| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WESLEY LEGRAND WILLIAMS JR3 Filed as: WESLEY WILLIAMS JR | 2137 S WICHITA ST WICHITA, KS 67213 | AFLAC | $9K | $759 | $10K | 9.00% |
| JUSTIN C CARSON3 Filed as: JUSTIN CARSON | 7701 E KELLOGG, SUITE 680 WICHITA, KS 67207 | AFLAC | $2K | $152 | $2K | 1.86% |
| KATHY WIEDEMANN3 | 220 HIGH VIEW DR BOULDER, CO 80304 | AFLAC | $1K | $164 | $2K | 1.43% |
| KEVIN D SEAL3 Filed as: KEVIN SEAL | PO BOX 6 ARLINGTON, KS 67514 | AFLAC | $1K | — | $1K | 1.08% |
| TERESA BURNETT3 | 1112 E JAMES ST DERBY, KS 67037 | AFLAC | $1K | — | $1K | 0.97% |
| BRAD SCHUMACHER3 | 718 MAIN ST, STE 205 HAYS, KS 67601 | AFLAC | $418 | $153 | $571 | 0.51% |
| MARC HOMAN3 | 11828 W CENTRAL AVE, STE 100 WICHITA, KS 67212 | AFLAC | $557 | — | $557 | 0.50% |
| HATHAN L HARRISON3 Filed as: HATHAN HARRISON | 16024 MANCHESTER RD 2ND FLR STE 200 ELLISVILLE, MO 63011 | AFLAC | $269 | — | $269 | 0.24% |
| WILLINGHAM INC3 Filed as: WILLINGHAM, INC. | 1502 N METCALF LOUISBURG, KS 66053 | AFLAC | $242 | — | $242 | 0.22% |
| JAMES HOMER COOK3 Filed as: JAMES COOK | 1050 N GRETCHEN LN WICHITA, KS 67206 | AFLAC | $228 | — | $228 | 0.21% |
| RICHARD T DIXON3 Filed as: RICHARD DIXON | 6277 GREY FOX LN SPERRY, OK 74073 | AFLAC | $182 | — | $182 | 0.16% |
| JEANIE V CATLIN3 Filed as: JEANIE CATLIN | 1271 NE 50TH AVE HARPER, KS 67058 | AFLAC | $98 | $61 | $159 | 0.14% |
| LYNN E MOLLER3 Filed as: LYNN MOLLER | 332 E 1ST ST N WICHITA, KS 67202 | AFLAC | $154 | — | $154 | 0.14% |
| DARRELL CUSICK3 | 1204 N MANCHESTER AVE NEWTON, KS 67114 | AFLAC | $146 | — | $146 | 0.13% |
| GARY WILLINGHAM3 | 8116 STATE ROAD 66 ZOLFO SPRINGS, FL 33890 | AFLAC | $128 | — | $128 | 0.12% |
| GINGER D YOUNG3 Filed as: GINGER YOUNG | 8233 W MEADOW PASS WICHITA, KS 67205 | AFLAC | $11 | — | $11 | 0.01% |
| CALEB GILMOUR3 | 310 W CENTRA AVE, STE D ANDOVER, KS 67002 | AFLAC | $1 | — | $1 | 0.00% |
| SCOTT SWIMMER3 | 4553 WEST 138TH TERRACE LEAWOOD, KS 66224 | AFLAC | $0 | — | $0 | 0.00% |
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 | 172 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 173 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 172 | $905K |
| Dental | BLUE CROSS AND BLUE SHIELD OF KANSAS | 172 | $905K |
| Life insurance | ADVANCE INSURANCE COMPANY OF KANSAS | 109 | $8K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF KANSAS | 172 | $905K |
| Other(2 contracts, 2 carriers) | AFLAC | 109 | $119K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 172 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.