST STE 105 WICHITA, KS 67202 | AFLAC | $36 | — | $36 | — |
| CURTIS D CROSSON3 | 10509 W SNOKOMO RD HUTCHINSON, KS 67502 | AFLAC | $26 | — | $26 | — |
| ALAN T SCHUMACHER3 | 9225 E WILSON ESTATES CT WICHITA, KS 67206 | AFLAC | $21 | — | $21 | — |
| BRAD J SCHUMACHER3 | 2804 COUNTRY LN HAYS, KS 67601 | AFLAC | $18 | — | $18 | — |
| IMA, INC.3 | PO BOX 2992 WICHITA, KS 67201 | AFLAC | $16 | — | $16 | — |
| TERESA BURNETT3 | 1112 E JAMES ST DERBY, KS 67037 | AFLAC | $12 | — | $12 | — |
| CHRISTINE GRAY3 | 5629 SW HOPKINS SWITCH RD EL DORADO, KS 67042 | AFLAC | $11 | — | $11 | — |
| NATHAN L HARRISON3 | 2 CITYPLACE DR STE 30 CREVE COEUR, MO 63141 | AFLAC | $11 | — | $11 | — |
| ASHLE BURNETT3 | 1112 E JAMES ST DERBY, KS 67037 | AFLAC | $6 | — | $6 | — |
| MARC LUTHER HOMAN3 | 11828 W CENTRAL AVE STE 100 WICHITA, KS 67212 | AFLAC | $2 | — | $2 | — |
| JORDON CAMERON3 | 999 N SILVER SPRINGS BLVD APT 2501 WICHITA, KS 67212 | AFLAC | $2 | — | $2 | — |
| JOHN A BACON3 | 30837 SPRING VALLEY RD PAOLA, KS 66071 | AFLAC | $2 | — | $2 | — |
| SAIDA K SOSA3 | 4511 S FLORA CT WICHITA, KS 67215 | AFLAC | $2 | — | $2 | — |
| BRIAN M LEITZEL3 | 7920 W KELLOGG DR STE 102 WICHITA, KS 67209 | AFLAC | $1 | — | $1 | — |
| JUSTIN C CARSON3 | 7701 E KELLOGG DR STE 680 WICHITA, KS 67207 | AFLAC | $1 | — | $1 | — |
| KENNETH D MORRIS JR3 | 5410 PLYMOUTH DR LAWRENCE, KS 66049 | AFLAC | $1 | — | $1 | — |
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 | 149 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 151 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 73 | $630K |
| Dental | DELTA DENTAL OF KANSAS, INC. | 65 | $69K |
| Vision | SURENCY LIFE AND HEALTH | 62 | $18K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 149 | $17K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 130 | $12K |
| Other(3 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 149 | $19K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 149 | — |
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.