| 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 | HEALTHPARTNERS INSURANCE COMPANY | $30K | $54 | $30K | 2.74% |
| CHRISTENSEN GROUP INC3 Filed as: CHRISTENSEN GROUP, INC. | 9855 WEST 78TH ST. STE. 100 EDEN PRAIRIE, MN 55344 | PRINCIPAL LIFE INSURANCE COMPANY | $10K | $1K | $12K | 10.52% |
| CORPORATE INSURANCE ASSOCIATES INC.3 | 5500 LINCOLN DRIVE STE. 195 MINNEAPOLIS, MN 55436 | DELTA DENTAL OF MINNESOTA | $3K | $0 | $3K | 4.84% |
| CHRISTENSEN GROUP INC3 Filed as: CHRISTENSEN GROUP, INC. | 9855 WEST 78TH ST. STE. 100 EDEN PRAIRIE, MN 55344 | DELTA DENTAL OF MINNESOTA | $3K | $0 | $3K | 4.84% |
| CORPORATE INSURANCE ASSOCIATES INC.3 | 5500 LINCOLN DRIVE STE. 195 MINNEAPOLIS, MN 55436 | DELTA DENTAL OF MINNESOTA | $1K | $0 | $1K | 4.84% |
| CHRISTENSEN GROUP INC3 Filed as: CHRISTENSEN GROUP, INC. | 9855 WEST 78TH ST. STE. 100 EDEN PRAIRIE, MN 55344 | DELTA DENTAL OF MINNESOTA | $1K | $0 | $1K | 4.84% |
| CHRISTENSEN GROUP INC Filed as: CHRISTENSEN GROUP, INC. | 9855 WEST 78TH ST. STE. 100 EDEN PRAIRIE, MN 55344 | EYE-MED | $780 | — | $780 | 9.04% |
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 | 133 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 133 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTHPARTNERS INSURANCE COMPANY | 199 | $1.1M |
| Dental(2 contracts) | DELTA DENTAL OF MINNESOTA | 135 | $87K |
| Vision | EYE-MED | 148 | $9K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 228 | $113K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 228 | $113K |
| Prescription drug | HEALTHPARTNERS INSURANCE COMPANY | 199 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 228 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.