| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RWI BENEFITS LLC3 | PO BOX 2427 JOPLIN, MO 64803 | AFLAC | $10K | — | $10K | 9.66% |
| JULIA HADORN3 | 10778 S. CARBONDALE ST. OLATHE, KS 66061 | AFLAC | $4K | $13 | $4K | 3.69% |
| BRIAN MILLS3 | 1402 W. LUCY WEBB RD. RAYMORE, MO 64083 | AFLAC | $840 | — | $840 | 0.79% |
| JEANNE DYCUS3 | 4206 NE WOODRIDGE DR. LEES SUMMIT, MO 64116 | AFLAC | $619 | — | $619 | 0.58% |
| JASON WHITE3 | 6334 STEVENSON ST. SHAWNEE, KS 64064 | AFLAC | $475 | — | $475 | 0.45% |
| ARICCA WALLACE3 | 5100 CANYON RD. MANHATTAN, KS 66503 | AFLAC | $321 | — | $321 | 0.30% |
| NATHAN HARRISON3 | 16024 MANCHESTER RD. STE. 200 ELLISVILLE, MO 63011 | AFLAC | $320 | — | $320 | 0.30% |
| JON R OVERACRE3 Filed as: JON OVERACRE | 10502 W. 133RD TER. APT. 107 OVERLAND PARK, KS 66213 | AFLAC | $275 | $5 | $280 | 0.26% |
| ALAN D HURT3 Filed as: ALAN HURT | PO BOX 277 MOUND CITY, KS 66056 | AFLAC | $154 | — | $154 | 0.14% |
| BRAD SCHUMACHER3 | 2804 COUNTRY LN. HAYS, KS 67601 | AFLAC | $109 | — | $109 | 0.10% |
| BRENNAN HURT3 | 1804 COUNTRYSIDE DR. PITTSBURG, KS 66762 | AFLAC | $82 | — | $82 | 0.08% |
| CYNTHIA A. HAWKINSON3 Filed as: CYNTHIA HAWKINSON | PO BOX 288 CHELSEA, OK 74016 | AFLAC | $74 | — | $74 | 0.07% |
| J SCOTT DAY3 | 2525 NW TOPEKA BLVD. TOPEKA, KS 66617 | AFLAC | $71 | — | $71 | 0.07% |
| KENNETH MORRIS JR3 Filed as: KENNETH MORRIS JR. | 5410 PLYMOUTH DR. LAWRENCE, KS 66049 | AFLAC | $59 | — | $59 | 0.06% |
| JOHN A BACON3 Filed as: JOHN BACON | 1025 DURHAM GARDEN CT. O FALLON, MO 66368 | AFLAC | $44 | — | $44 | 0.04% |
| TIMOTHY W WORTHY JR3 Filed as: TIMOTHY WORTHY JR. | 2929 W. MAIN ST. DURANT, OK 74701 | AFLAC | $39 | — | $39 | 0.04% |
| WILLIAM K TEICHGRAEBER3 Filed as: WILLIAM TEICHGRABER | 931 W. 167TH ST. EUREKA, KS 67045 | AFLAC | $37 | — | $37 | 0.03% |
| CALEB GILMOUR3 | 310 W. CENTRAL AVE. STE. D ANDOVER, KS 67002 | AFLAC | $33 | — | $33 | 0.03% |
| DAVID C SIMS3 Filed as: DAVID SIMS | 4504 W. MOURNING DOVE DR. ROGERS, AR 72758 | AFLAC | $25 | — | $25 | 0.02% |
| CHRISTOPHER THOMAS HIPP3 Filed as: CHRISTOPHER HIPP | 1601 MEADOW LN. HAYS, KS 67601 | AFLAC | $25 | — | $25 | 0.02% |
| JOHN A WILLIAMS COMPANY INC3 Filed as: JOHN A WILLIAMS COMPANY INC. | 20316 N. COUNTY RD. 3240 PAULS VALLEY, OK 73075 | AFLAC | $19 | — | $19 | 0.02% |
| APRIL MARIE HUDGENS3 Filed as: APRIL HUDGENS | PO BOX 450053 GROVE, OK 74345 | AFLAC | $19 | — | $19 | 0.02% |
| MARC HOMAN3 | 11828 W. CENTRAL ST. STE. 100 WICHITA, KS 67212 | AFLAC | $15 | — | $15 | 0.01% |
| KELLI R CAROTHERS3 Filed as: KELLI CAROTHERS | 7310 E. 76TH ST. TULSA, OK 74133 | AFLAC | $15 | — | $15 | 0.01% |
