| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST | 5314 S YALE AVENUE SUITE 900 TULSA, OK 74135 | AMERICAN UNITED LIFE INSURANCE COMPANY | $26K | $0 | $26K | 14.94% |
| GROUP BENEFIT SPECIALISTS INC3 | 7331 W 33RD ST N STE 100 WICHITA, KS 67205 | AMERICAN UNITED LIFE INSURANCE COMPANY | $115 | $0 | $115 | 0.07% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 55 E JACKSON BLVD STE 1400A CHICAGO, IL 60604 | AFLAC | $8K | $474 | $8K | 11.51% |
| ALL OTHERS | 3219 W MAY WICHITA, KS 67213 | AFLAC | $2K | $0 | $2K | 3.48% |
| KATHY WIEDEMANN3 | 220 HIGH VIEW DR BOULDER, CO 80304 | AFLAC | $764 | $96 | $860 | 1.23% |
| MICHAEL D CHRISMAN3 Filed as: MICHAEL CHRISMAN | 229 E WILLIAM ST WICHITA, KS 67202 | AFLAC | $721 | $85 | $806 | 1.15% |
| SAMUEL A MCFALL3 Filed as: SAMUEL MCFALL | 609 N BROADWAY ST STE 200 WICHITA, KS 67214 | AFLAC | $559 | $0 | $559 | 0.80% |
| JAMES HOMER COOK3 Filed as: JAMES COOK | 1050 N GRETCHEN LN WICHITA, KS 67206 | AFLAC | $311 | $0 | $311 | 0.44% |
| WILLIAM K TEICHGRAEBER3 Filed as: WILLIAM TEICHGRAEBER | 931 167TH ST EUREKA, KS 67045 | AFLAC | $297 | $0 | $297 | 0.42% |
| HUB INTERNATIONAL MIDWEST LIMITED | 5314 S YALE AVE STE 900 TULSA, OK 741356257 | VISION SERVICE PLAN | $6K | — | $6K | 10.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 5314 S YALE AVENUE SUITE 900 TULSA, OK 74135 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $5K | $0 | $5K | 20.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: GBS, A DIVISION OF HUB INTERNATIONA | P.O. BOX 844501 DALLAS, TX 752844501 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $0 | $2K | 15.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: GBS, A DIVISION OF HUB INTERNATIONA | P.O. BOX 844501 DALLAS, TX 752844501 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $0 | $1K | 15.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF KANSAS EIN 48-0952857 | Insurance agents and brokers Service code 22 | 1133 SW TOPEKA BLVD TOPEKA, KS 66629 | $194K |
| HUB INTERNATIONAL MIDWEST LIMITED EIN 35-0672425 | Insurance agents and brokers Service code 22 | 7331 W. 33RD N. SUITE 100 WICHITA, KS 67205 | $72K |
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 | 653 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 657 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF KANSAS, INC | 472 | $0 |
| Vision | VISION SERVICE PLAN | 390 | $62K |
| Life insurance | AMERICAN UNITED LIFE INSURANCE COMPANY | 272 | $176K |
| Short-term disability | AFLAC | 120 | $70K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 320 | $26K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS AND BLUE SHIELD OF KANSAS | 1,042 | $400K |
| Other(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 11 | $24K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,042 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.