| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CHRISTENSEN GROUP INC3 | 9855 W 78TH ST STE 100 EDEN PRAIRIE, MN 55344 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 8.09% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SVCS LLC -- MN | 6000 CLEARWATER DR MINNETONKA, MN 55343 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $1K | $1K | 7.05% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SVCS LLC - MTN CENT | PO BOX 62187 VIRGINIA BEACH, VA 23466 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 6.91% |
| CHRISTENSEN GROUP INC3 | 9855 W 78TH ST STE 100 EDEN PRAIRIE, MN 55344 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $748 | — | $748 | 7.54% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SVCS LLC - MN | 6000 CLEARWATER DR MINNETONKA, MN 55343 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $741 | $741 | 7.47% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SVCS LLC -- MTN CENT | PO BOX 62187 VIRGINIA BEACH, VA 23466 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $740 | — | $740 | 7.46% |
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 | 106 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 106 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 106 | $10K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 105 | $21K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 106 | $10K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 106 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.