| 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 | $9K | $0 | $9K | 8.31% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62889 VIRGINIA BEACH, VA 23466 | DELTA DENTAL OF MISSOURI | $2K | $0 | $2K | 1.63% |
| BUKATY COMPANIES3 Filed as: THE BUKATY COMPANIES, INC. | 4601 COLLEGE BOULEVARD, SUITE 100 LEAWOOD, KS 66211 | AFLAC | $9K | $0 | $9K | 10.84% |
| ADAM J STEIN3 Filed as: ADAM J. STEIN | 12113 WESTGATE STREET OVERLAND PARK, KS 66213 | AFLAC | $2K | $24 | $2K | 2.08% |
| MATTHEW GANT3 | 2501 WEST 18TH AVENUE, SUITE A EMPORIA, KS 66801 | AFLAC | $1K | $59 | $1K | 1.44% |
| MELISSA DAWN HORGAN3 | 409 MAIN STREET ROSSVILLE, KS 66533 | AFLAC | $837 | $168 | $1K | 1.21% |
| KAREN A. DICK3 | PO BOX 758 ROSSVILLE, KS 66533 | AFLAC | $810 | $84 | $894 | 1.07% |
| CALEB GILMOUR3 Filed as: CALEB J. GILMOUR | 515 SOUTH MAIN STREET, SUITE 105 WICHITA, KS 67202 | AFLAC | $563 | $59 | $622 | 0.75% |
| SHANE GRAU3 | 112 SW 6TH AVENUE, SUITE 406 TOPEKA, KS 66603 | NEW YORK LIFE INSURANCE COMPANY | $4K | $0 | $4K | 16.20% |
| DISABILITY RMS5 | PO BOX 9757 PORTLAND, ME 04104 | NEW YORK LIFE INSURANCE COMPANY | $0 | $3K | $3K | 14.71% |
| DUSTIN DICK3 | 409 MAIN STREET ROSSVILLE, KS 66533 | NEW YORK LIFE INSURANCE COMPANY | -$5 | $0 | -$5 | -0.02% |
| BUKATY COMPANIES3 | UNKNOWN PLEASANT HOPE, MO 65725 | SURENCY LIFE AND HEALTH | $2K | $0 | $2K | 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 | 226 | 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) | 226 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF MISSOURI | 256 | $108K |
| Vision | SURENCY LIFE AND HEALTH | 136 | $19K |
| Life insurance | NEW YORK LIFE INSURANCE COMPANY | 285 | $24K |
| Long-term disability | NEW YORK LIFE INSURANCE COMPANY | 285 | $24K |
| Other(2 contracts, 2 carriers) | AFLAC | 285 | $107K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 285 | — |
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.