| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GREGORY L TYLER3 | 110 S VALLEY STREAM DRIVE DERBY, KS 67037 | AFLAC | $7K | $850 | $8K | 5.06% |
| WESLEY LEGRAND WILLIAMS JR3 | 3467 COUNTY ROAD KAUFMAN, TX 75142 | AFLAC | $5K | — | $5K | 3.04% |
| TANNER R KING3 | 14820 EAST SIEFKES COURT WICHITA, KS 67230 | AFLAC | $4K | $269 | $4K | 2.76% |
| CALEB GILMOUR3 Filed as: CALEB J GILMOUR | 515 S MAIN STREET, SUITE 105 WICHITA, KS 67202 | AFLAC | $3K | $269 | $3K | 1.80% |
| GEORGE THOMAS WARHURST3 | 233 W MALLARD DRIVE DERBY, KS 67037 | AFLAC | $1K | $274 | $2K | 1.09% |
| HOLMES MURPHY & ASSOCIATES3 Filed as: HOLMES MURPHY & ASSOCIATES INC | 2727 GRAND PRAIRIE PARKWAY WAUKEE, IA 50263 | AFLAC | $1K | — | $1K | 0.86% |
| HOLMES MURPHY & ASSOCIATES3 Filed as: HOLMES MURPHY & ASSOCIATES INC | 5360 LEGACY DRIVE, BLDG 3 PLANO, TX 75024 | AFLAC | $695 | — | $695 | 0.43% |
| JUSTIN C CARSON3 | 7701 EAST KELLOGG DRIVE, SUITE 680 WICHITA, KS 67207 | AFLAC | $571 | — | $571 | 0.36% |
| WESLEY PARKER PHILLIPS3 | 3130 N TYLER ROAD WICHITA, KS 67205 | AFLAC | $520 | $43 | $563 | 0.35% |
| KEVIN D SEAL3 | 1701 E OSAGE ROAD, APT 219 DERBY, KS 67037 | AFLAC | $471 | — | $471 | 0.29% |
| JEREMIAH D POPELKA3 | 2424 BUTTONWOOD DRIVE MANHATTAN, KS 66502 | AFLAC | $292 | — | $292 | 0.18% |
| KATHY WIEDEMANN3 | 222 HIGH VIEW DRIVE BOULDER, CO 80304 | AFLAC | $285 | — | $285 | 0.18% |
| TERESA BURNETT3 | 1112 E JAMES STREET DERBY, KS 67037 | AFLAC | $274 | — | $274 | 0.17% |
| MARC LUTHER HOMAN3 | 11828 W CENTRAL AVENUE, SUITE 100 WICHITA, KS 67212 | AFLAC | $168 | — | $168 | 0.11% |
| LYNN E MOLLER3 | 4527 ENGLISH HOLLY DRIVE FAIRFAX, VA 22030 | AFLAC | $149 | — | $149 | 0.09% |
| BRAD J SCHUMACHER3 | 2804 COUNTRY LANE HAYS, KS 67601 | AFLAC | $138 | — | $138 | 0.09% |
| WILLINGHAM INC3 | 35354 MISSION BELLEVIEW ROAD LOUISBURG, KS 66053 | AFLAC | $109 | — | $109 | 0.07% |
| PATRICIA ZOELLER3 | PO BOX 181 KINGMAN, KS 67068 | AFLAC | $76 | — | $76 | 0.05% |
| JAMES HOMER COOK3 | 8509 E HUNTINGTON STREET WICHITA, KS 67206 | AFLAC | $73 | — | $73 | 0.05% |
| ANGELA M COOK3 | 400 N CORONADO STREET, APT 2108 CHANDLER, AZ 85224 | AFLAC | $70 | — | $70 | 0.04% |
| NATHAN L HARRISON3 | 5301 E VISTA RICA STREET PARADISE VALLEY, AZ 85253 | AFLAC | $68 | — | $68 | 0.04% |
| DARRELL CUSICK3 | 1204 N MANCHESTER AVENUE NEWTON, KS 67114 | AFLAC | $65 | — | $65 | 0.04% |
| ADAM J STEIN3 | 12113 WESTGATE STREET OVERLAND PARK, KS 66213 | AFLAC | $65 | — | $65 | 0.04% |
| HOSFIELD BENEFIT SERVICES LLC3 | 6750 W 75TH STREET, SUITE 1A OVERLAND PARK, KS 66204 | AFLAC | $65 | — | $65 | 0.04% |
| RICHARD T DIXON3 | 6277 GREY FOX LANE SPERRY, OK 74073 | AFLAC | $50 | — | $50 | 0.03% |
