| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CHRISTENSEN GROUP INC3 Filed as: CHRISTENSEN GROUP, INC. | 9855 WEST 78TH ST STE 100 EDEN PRAIRIE, MN 55344 | BLUE CROSS AND BLUE SHIELD OF KANSAS | $54K | — | $54K | 4.00% |
| CHRISTENSEN GROUP INC3 | 9855 W 78TH ST STE 100 EDEN PRAIRIE, MN 55344 | DELTA DENTAL OF KANSAS INC | $5K | — | $5K | 5.00% |
| AUSTIN HUGHES GAST3 | PO BOX 392 MAIZE, KS 67101 | AFLAC | $5K | $600 | $6K | 17.31% |
| CALEB GILMOUR3 Filed as: CALEB J GILMOUR | 515 S MAIN STM STE 105 WICHITA, KS 67202 | AFLAC | $828 | $215 | $1K | 3.03% |
| TANNER R KING3 | 13710 E GILBERT ST WICHITA, KS 67230 | AFLAC | $402 | $170 | $572 | 1.66% |
| ELIZABETH RIOS3 | PO BOX 75101 WICHITA, KS 67275 | AFLAC | $59 | $68 | $127 | 0.37% |
| BRIAN M LEITZEL3 | 7920 W KELLOGG DR STE 102 WICHITA, KS 67209 | AFLAC | $61 | $24 | $85 | 0.25% |
| CHRISTENSEN GROUP INC3 Filed as: CHRISTENSEN GROUP | 9855 WEST 78TH ST STE 100 EDEN PRAIRIE, MN 55344 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | $503 | $4K | 12.83% |
| CHRISTENSEN GROUP INC3 | 9855 W 78TH ST STE 100 EDEN PRAIRIE, MN 55344 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $278 | $2K | 10.69% |
| CHRISTENSEN GROUP INC3 Filed as: CHRISTENSEN GROUP, INC. | 9855 WEST 78TH ST STE 100 EDEN PRAIRIE, MN 55344 | SURENCY LIFE AND HEALTH | $2K | — | $2K | 10.00% |
| B & C AGENCY INC4 | 7867 SE 197TH TER LATHAM, KS 67072 | PRE-PAID LEGAL SERVICES INC DBA LEGAL SHIELD | $1K | — | $1K | 12.56% |
| CHRISTENSEN GROUP INC4 | 9855 W 78TH ST STE 100 EDEN PRAIRIE, MN 55344 | PRE-PAID LEGAL SERVICES INC DBA LEGAL SHIELD | $589 | — | $589 | 5.11% |
| USI INSURANCE SERVICES LLC4 | 245 N WACO ST STE 402 WICHITA, KS 67202 | PRE-PAID LEGAL SERVICES INC DBA LEGAL SHIELD | $247 | — | $247 | 2.14% |
| CHRISTENSEN GROUP INC3 Filed as: CHRISTENSEN GROUP, INC. | 9855 WEST 78TH ST STE 100 EDEN PRAIRIE, MN 55344 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $187 | $2K | 16.75% |
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 | 244 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 244 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 244 | $1.4M |
| Dental | DELTA DENTAL OF KANSAS INC | 115 | $105K |
| Vision | SURENCY LIFE AND HEALTH | 106 | $15K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 164 | $16K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 68 | $29K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 68 | $29K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF KANSAS | 244 | $1.4M |
| Other(5 contracts, 4 carriers) | AFLAC | 164 | $76K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 244 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.