| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RWI BENEFITS LLC3 | PO BOX 2427 JOPLIN, MO 64803 | AFLAC | $7K | — | $7K | 5.45% |
| JULIA HADORN3 Filed as: JULIA R HADORN | 10778 S CARBONDALE ST OLATHE, KS 66061 | AFLAC | $7K | — | $7K | 5.21% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES INC | 80 S 8TH ST STE 700 MINNEAPOLIS, MN 55402 | AFLAC | $4K | — | $4K | 3.27% |
| LOGAN A BAX3 | 8807 STARK AVE KANSAS CITY, MO 64138 | AFLAC | $1K | $9 | $1K | 0.94% |
| ROBERT C JOHNSTON3 | 1000 W FOXWOOD DR STE 300 RAYMORE, MO 64083 | AFLAC | $1K | $61 | $1K | 0.92% |
| BRIAN MILLS3 | 1402 W LUCY WEBB RD RAYMORE, MO 64083 | AFLAC | $484 | — | $484 | 0.38% |
| ANGELA M COOK3 | 400 N CORONADO ST APT 2108 CHANDLER, AZ 85224 | AFLAC | $376 | — | $376 | 0.29% |
| JEANNE DYCUS3 | 4026 NE WOODRIDGE DR LEES SUMMIT, MO 64064 | AFLAC | $235 | — | $235 | 0.18% |
| ARICCA WALLACE3 | 5100 CANYON RD MANHATTAN, KS 66503 | AFLAC | $176 | — | $176 | 0.14% |
| JON R OVERACRE3 | 10502 W 133RD TER APT 107 OVERLAND PARK, KS 66213 | AFLAC | $174 | — | $174 | 0.14% |
| NATHAN L HARRISON3 | 5301 E VISTA RICA ST PARADISE VALLEY, AZ 85253 | AFLAC | $167 | — | $167 | 0.13% |
| JASON SCOTT WHITE3 | 6334 STEVENSON ST SHAWNEE, KS 66218 | AFLAC | $117 | — | $117 | 0.09% |
| BRIANA LYNN HADORN3 | 10778 S CARBONDALE ST OLATHE, KS 66061 | AFLAC | $111 | — | $111 | 0.09% |
| WELLS MANAGEMENT LLC3 | 11725 SE 960 PVT RD COLLINS, MO 64738 | AFLAC | $99 | — | $99 | 0.08% |
| ALAN D HURT3 | PO BOX 277 MOUND CITY, KS 66056 | AFLAC | $82 | — | $82 | 0.06% |
| MICHAEL WARD3 | 10550 BARKLEY ST STE 203 OVERLAND PARK, KS 66212 | AFLAC | $65 | — | $65 | 0.05% |
| BRAD J SCHUMACHER3 | 2804 COUNTRY LN HAYS, KS 67601 | AFLAC | $56 | — | $56 | 0.04% |
| BRENNAN HURT3 Filed as: BRENNAN A HURT | 5600 MILLRIDGE ST SHAWNEE, KS 66218 | AFLAC | $43 | — | $43 | 0.03% |
| KENNETH D MORRIS JR3 | 5410 PLYMOUTH DR LAWRENCE, KS 66049 | AFLAC | $36 | — | $36 | 0.03% |
| JOHN A BACON3 | 30837 SPRING VALLEY RD PAOLA, KS 66071 | AFLAC | $34 | — | $34 | 0.03% |
| J SCOTT DAY3 | 2525 NW TOPEKA BLVD TOPEKA, KS 66617 | AFLAC | $31 | — | $31 | 0.02% |
| DAVID C SIMS3 | 4204 W QUELINDA DR ROGERS, AR 72758 | AFLAC | $30 | — | $30 | 0.02% |
| APRIL MARIE HUDGENS3 | PO BOX 450053 GROVE, OK 74345 | AFLAC | $26 | — | $26 | 0.02% |
| DEREK J COMAGES3 | 631-5 HC 60 BOX CHECOTAH, OK 74426 | AFLAC | $25 | — | $25 | 0.02% |