| DONNA CDEBACA STEWART3 | 3501 FRENCH PARK DRIVE, SUITE E EDMOND, OK 73034 | AFLAC | $45 | — | $45 | 0.03% |
| RUSTY J HELIN3 | 2012 SE 9TH STREET MOORE, OK 73160 | AFLAC | $41 | — | $41 | 0.03% |
| KENNETH D MORRIS JR3 | 5410 PLYMOUTH DRIVE LAWRENCE, KS 66049 | AFLAC | $40 | — | $40 | 0.03% |
| CERESTA L HILL3 | 5216 NW 111TH STREET OKLAHOMA CITY, OK 73162 | AFLAC | $37 | — | $37 | 0.02% |
| GARY WAYNE WILLINGHAM3 | 6033 STRAFFORD OAKS DRIVE SEBRING, FL 33875 | AFLAC | $36 | — | $36 | 0.02% |
| DANNY W SMITH3 | 14430 S LEWIS AVENUE BIXBY, OK 74008 | AFLAC | $33 | — | $33 | 0.02% |
| CHAD J BASLER3 | 460 NE LAKES EDGE DRIVE LEES SUMMIT, MO 64064 | AFLAC | $32 | — | $32 | 0.02% |
| CHRISTOPHER THOMAS HIPP3 | 1601 MEADOW LANE HAYS, KS 67601 | AFLAC | $22 | — | $22 | 0.01% |
| JOHN A BACON3 | 30837 SPRING VALLEY ROAD PAOLA, KS 66071 | AFLAC | $16 | — | $16 | 0.01% |
| JEREMY FRYE & ASSOCIATES INC3 | 1508 N CHURCH ROAD, SUITE B LIBERTY, MO 64068 | AFLAC | $16 | — | $16 | 0.01% |
| KURTIS CARROLL SCHULTZ3 | PO BOX 52679 TULSA, OK 74152 | AFLAC | $14 | — | $14 | 0.01% |
| BOBBY R STEWART3 | 3501 FRENCH PARK DRIVE, SUITE E EDMOND, OK 73034 | AFLAC | $13 | — | $13 | 0.01% |
| MARK EDWIN SCHMITZ3 | 1512 W TRENTON STREET BROKEN ARROW, OK 74012 | AFLAC | $11 | — | $11 | 0.01% |
| BRIAN MILLS3 | 1402 W LUCY WEBB ROAD RAYMORE, MO 64083 | AFLAC | $11 | — | $11 | 0.01% |
| TERRY S DECKER3 | 123401 EW 6 ROAD TURPIN, OK 73950 | AFLAC | $9 | — | $9 | 0.01% |
| JAMES D GRACE3 | 4401 HIGHLAND HILLS DRIVE NORMAN, OK 73026 | AFLAC | $7 | — | $7 | 0.00% |
| CONSTANCE I LAGER3 | 5109 NE 55TH TERRACE KANSAS CITY, MO 64119 | AFLAC | $4 | — | $4 | 0.00% |
| JENNIFER SMITH3 Filed as: JENNIFER L SMITH | 4640 S STEWART AVENUE SPRINGFIELD, MO 65804 | AFLAC | $2 | — | $2 | 0.00% |
| WESNER ENTERPRISES LLC3 | 1508 N CHURCH ROAD, SUITE B LIBERTY, MO 64068 | AFLAC | $2 | — | $2 | 0.00% |
| JONI S WOBORNY BUNKER3 | 4601 LICHEN LANE MANHATTAN, KS 66503 | AFLAC | $2 | — | $2 | 0.00% |
| HOLMES MURPHY & ASSOCIATES3 Filed as: HOLMES MURPHY AND ASSOCIATES | PO BOX 441 DES MOINES, IA 50302 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $396 | $1K | 22.81% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UMR, INC. EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | — | $138K |
| HOLMES MURPHY & ASSOCIATES INC EIN 42-0985055 BROKER | Other commissions Service code 55 | — | $35K |
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 | 118 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 118 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 118 | $6K |
| Other(2 contracts, 2 carriers) | AFLAC | 118 | $166K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 118 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.