| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | PO BOX 62817 VIRGINIA BEACH, VA 23466 | ADVANCE INSURANCE COMPANY OF KANSAS | $4K | $0 | $4K | 10.83% |
| KEITH A PFAUTZ3 Filed as: KEITH A. PFAUTZ | 1208 NORTH MADISON AVENUE NEWTON, KS 67114 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3K | $0 | $3K | 10.07% |
| RON BOWLING3 | 8575 WEST 110TH STREET, SUITE 210 OVERLAND PARK, KS 66210 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $377 | $2 | $379 | 1.19% |
| MARILYN B BOWLING3 Filed as: MARILYN B. BOWLING | 19204 WEST 102ND STREET LENEXA, KS 66220 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $115 | $16 | $131 | 0.41% |
| RYAN BOWLING3 | 8575 WEST 110TH STREET, SUITE 320 OVERLAND PARK, KS 66210 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $45 | $0 | $45 | 0.14% |
| VAN SWANSON3 | 2272 FRINGE TREE TRAIL THE VILLAGES, FL 32162 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $42 | $0 | $42 | 0.13% |
| LYLE H KAUFMANN3 Filed as: LYLE H. KAUFMANN | 838 NORTH RIDGEWOOD RIVE WICHITA, KS 67208 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $20 | — | $20 | 0.06% |
| MAUREEN E CONRAN3 Filed as: MAUREEN E. CONRAN | 10209 LAMAR AVENUE OVERLAND PARK, KS 66207 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $15 | $0 | $15 | 0.05% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62817 VIRGINIA BEACH, VA 23466 | SURENCY LIFE AND HEALTH | $1K | $0 | $1K | 10.00% |
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 | 113 | 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) | 113 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision(2 contracts) | SURENCY LIFE AND HEALTH | 113 | $12K |
| Life insurance(2 contracts, 2 carriers) | ADVANCE INSURANCE COMPANY OF KANSAS | 113 | $66K |
| Short-term disability | ADVANCE INSURANCE COMPANY OF KANSAS | 113 | $34K |
| Other(2 contracts, 2 carriers) | ADVANCE INSURANCE COMPANY OF KANSAS | 113 | $66K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 113 | — |
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.