| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CHRISTENSEN GROUP INC3 | 9855 W 78TH ST STE 100 EDEN PRAIRIE, MN 55344 | UNITEDHEALTHCARE INSURANCE COMPANY | $41K | — | $41K | 2.69% |
| USI INSURANCE SERVICES LLC3 | 245 N WACO ST STE 412 WICHITA, KS 67202 | UNITEDHEALTHCARE INSURANCE COMPANY | $14K | — | $14K | 0.95% |
| CHRISTENSEN GROUP INC3 | 9855 W 78TH ST STE 100 EDEN PRAIRIE, MN 55344 | DELTA DENTAL OF KANSAS INC | $6K | — | $6K | 5.40% |
| USI INSURANCE SERVICES LLC3 | 245 N WACO WICHITA, KS 67202 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $38 | $2K | 7.92% |
| RODNEY G STORCK3 | 609 NORTH BROADWAY WICHITA, KS 67214 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $64 | $1K | 6.28% |
| SAMUEL A MCFALL3 Filed as: SAMUEL M MCFALL | 609 NORTH BROADWAY WICHITA, KS 67214 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $886 | $132 | $1K | 4.38% |
| WILLIAM L COEN JR3 | 9811 W CORNELISON ST WICHITA, KS 67212 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $180 | — | $180 | 0.78% |
| ANTHONY FRANCIS LASHINSKI3 | 725 N GEORGIE AVE DERBY, KS 67037 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $19 | — | $19 | 0.08% |
| LOIS JEAN BUNCH3 | 916 PINE STREET HALSTEAD, KS 67056 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $12 | — | $12 | 0.05% |
| CHRISTENSEN GROUP INC3 | 9855 W 78TH ST STE 100 EDEN PRAIRIE, MN 55455 | SURENCY LIFE AND HEALTH | $2K | — | $2K | 10.00% |
| CHRISTENSEN GROUP INC3 Filed as: CHRISTENSEN GROUP | 9855 W 78TH ST STE 100 EDEN PRAIRIE, MN 55344 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 11.59% |
| USI INSURANCE SERVICES LLC | 245 N WACO ST STE 412 WICHITA, KS 67202 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $462 | — | $462 | 4.56% |
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 | 335 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 335 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 335 | $1.5M |
| Dental | DELTA DENTAL OF KANSAS INC | 182 | $111K |
| Vision | SURENCY LIFE AND HEALTH | 157 | $16K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 43 | $10K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 43 | $10K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 43 | $10K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 335 | $1.5M |
| Other(3 contracts, 3 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 224 | $38K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 335 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.