| SEAN SMITH MANAGEMENT LLC3 | 21408 B ST ELKHORN, NE 68022 | AFLAC | $23 | — | $23 | 0.02% |
| BRET T GOSCH3 | 9895 COUNTY ROAD 215 WEBB CITY, MO 64870 | AFLAC | $22 | — | $22 | 0.02% |
| CALEB GILMOUR3 Filed as: CALEB J GILMOUR | 515 S MAIN ST STE 105 WICHITA, KS 67202 | AFLAC | $18 | — | $18 | 0.01% |
| CHRISTOPHER THOMAS HIPP3 | 1601 MEADOW LN HAYS, KS 67601 | AFLAC | $15 | — | $15 | 0.01% |
| IMPACT BENEFITS LLC3 | 506 S MAIN ST CARTHAGE, MO 64836 | AFLAC | $11 | — | $11 | 0.01% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | PO BOX 3009 ARLINGTON HEIGHTS, IL 60006 | AFLAC | $9 | — | $9 | 0.01% |
| JAMES EDWIN REED3 | 8224 SAN MARCO AVE SPRINGDALE, AR 72762 | AFLAC | $8 | — | $8 | 0.01% |
| JAMES D GRACE3 | 4401 HIGHLAND HILLS DRIVE NORMAN, OK 73026 | AFLAC | $6 | — | $6 | 0.00% |
| JEREMY FRYE & ASSOCIATES INC3 | 1508 N CHURCH RD STE B LIBERTY, MO 64068 | AFLAC | $5 | — | $5 | 0.00% |
| JOHN ROBERT DE LARIOS3 | 119 TAMARACK CV HOLLY LAKE RANCH, TX 75765 | AFLAC | $5 | — | $5 | 0.00% |
| CONSTANCE I LAGER3 | 5109 NE 55TH TERRACE KANSAS CITY, MO 64119 | AFLAC | $2 | — | $2 | 0.00% |
| JOHN A WILLIAMS COMPANY INC3 | 20316 N COUNTY ROAD 3240 PAULS VALLEY, OK 73075 | AFLAC | $2 | — | $2 | 0.00% |
| JONI S WOBORNY BUNKER3 | 4601 LICHEN LN MANHATTAN, KS 66503 | AFLAC | $1 | — | $1 | 0.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: RONALD F BROWN | 5150 BAY TOWN CONWAY, AR 72034 | AFLAC | $1 | — | $1 | 0.00% |
| CODY W FREEMAN3 | 3030 NW EXPRESSWAY STE 1800 OKLAHOMA CITY, OK 73112 | AFLAC | $1 | — | $1 | 0.00% |
| JENNIFER SMITH3 Filed as: JENNIFER L SMITH | 4640 S STEWART AVE SPRINGFIELD, MO 65804 | AFLAC | $1 | — | $1 | 0.00% |
| WESNER ENTERPRISES LLC3 | 1508 N CHURCH RD STE B LIBERTY, MO 64068 | AFLAC | $1 | — | $1 | 0.00% |
| CHARLES L CHANCELLOR3 | 903 WEATHERFORD DR BENTON, AR 72015 | AFLAC | $1 | — | $1 | 0.00% |
| TONYA SUE ELMORE3 | 1930 HIGHWAY 71 E MANSFIELD, AR 72944 | AFLAC | $1 | — | $1 | 0.00% |
| JOSHUA C ROLAN3 | 704 SEMINOLE DR PAULS VALLEY, OK 73075 | AFLAC | $1 | — | $1 | 0.00% |
| PAUL B BROUCHOUD3 | 604 MARK DR DEL CITY, OK 73115 | 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 | 122 | 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) | 122 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AFLAC | 122 | $129K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 122 | — |
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.