| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BUKATY COMPANIES3 Filed as: BUKATY COMPANIES, INC. | 4601 COLLEGE BOULEVARD LEAWOOD, KS 66211 | DELTA DENTAL OF MISSOURI | $8K | $0 | $8K | 9.18% |
| RANDY DICK3 | PO BOX 758 ROSSVILLE, KS 66533 | DELTA DENTAL OF MISSOURI | $4K | $0 | $4K | 4.31% |
| MELISSA DAWN HORGAN3 | 409 MAIN STREET ROSSVILLE, KS 66533 | AFLAC | $7K | $543 | $8K | 9.14% |
| KAREN A. DICK3 | PO BOX 758 ROSSVILLE, KS 66533 | AFLAC | $7K | $371 | $7K | 8.24% |
| MATTHEW GANT3 | 2501 WEST 18TH AVENUE, SUITE A EMPORIA, KS 66801 | AFLAC | $3K | $119 | $3K | 3.67% |
| CALEB GILMOUR3 Filed as: CALEB J. GILMOUR | 515 SOUTH MAIN STREET, SUITE 105 WICHITA, KS 67202 | AFLAC | $3K | $69 | $3K | 3.30% |
| BUKATY COMPANIES3 Filed as: THE BUKATY AGENCY, INC. | 4601 COLLEGE BOULEVARD, SUITE 100 LEAWOOD, KS 66211 | AFLAC | $673 | $0 | $673 | 0.81% |
| ADAM J STEIN3 Filed as: ADAM J. STEIN | 12113 WESTGATE STREET OVERLAND PARK, KS 66213 | AFLAC | $125 | $0 | $125 | 0.15% |
| BUKATY COMPANIES3 | UNKNOWN PLEASANT HOPE, MO 65725 | SURENCY LIFE AND HEALTH | $351 | $0 | $351 | 2.41% |
| DUSTIN DICK3 | 409 MAIN STREET PO BOX 235 ROSSVILLE, KS 66533 | NEW YORK LIFE INSURANCE COMPANY | $2K | $0 | $2K | 15.72% |
| DISABILITY RMS3 | 300 SOUTHBOROUGH DRIVE, SUITE 200 SOUTH PORTLAND, ME 04106 | NEW YORK LIFE INSURANCE COMPANY | $0 | $2K | $2K | 15.11% |
| SHANE GRAU3 | 112 SW 6TH AVENUE, SUITE 406 TOPEKA, KS 66603 | NEW YORK LIFE INSURANCE COMPANY | $162 | $0 | $162 | 1.13% |
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 | 186 | 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) | 186 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF MISSOURI | 232 | $86K |
| Vision | SURENCY LIFE AND HEALTH | 117 | $15K |
| Life insurance | NEW YORK LIFE INSURANCE COMPANY | 105 | $14K |
| Long-term disability | NEW YORK LIFE INSURANCE COMPANY | 105 | $14K |
| Other(2 contracts, 2 carriers) | AFLAC | 105 | $98K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 232 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.