| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RWI BENEFITS LLC3 Filed as: RWI BENEFITS, LLC | PO BOX 2427 JOPLIN, MO 64803 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBIA | $5K | — | $5K | 12.25% |
| JULIA HADORN3 | 10778 S. CARBONDALE ST OLATHE, KS 66061 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBIA | $996 | $41 | $1K | 2.35% |
| BRENNAN HURT3 | 5600 MILLRIDGE ST SHAWNEE, KS 66218 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBIA | $519 | — | $519 | 1.18% |
| BRIANA LYNN HADORN3 Filed as: BRIANA HADORN | 10778 S CARBONDALE ST OLATHE, KS 66061 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBIA | $519 | — | $519 | 1.18% |
| JEANNE DYCUS3 | 4026 NE WOODRIDGE DR LEES SUMMIT, MO 64064 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBIA | $129 | — | $129 | 0.29% |
| CALEB GILMOUR3 | 515 S. MAIN STREET SUITE 105 WICHITA, KS 67202 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBIA | $112 | — | $112 | 0.25% |
| JASON WHITE3 | 6334 STEVENSON ST SHAWNEE, KS 66218 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBIA | $83 | — | $83 | 0.19% |
| BRAD SCHUMACHER3 | 2804 COUNTRY LN HAYS, KS 67601 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBIA | $50 | — | $50 | 0.11% |
| JON R OVERACRE3 Filed as: JON OVERACRE | 10502 W. 133RD TER APT 107 OVERLAND PARK, KS 66213 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBIA | $15 | $22 | $37 | 0.08% |
| LISA LAFALIER3 | 103 S 18TH ST PARSONS, KS 67357 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBIA | $1 | — | $1 | 0.00% |
| CHRISTOPER HIPP3 | 1601 MEADOW LN HAYS, KS 67601 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBIA | $1 | — | $1 | 0.00% |
| KENNETH MORRIS JR3 | 5410 PLYMOUTH DR LAWRENCE, KS 66049 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBIA | $1 | — | $1 | 0.00% |
| RWI BENEFITS LLC3 Filed as: RWI BENEFITS, LLC | PO BOX 50 QUAPAW CITY, OK 74363 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $0 | $2K | 10.00% |
| RWI BENEFITS LLC3 Filed as: RWI BENEFITS, LLC | PO BOX 50 QUAPAW CITY, OK 74363 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $935 | $0 | $935 | 10.00% |
| RWI BENEFITS LLC3 Filed as: RWI BENEFITS, LLC | PO BOX 50 QUAPAW CITY, OK 74363 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $243 | $0 | $243 | 9.99% |
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 | 107 | 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) | 107 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBIA | 47 | $44K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 107 | $23K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 38 | $9K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 22 | $2K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 107 | $23K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 107 | — |
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.