| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CHRISTENSEN GROUP INC4 | 9855 W 78TH ST STE 100 EDEN PRAIRIE, MN 55344 | BLUE CROSS AND BLUE SHIELD OF KANSAS | $42K | — | $42K | 4.00% |
| CHRISTENSEN GROUP INC3 | 9855 W 78TH ST STE 100 EDEN PRAIRIE, MN 55344 | DELTA DENTAL OF KANSAS INC | $4K | — | $4K | 5.00% |
| CHRISTENSEN GROUP INC3 | 9855 W 78TH ST STE 100 EDEN PRAIRIE, MN 55344 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | $471 | $4K | 13.06% |
| AUSTIN HUGHES GAST3 | PO BOX 392 MAIZE, KS 67101 | AFLAC | $2K | — | $2K | 9.81% |
| CALEB GILMOUR3 | 515 S MAIN ST STE 105 WICHITA, KS 67202 | AFLAC | $443 | — | $443 | 1.93% |
| TANNER R KING3 | 13710 E GILBERT ST WICHITA, KS 67230 | AFLAC | $265 | — | $265 | 1.15% |
| NICHOLAS WARREN3 | 708 LEXINGTON RD WICHITA, KS 67218 | AFLAC | $83 | — | $83 | 0.36% |
| BRIAN M LEITZEL3 | 7920 W KELLOGG DR STE 102 WICHITA, KS 67218 | AFLAC | $28 | — | $28 | 0.12% |
| ELIZABETH RIOS3 | PO BOX 75101 WICHITA, KS 67275 | AFLAC | $20 | — | $20 | 0.09% |
| 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 | $271 | $2K | 11.54% |
| CHRISTENSEN GROUP INC3 Filed as: CHRISTENSEN GROUP, INC. | 9855 WEST 78TH ST STE 100 EDEN PRAIRIE, MN 55344 | SURENCY LIFE AND HEALTH | $1K | — | $1K | 10.00% |
| CHRISTENSEN GROUP INC3 Filed as: CHRISTENSEN GROUP, INC. | 9855 W 78TH STREET STE 100 EDEN PRAIRIE, MN 55344 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $196 | $2K | 16.75% |
| B & C AGENCY INC4 | 7867 SE 197TH TER LATHAM, KS 67072 | PRE-PAID LEGAL SERVICES INC DBA LEGAL SHIELD | $1K | — | $1K | 12.10% |
| CHRISTENSEN GROUP INC4 | 9855 W 78TH ST STE 100 EDEN PRAIRIE, MN 55344 | PRE-PAID LEGAL SERVICES INC DBA LEGAL SHIELD | $460 | — | $460 | 4.51% |
| USI INSURANCE SERVICES LLC4 | 245 N WACO ST STE 402 WICHITA, KS 67202 | PRE-PAID LEGAL SERVICES INC DBA LEGAL SHIELD | $178 | — | $178 | 1.75% |
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 | 211 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 211 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 211 | $1.1M |
| Dental | DELTA DENTAL OF KANSAS INC | 106 | $76K |
| Vision | SURENCY LIFE AND HEALTH | 99 | $13K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 129 | $15K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 58 | $27K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 58 | $27K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF KANSAS | 211 | $1.1M |
| Other(5 contracts, 4 carriers) | AFLAC | 145 | $63K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 211 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.