| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WESLEY LEGRAND WILLIAMS JR3 | 2137 S WICHITA ST WICHITA, KS 67213 | AFLAC | $6K | $81 | $6K | 6.40% |
| JUSTIN C CARSON3 Filed as: JUSTIN CARSON | 7701 E KELLOGG, SUITE 680 WICHITA, KS 67207 | AFLAC | $1K | $16 | $1K | 1.45% |
| KEVIN D SEAL3 Filed as: KEVIN SEAL | PO BOX 6 ARLINGTON, KS 67514 | AFLAC | $967 | — | $967 | 1.04% |
| KATHY WIEDEMANN3 | 220 HIGH VIEW DR BOULDER, CO 80304 | AFLAC | $720 | $16 | $736 | 0.79% |
| TERESA BURNETT3 | 1112 E JAMES ST DERBY, KS 67037 | AFLAC | $689 | — | $689 | 0.74% |
| MARC LUTHER HOMAN3 | 11828 W CENTRAL AVE, STE 100 WICHITA, KS 67212 | AFLAC | $481 | — | $481 | 0.52% |
| BRAD J SCHUMACHER3 | 718 MAIN ST, STE 205 HAYS, KS 67601 | AFLAC | $280 | — | $280 | 0.30% |
| CALEB GILMOUR3 Filed as: CALEB J GILMOUR | 310 W CENTRA AVE, STE D ANDOVER, KS 67002 | AFLAC | $245 | — | $245 | 0.26% |
| HATHAN L HARRISON3 | 16024 MANCHESTER RD 2ND FLR STE 200 ELLISVILLE, MO 63011 | AFLAC | $211 | — | $211 | 0.23% |
| WILLINGHAM INC3 Filed as: WILLINGHAM, INC. | 1502 N METCALF LOUISBURG, KS 66053 | AFLAC | $207 | — | $207 | 0.22% |
| JAMES HOMER COOK3 | 1050 N GRETCHEN LN WICHITA, KS 67206 | AFLAC | $186 | — | $186 | 0.20% |
| RICHARD T DIXON3 | 6277 GREY FOX LN SPERRY, OK 74073 | AFLAC | $152 | — | $152 | 0.16% |
| LYNN E MOLLER3 | 332 E 1ST ST N WICHITA, KS 67202 | AFLAC | $141 | — | $141 | 0.15% |
| DARRELL CUSICK3 | 1204 N MANCHESTER AVE NEWTON, KS 67114 | AFLAC | $134 | — | $134 | 0.14% |
| GARY WAYNE WILLINGHAM3 | 8116 STATE ROAD 66 ZOLFO SPRINGS, FL 33890 | AFLAC | $106 | — | $106 | 0.11% |
| KENNETH D MORRIS JR3 | 5410 PLYMOUTH DR LAWRENCE, KS 66049 | AFLAC | $70 | — | $70 | 0.08% |
| CHRISTOPHER THOMAS HIPP3 | 718 MAIN ST, STE 205 HAYS, KS 67601 | AFLAC | $39 | — | $39 | 0.04% |
| JOHN A BACON3 | 1025 DURHAM GARDEN CT O FALLON, MO 63368 | AFLAC | $21 | — | $21 | 0.02% |
| BRIAN MILLS3 | 1402 W LUCY WEBB RD RAYMORE, MO 64083 | AFLAC | $19 | — | $19 | 0.02% |
| TERRY S DECKER3 | RT 2, BOX 22 TURPIN, OK 73950 | AFLAC | $15 | — | $15 | 0.02% |
| GINGER D YOUNG3 | 8233 W MEADOW PASS WICHITA, KS 67205 | AFLAC | $10 | — | $10 | 0.01% |
| JEANIE V CATLIN3 | 1271 NE 50TH AVE HARPER, KS 67058 | AFLAC | $9 | — | $9 | 0.01% |
| SUE C TUCKER3 | 1224 PEACOCK AVE, SUITE 205 COLUMBUS, GA 31906 | AFLAC | $8 | — | $8 | 0.01% |
| JONI S WOBORNY BUNKER3 | 1837 VIRGINIA DR MANHATTAN, KS 66502 | AFLAC | $8 | — | $8 | 0.01% |
| JOHN A BACON3 | 1267 LEIGHTON HOLLOW DR DARDENNE PRAIRIE, MO 63368 | AFLAC | $5 | — | $5 | 0.01% |
| JON KRAATZ3 Filed as: JON C KRAATZ | 118 SABINE ST PORTLAND, TX 78374 | AFLAC | $1 | — | $1 | 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 | 113 | 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) | 114 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 194 | $974K |
| Dental | BLUE CROSS AND BLUE SHIELD OF KANSAS | 194 | $974K |
| Life insurance | ADVANCE INSURANCE COMPANY OF KANSAS | 116 | $8K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF KANSAS | 194 | $974K |
| Other(2 contracts, 2 carriers) | AFLAC | 116 | $101K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 194 | — |
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.