| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KEITH A PFAUTZ3 Filed as: KEITH A. PFAUTZ | 1208 NORTH MADISON AVENUE NEWTON, KS 67114 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $543 | $3K | 7.93% |
| MARILYN B BOWLING3 Filed as: MARILYN B. BOWLING | 19204 WEST 102ND STREET LENEXA, KS 66220 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $335 | $114 | $449 | 1.19% |
| RON BOWLING3 | 8575 WEST 110TH STREET OVERLAND PARK, KS 66210 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $269 | $93 | $362 | 0.96% |
| RYAN BOWLING3 | 8575 WEST 110TH STREET OVERLAND PARK, KS 66210 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $206 | $1 | $207 | 0.55% |
| VAN SWANSON3 | 2272 FRINGE TREE TRAIL THE VILLAGES, FL 32162 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $53 | $0 | $53 | 0.14% |
| MAUREEN E CONRAN3 Filed as: MAUREEN E. CONRAN | 10209 LAMAR AVENUE OVERLAND PARK, KS 66207 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $45 | $0 | $45 | 0.12% |
| LYLE H KAUFMANN3 Filed as: LYLE H. KAUFMANN AND OTHER AGENTS | 838 NORTH RIDGEWOOD DRIVE WICHITA, KS 67208 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $31 | $0 | $31 | 0.08% |
| USI INSURANCE SERVICES LLC3 | 245 NORTH WACO, SUITE 412 WICHITA, KS 67202 | SURENCY LIFE AND HEALTH | $2K | $0 | $2K | 9.90% |
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 | 161 | 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) | 161 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 274 | $1.3M |
| Dental | BLUE CROSS AND BLUE SHIELD OF KANSAS | 274 | $1.3M |
| Vision | SURENCY LIFE AND HEALTH | 96 | $16K |
| Life insurance | ADVANCE INSURANCE CO OF KANSAS | 161 | $50K |
| Short-term disability | ADVANCE INSURANCE CO OF KANSAS | 161 | $50K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF KANSAS | 274 | $1.3M |
| Other(2 contracts, 2 carriers) | ADVANCE INSURANCE CO OF KANSAS | 161 | $87K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 274 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.