| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WESLEY LEGRAND WILLIAMS JR3 | 2137 S WICHITA STREET WICHITA, KS 67213 | AFLAC | $12K | $926 | $13K | 10.37% |
| TANNER R KING3 | 13710 E GILBERT STREET WICHITA, KS 67230 | AFLAC | $3K | $185 | $3K | 2.20% |
| CALEB GILMOUR3 Filed as: CALEB J GILMOUR | 515 S MAIN STREET, SUITE 105 WICHITA, KS 67202 | AFLAC | $2K | $185 | $2K | 1.58% |
| JUSTIN C CARSON3 | 7701 EAST KELLOGG DRIVE, SUITE 860 WICHITA, KS 67207 | AFLAC | $684 | — | $684 | 0.54% |
| KEVIN D SEAL3 | 10200 W MAPLE STREET WICHITA, KS 67209 | AFLAC | $620 | — | $620 | 0.49% |
| JEREMIAH D POPELKA3 | 2424 BUTTONWOOD DRIVE MANHATTAN, KS 66502 | AFLAC | $485 | — | $485 | 0.39% |
| TERESA BURNETT3 | 1112 E JAMES STREET DERBY, KS 67037 | AFLAC | $461 | — | $461 | 0.37% |
| KATHY WIEDEMANN3 | 222 HIGH VIEW DRIVE BOULDER, CO 80304 | AFLAC | $411 | — | $411 | 0.33% |
| MARC LUTHER HOMAN3 | 11828 W CENTRAL AVENUE, SUITE 100 WICHITA, KS 67212 | AFLAC | $308 | — | $308 | 0.25% |
| GREGORY L TYLER3 | 110 S VALLEY STREAM DRIVE DERBY, KS 67037 | AFLAC | $308 | — | $308 | 0.25% |
| BRAD J SCHUMACHER3 | 2804 COUNTRY LANE HAYS, KS 67601 | AFLAC | $186 | — | $186 | 0.15% |
| WILLINGHAM INC3 | 35354 MISSION BELLEVIEW ROAD LOUISBURG, KS 66053 | AFLAC | $165 | — | $165 | 0.13% |
| LYNN E MOLLER3 | 4527 ENGLISH HOLLY DRIVE FAIRFAX, VA 22030 | AFLAC | $149 | — | $149 | 0.12% |
| JAMES HOMER COOK3 | 8509 E HUNTINGTON STREET WICHITA, KS 67206 | AFLAC | $134 | — | $134 | 0.11% |
| RICHARD T DIXON3 | 6277 GREY FOX LANE SPERRY, OK 74073 | AFLAC | $119 | — | $119 | 0.09% |
| DARRELL CUSICK3 | 1204 N MANCHESTER AVENUE NEWTON, KS 67114 | AFLAC | $111 | — | $111 | 0.09% |
| NATHAN L HARRISON3 | 2 CITYPLACE DRIVE, SUITE 30 CREVE COEUR, MO 63141 | AFLAC | $102 | — | $102 | 0.08% |
| GARY WAYNE WILLINGHAM3 | 6033 STRAFFORD OAKS DRIVE SEBRING, FL 33875 | AFLAC | $81 | — | $81 | 0.06% |
| PATRICIA ZOELLER3 | PO BOX 181 KINGMAN, KS 67068 | AFLAC | $74 | — | $74 | 0.06% |
| ANGELA M COOK3 | 400 N CORONADO STREET, APT 2108 CHANDLER, AZ 85224 | AFLAC | $70 | — | $70 | 0.06% |
| ADAM J STEIN3 | 12113 WESTGATE STREET OVERLAND PARK, KS 66213 | AFLAC | $65 | — | $65 | 0.05% |
| HOSFIELD BENEFIT SERVICES LLC3 | 6750 W 75TH STREET, SUITE 1A OVERLAND PARK, KS 66204 | AFLAC | $65 | — | $65 | 0.05% |
| KENNETH D MORRIS JR3 | 5410 PLYMOUTH DRIVE LAWRENCE, KS 66049 | AFLAC | $51 | — | $51 | 0.04% |
| RUSTY J HELIN3 | 2012 SE 9TH STREET MOORE, OK 73160 | AFLAC | $34 | — | $34 | 0.03% |
| DANNY W SMITH3 | 14430 S LEWIS AVENUE BIXBY, OK 74008 | AFLAC | $33 | — | $33 | 0.03% |
| CHAD J BASLER3 | 460 NE LAKES EDGE DRIVE LEES SUMMIT, MO 64064 | AFLAC | $32 | — | $32 | 0.03% |
