| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KEITH A PFAUTZ3 | 1208 N. MADISON AVE. NEWTON, KS 67114 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $490 | $4K | 14.63% |
| RYAN BOWLING3 | 8575 WEST 110TH STREET OVERLAND PARK, KS 66210 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $195 | $328 | $523 | 1.79% |
| RON BOWLING3 | 8575 W. 110TH ST. OVERLAND PARK, KS 66210 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $280 | $203 | $483 | 1.65% |
| MAUREEN E CONRAN3 | 8575 WEST 110TH STREET OVERLAND PARK, KS 66210 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $155 | $67 | $222 | 0.76% |
| MARILYN B BOWLING3 Filed as: MARILYN BOWLING | 8447 SUMMIT STREET LENEXA, KS 66215 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $155 | $60 | $215 | 0.74% |
| VAN SWANSON3 Filed as: VAN SWANSON INC | 2272 FRINGE TREE TRL THE VILLAGES, FL 32162 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $57 | — | $57 | 0.20% |
| LYLE H KAUFMANN3 | 838 N RIDGEWOOD DRIVE WICHITA, KS 67208 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $16 | — | $16 | 0.05% |
| THOMAS A BRYON3 | PO BOX 2628 SHAWNEE MISSION, KS 66201 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $11 | — | $11 | 0.04% |
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 | 168 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 170 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COVENTRY HEALTH CARE OF KANSAS, INC. | 192 | $888K |
| Dental | BLUE CROSS AND BLUE SHIELD OF KANSAS | 246 | $101K |
| Life insurance | ADVANCE INSURANCE COMPANY OF KANSAS | 173 | $41K |
| Short-term disability(2 contracts, 2 carriers) | ADVANCE INSURANCE COMPANY OF KANSAS | 173 | $70K |
| Prescription drug | COVENTRY HEALTH CARE OF KANSAS, INC. | 192 | $888K |
| Other | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 46 | $29K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 246 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.