| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF NORTH CAROLINA, INC. | 301 SOUTH TRYON STREET, SUITE 2600 CHARLOTTE, NC 28282 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $27K | $7K | $34K | 7.03% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF NORTH CAROLINA, INC. | 214 NORTH TYRON STREET CHARLOTTE, NC 28202 | VISION SERVICE PLAN | $2K | — | $2K | 1.47% |
| PATRICIA ANN BOSCH3 Filed as: PATRICIA ANN BOSCH AND OTHER AGENTS | 1501 EAST ORANGETHORPE AVENUE SUITE 180 FULLERTON, SC 29201 | AFLAC | $4K | $66 | $4K | 8.59% |
| MELISSA MURBACH3 | 1105 LAUREL BLUFF DRIVE KING, NC 27021 | AFLAC | $953 | — | $953 | 2.18% |
| THOMAS B DAVIS3 Filed as: THOMAS B. DAVIS | 835 ROSEHILL DRIVE KING OF PRUSSIA, PA 19406 | AFLAC | $332 | — | $332 | 0.76% |
| JCP GROUP INC3 Filed as: JCP GROUP, INC. | 4693 PEBBLE LAKE DRIVE PFAFFTOWN, NC 27021 | AFLAC | $256 | — | $256 | 0.58% |
| L. HOOD3 Filed as: L. D. HOOD | 157 WESS WALL ROAD KING, NC 27021 | AFLAC | $218 | — | $218 | 0.50% |
| BRUCE W. FORD3 | PO BOX 5734 KENT, WA 98064 | AFLAC | $181 | — | $181 | 0.41% |
| PEGGY MORRIS3 | 2720 WOODLORE TRAIL WINSTON SALEM, NC 27103 | AFLAC | $165 | — | $165 | 0.38% |
| MARC ALAN HOLLABAUGH3 Filed as: MARC A. HOLLABAUGH | 6701 WEST 64TH STREET SUITE 312 OVERLAND PARK, KS 66202 | AFLAC | $4K | — | $4K | 13.84% |
| MJ INSURANCE3 Filed as: ALAN D HURT AND VARIOUS AGENTS | PO BOX 277 MOUND CITY, KS 66056 | AFLAC | $619 | — | $619 | 2.45% |
| BRIAN MILLS3 | 1116 REMINGTON PLAZA, SUITE A RAYMORE, MO 64083 | AFLAC | $592 | $20 | $612 | 2.42% |
| DOUGLAS R PEETE3 Filed as: DOUGLAS R. PEETE | 4551 WEST 107TH STREET, SUITE 220 OVERLAND PARK, KS 66207 | AFLAC | $473 | — | $473 | 1.87% |
| PERRY HENAULT3 | 220 SW 33RD STREET, SUITE 101 TOPEKA, KS 66611 | AFLAC | $277 | — | $277 | 1.09% |
| ALYSON M LINSCOTT3 Filed as: ALYSON M. LINSCOTT | 5228 EISENHOWER PLACE LAWRENCE, KS 66049 | AFLAC | $213 | $24 | $237 | 0.94% |
| BRAD J SCHUMACHER3 Filed as: BRAD J. SCHUMACHER | 718 MAIN STREET, SUITE 205 HAYS, KS 67601 | AFLAC | $197 | $24 | $221 | 0.87% |
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 | 1,160 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,165 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF KANSAS, INC. | 787 | $415K |
| Vision(2 contracts, 2 carriers) | VISION SERVICE PLAN | 1,722 | $158K |
| Life insurance | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 1,168 | $489K |
| Short-term disability | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 1,168 | $489K |
| Long-term disability | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 1,168 | $489K |
| Other(3 contracts, 2 carriers) | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 1,168 | $559K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,722 | — |
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.