| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SEVEN HILLS CLEVELAND BENEFIT PART3 | 7900 INTERNATIONAL DR STE 990 BLOOMINGTON, MN 55425 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $75 | $1K | $1K | 16.35% |
| CHRISTENSEN GROUP INC3 Filed as: CHRISTENSEN GROUP, INC. | 9855 W 78TH ST STE 100 EDEN PRAIRIE, MN 55344 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $861 | — | $861 | 10.12% |
| CHRISTENSEN GROUP INC3 Filed as: CHRISTENSEN GROUP, INC. | 9855 W 78TH ST STE 100 EDEN PRAIRIE, MN 55344 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $701 | — | $701 | 10.12% |
| SEVEN HILLS CLEVELAND BENEFIT PART3 | 7900 INTERNATIONAL DR STE 990 BLOOMINGTON, MN 55425 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $61 | $279 | $340 | 4.91% |
| CHRISTENSEN GROUP INC3 Filed as: CHRISTENSEN GROUP, INC. | 9855 W 78TH ST STE 100 EDEN PRAIRIE, MN 55344 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $498 | — | $498 | 13.70% |
| SEVEN HILLS CLEVELAND BENEFIT PART3 | 7900 INTERNATIONAL DR STE 990 BLOOMINGTON, MN 55425 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $48 | $160 | $208 | 5.72% |
| CHRISTENSEN GROUP INC3 Filed as: CHRISTENSEN GROUP, INC. | 9855 W 78TH ST STE 100 EDEN PRAIRIE, MN 54344 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $219 | — | $219 | 9.42% |
| SEVEN HILLS CLEVELAND BENEFIT PART3 | 7900 INTERNATIONAL DR STE 990 BLOOMINGTON, MN 55425 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $14 | $96 | $110 | 4.73% |
| CHRISTENSEN GROUP INC3 Filed as: CHRISTENSEN GROUP, INC. | 9855 W 78TH ST STE 100 EDEN PRAIRIE, MN 54344 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $259 | — | $259 | 11.37% |
| SEVEN HILLS CLEVELAND BENEFIT PART3 | 7900 INTERNATIONAL DR STE 990 BLOOMINGTON, MN 55425 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $26 | $80 | $106 | 4.66% |
| CHRISTENSEN GROUP INC3 Filed as: CHRISTENSEN GROUP, INC. | 9855 W 78TH ST STE 100 EDEN PRAIRIE, MN 54344 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $95 | — | $95 | 14.37% |
| SEVEN HILLS CLEVELAND BENEFIT PART3 | 7900 INTERNATIONAL DR STE 990 BLOOMINGTON, MN 55425 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $4 | $17 | $21 | 3.18% |
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 | 116 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 116 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 116 | $7K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 17 | $9K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 28 | $4K |
| Other(4 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 116 | $12K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 116 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.