| CHRISTOPHER THOMAS HIPP3 | 1601 MEADOW LANE HAYS, KS 67601 | AFLAC | $26 | — | $26 | 0.02% |
| STACY HART3 | 1316 NW FERRIS AVENUE LAWTON, OK 73507 | AFLAC | $24 | — | $24 | 0.02% |
| JOHN A BACON3 | 30837 SPRING VALLEY ROAD PAOLA, KS 66071 | AFLAC | $23 | — | $23 | 0.02% |
| BRAD N WOOD3 | 12512 N COUNTY ROAD 3232 PAOLI, OK 73074 | AFLAC | $17 | — | $17 | 0.01% |
| JEREMY FRYE & ASSOCIATES INC3 | 1508 N CHURCH ROAD, SUITE B LIBERTY, MO 64068 | AFLAC | $16 | — | $16 | 0.01% |
| BRIAN MILLS3 | 1402 W LUCY WEBB ROAD RAYMORE, MO 64083 | AFLAC | $15 | — | $15 | 0.01% |
| KURTIS CARROLL SCHULTZ3 | PO BOX 52679 TULSA, OK 74152 | AFLAC | $14 | — | $14 | 0.01% |
| KENNY MORRISON3 | 403 E MAIN STREET ADA, OK 74820 | AFLAC | $14 | — | $14 | 0.01% |
| TERRY S DECKER3 | RR 2 BOX 22 TURPIN, OK 73950 | AFLAC | $13 | — | $13 | 0.01% |
| TIMOTHY W WORTHY JR3 | 2929 W MAIN STREET DURANT, OK 74701 | AFLAC | $12 | — | $12 | 0.01% |
| MARK EDWIN SCHMITZ3 | 1512 W TRENTON STREET BROKEN ARROW, OK 74012 | AFLAC | $11 | — | $11 | 0.01% |
| KENNETH B BEDDOW3 | 707 N WALNUT STREET PAULS VALLEY, OK 73075 | AFLAC | $10 | — | $10 | 0.01% |
| JAMES D GRACE3 | 4316 S ASPEN PLACE BROKEN ARROW, OK 74011 | AFLAC | $7 | — | $7 | 0.01% |
| RUSTY J HELIN3 | 125 W 6TH STREET COLBY, KS 67701 | AFLAC | $6 | — | $6 | 0.00% |
| SUE C TUCKER3 | 9856 US HIGHWAY 29 N CUSSETA, AL 36852 | AFLAC | $5 | — | $5 | 0.00% |
| CONSTANCE I LAGER3 | 5109 NE 55TH TERRACE KANSAS CITY, MO 64119 | AFLAC | $4 | — | $4 | 0.00% |
| DAVIS INSURANCE AGENCY INC3 Filed as: DAVIS INSURANCE GROUP LLC | 17304 N MAY AVENUE, SUITE B EDMOND, OK 73012 | AFLAC | $4 | — | $4 | 0.00% |
| JENNIFER SMITH3 Filed as: JENNIFER L SMITH | 4640 S STEWART AVENUE SPRINGFIELD, MO 65804 | AFLAC | $2 | — | $2 | 0.00% |
| JONI S WOBORNY BUNKER3 | 4601 LICHEN LANE MANHATTAN, KS 66503 | AFLAC | $2 | — | $2 | 0.00% |
| WESNER ENTERPRISES LLC3 | 1508 N CHURCH ROAD, SUITE B LIBERTY, MO 64068 | AFLAC | $2 | — | $2 | 0.00% |
| JON KRAATZ3 Filed as: JON C KRAATZ | 118 SABINE STREET 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 | 166 | 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) | 167 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 166 | $1.2M |
| Dental | BLUE CROSS AND BLUE SHIELD OF KANSAS | 166 | $1.2M |
| Life insurance | ADVANCE INSURANCE COMPANY OF KANSAS | 121 | $7K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF KANSAS | 166 | $1.2M |
| Other(2 contracts, 2 carriers) | AFLAC | 121 | $133K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 166 | — |
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.