| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 | 8110 EAST 32ND STREET NORTH SUITE 100 WICHITA, KS 67226 | DELTA DENTAL | $24K | $0 | $24K | 6.27% |
| GARY D. HARDMAN3 | 8110 EAST 32ND STREET NORTH SUITE 100 WICHITA, KS 67226 | SUN LIFE ASSURANCE COMPANY OF CANADA | $54K | $0 | $54K | 17.55% |
| MINDY SKIDMORE LLC3 Filed as: MINDY SKIDMORE, LLC | 6220 NE 132ND STREET SMITHVILLE, MO 64089 | AFLAC | $9K | $170 | $9K | 5.01% |
| RYAN LAGER3 | 9221 NE 111TH STREET KANSAS CITY, MO 64157 | AFLAC | $7K | $636 | $8K | 4.23% |
| CHAD J BASLER3 Filed as: CHAD J. BASLER AND OTHER AGENTS | 460 NE LAKES EDGE DRIVE LEES SUMMIT, MO 64064 | AFLAC | $5K | $152 | $5K | 2.85% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2345 GRAND BOULEVARD, SUITE 200 KANSAS CITY, MO 64108 | AFLAC | $4K | $0 | $4K | 2.44% |
| MINDY SKIDMORE LLC3 Filed as: MINDY M. SKIDMORE | 6220 NE 132ND STREET SMITHVILLE, MO 64089 | AFLAC | $4K | $141 | $4K | 2.15% |
| CHRISTI LANE FARNAN3 | 11193 CLUB VIEW DRIVE SAINT JOSEPH, MO 64505 | AFLAC | $3K | $183 | $3K | 1.77% |
| IMA, INC.3 | PO BOX 2992 WICHITA, KS 67201 | AFLAC | $2K | $0 | $2K | 1.18% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 8110 EAST 32ND STREET NORTH SUITE 100 WICHITA, KS 67226 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $7K | $0 | $7K | 9.99% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2345 GRAND BOULEVARD, SUITE 200 KANSA CITY, MO 64108 | AFLAC | $964 | $0 | $964 | 11.11% |
| MINDY SKIDMORE LLC3 Filed as: MINDY M. SKIDMORE | 3308 NW 84TH TERRACE KANSAS CITY, MO 64154 | AFLAC | $666 | $0 | $666 | 7.68% |
| RYAN LAGER3 | UNKNOWN WICHITA, KS 67208 | AFLAC | $370 | $0 | $370 | 4.27% |
| CHRISTI L. FARNAN3 | 3109 NW OAKACRES DRIVE KANSAS CITY, MO 64151 | AFLAC | $139 | $0 | $139 | 1.60% |
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 | 671 | 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) | 671 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE LIFE INSURANCE COMPANY | 671 | $4.8M |
| Dental | DELTA DENTAL | 534 | $375K |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | 801 | $74K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 636 | $305K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 636 | $305K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 636 | $305K |
| Prescription drug | UNITEDHEALTHCARE LIFE INSURANCE COMPANY | 671 | $4.8M |
| Other(4 contracts, 3 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 671 | $505K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 801 | — |
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."
No prospect flags tripped on this filing.