| MICHAEL G HAGGAI3 Filed as: MICHAEL HAGGAI | 9750 N. ANDERSON RD. JONES, OK 73049 | AFLAC | $13 | — | $13 | 0.01% |
| JOHN A BACON3 Filed as: JOHN BACON | 1267 LEIGHTON HOLLOW DR. DARDENNE PRAIRIE, MO 63368 | AFLAC | $13 | — | $13 | 0.01% |
| MORETON & COMPANY3 Filed as: BEAU MORTON | PO BOX 409 MULDROW, OK 74948 | AFLAC | $12 | — | $12 | 0.01% |
| LARRY D DENNY3 Filed as: LARRY DENNY | PO BOX 306 WETUMKA, OK 74883 | AFLAC | $8 | — | $8 | 0.01% |
| PERRY HENAULT3 | 2443 SE CUVIER ST. TECUMSEH, KS 66542 | AFLAC | $8 | — | $8 | 0.01% |
| MICHAEL STORRER3 | 114 HOLLIDAY ST. OSAGE CITY, KS 66523 | AFLAC | $7 | — | $7 | 0.01% |
| JAMES EDWIN REED3 Filed as: JAMES REED | 8224 SAN MARCO AVE. SPRINGDALE, AR 72762 | AFLAC | $7 | — | $7 | 0.01% |
| DAVID L DEARDORFF3 Filed as: DAVID DEARDORFF | 9083 E 138TH ST. S. BIXBY, OK 74008 | AFLAC | $7 | — | $7 | 0.01% |
| KRINGS ENTERPRISES INC3 | 5530 WEST PKWY. STE. 500 JOHNSTON, IA 50131 | AFLAC | $6 | — | $6 | 0.01% |
| JOSEPH WESLEY WILLINGHAM3 Filed as: JOSEPH WILLINGHAM | 1502 N. METCALF RD. LOUISBURG, KS 66053 | AFLAC | $6 | — | $6 | 0.01% |
| ROGERS BENEFIT GROUP INC3 Filed as: ANGELA COOK | 5608 NE HIDDEN MEADOW CIR. LEES SUMMIT, MO 64064 | AFLAC | $1 | $4 | $5 | 0.00% |
| KURTIS CARROLL SCHULTZ3 Filed as: KURTIS SCHULTZ | PO BOX 52679 TULSA, OK 74152 | AFLAC | $4 | — | $4 | 0.00% |
| MOFFATT DESIGNS LLC3 | 1221 LAMPLIGHTER LN. EDMOND, OK 73034 | AFLAC | $3 | — | $3 | 0.00% |
| JONI S WOBORNY BUNKER3 Filed as: JONI WOBORNY BUNKER | 1837 VIRGINIA DR. MANHATTAN, KS 66502 | AFLAC | $3 | — | $3 | 0.00% |
| MARK METTILLE3 Filed as: MARK SCHMITZ | 1512 W. TRENTON ST. BROKEN ARROW, OK 74012 | AFLAC | $2 | — | $2 | 0.00% |
| JOHN ROBERT DE LARIOS3 Filed as: JOHN DELARIOS | 4306 W. TOLEDO CT. BROKEN ARROW, OK 74012 | AFLAC | $2 | — | $2 | 0.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: RONALD BROWN | 5150 BAY TOWN CONWAY, AR 72034 | AFLAC | $1 | — | $1 | 0.00% |
| SHANE M OWEN3 Filed as: SHANE OWEN | 3000 UNITED FOUNDERS BLVD. STE. 248 OKLAHOMA CITY, OK 73112 | AFLAC | $1 | — | $1 | 0.00% |
| TERRY S DECKER3 Filed as: TERRY DECKER | RR2 BOX 22 TURPIN, OK 73950 | AFLAC | $1 | — | $1 | 0.00% |
| CHARLES L CHANCELLOR3 Filed as: CHARLES CHANCELLOR | 903 WEATHERFORD DR. BENTON, AR 72015 | AFLAC | $1 | — | $1 | 0.00% |
| TONYA SUE ELMORE3 Filed as: TONYA ELMORE | 1930 S. HWY. 71E MANSFIELD, AK 72944 | 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 | 130 | 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) | 130 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AFLAC | 130 | $106K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 130 | — |
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.