| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CHRISTENSEN GROUP INC3 | 9855 W 78TH ST STE 100 EDEN PRAIRIE, MN 55344 | BLUE CROSS AND BLUE SHIELD OF KANSAS | $38K | — | $38K | 4.09% |
| CHRISTENSEN GROUP INC3 | 9855 W 78TH ST STE 100 EDEN PRAIRIE, MN 55344 | DELTA DENTAL OF KANSAS INC | $3K | — | $3K | 5.00% |
| CHRISTENSEN GROUP INC3 Filed as: CHRISTENSEN GROUP, INC. | 9855 WEST 78TH ST STE 100 EDEN PRAIRIE, MN 55344 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | $522 | $4K | 13.38% |
| AUSTIN HUGHES GAST3 | 24210 W HEDGECREEK CIR ANDALE, KS 67001 | AFLAC | $811 | $39 | $850 | 3.57% |
| CALEB GILMOUR3 | 515 S MAIN ST STE 105 WICHITA, KS 67202 | AFLAC | $358 | $10 | $368 | 1.54% |
| TANNER R KING3 | 14820 E SIEFKES CT WICHITA, KS 67230 | AFLAC | $357 | — | $357 | 1.50% |
| GREGORY L TYLER3 | 110 S VALLEY STREAM DR DERBY, KS 67037 | AFLAC | $268 | — | $268 | 1.12% |
| ENVIRON CONSULTING GROUP LLC3 | 515 S MAIN ST WICHITA, KS 67202 | AFLAC | $109 | — | $109 | 0.46% |
| BRIAN M LEITZEL3 | 7920 W KELLOGG DR STE 102 WICHITA, KS 67209 | AFLAC | $35 | — | $35 | 0.15% |
| CHARITY PARKER3 | 3343 N COOLIDGE AVE WICHITA, KS 67204 | AFLAC | $27 | — | $27 | 0.11% |
| ELIZABETH RIOS3 | PO BOX 75101 WICHITA, KS 67275 | AFLAC | $16 | — | $16 | 0.07% |
| 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 | $208 | $2K | 16.73% |
| CHRISTENSEN GROUP INC3 | 9855 WE 78TH ST STE 100 EDEN PRAIRIE, MN 55344 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $206 | $1K | 11.75% |
| B & C AGENCY INC3 | 7867 SE 197TH TER LATHAM, KS 67072 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $855 | — | $855 | 11.62% |
| CHRISTENSEN GROUP INC3 | 9855 W 78TH ST STE 100 EDEN PRAIRIE, MN 55344 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $301 | — | $301 | 4.09% |
| USI INSURANCE SERVICES LLC3 | 245 N WACO ST STE 402 WICHITA, KS 67202 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $126 | — | $126 | 1.71% |
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 | 196 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 196 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 196 | $934K |
| Dental | DELTA DENTAL OF KANSAS INC | 91 | $70K |
| Vision | SURENCY LIFE AND HEALTH | 87 | $12K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 121 | $12K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 50 | $30K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 50 | $30K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF KANSAS | 196 | $934K |
| Other(5 contracts, 4 carriers) | AFLAC | 145 | $58K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 196 | — |
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.