| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ANSAY & ASSOCIATES LLC3 Filed as: ANSAY & ASSOC LLC | 101 E GRAND AVE STE 11 PORT WASHINGTON, WI 53074 | AFLAC | $1K | — | $1K | 3.86% |
| MARILYN L SHAW SCHUH3 Filed as: MARILYN SCHUH | 624 E CRANSTON RD BELOIT, WI 53511 | AFLAC | $723 | — | $723 | 2.37% |
| CHRISTOPHER J ZELLNER3 Filed as: CHRISTOPHER ZELLNER | 918 ALDORA LN WAUNAKEE, WI 53597 | AFLAC | $673 | — | $673 | 2.21% |
| CASEY J HIGGINS3 Filed as: CASEY HIGGINS | 2484 LEOPOLD WAY SUN PRAIRIE, WI 53590 | AFLAC | $506 | — | $506 | 1.66% |
| MICHAEL FRASIER3 Filed as: MICHAEL SALBEGO | 221 S FAIR OAKS AVE MADISON, WI 53704 | AFLAC | $422 | — | $422 | 1.38% |
| CHRIS ZELLNER3 Filed as: CHRIS SOULIER | 602 WILLIAM WAY WAUNAKEE, WI 53597 | AFLAC | $337 | — | $337 | 1.10% |
| KEVIN ZELLNER3 | 350 COUNTY ROAD A WISOCNISN DELLS, WI 53965 | AFLAC | $204 | — | $204 | 0.67% |
| MECHAEL FRASIER3 | 4001 FELLAND RD ST 113 MADISON, WI 53718 | AFLAC | $180 | — | $180 | 0.59% |
| JASON SCZEPANIAK | 1161 HERITAGE CT SUN PRAIRIE, WI 53590 | AFLAC | $155 | — | $155 | 0.51% |
| CAMERON SUTTON ROBERTS3 Filed as: CAMERON ROBERTS | N9404 ROSELLA DRIVE APPLETON, WI 54915 | AFLAC | $131 | — | $131 | 0.43% |
| JEREMY KOOI3 | 3495 HUNTER HOLLOW RD DODGEVILLE, WI 53533 | AFLAC | $122 | — | $122 | 0.40% |
| JEFFREY D HOEFNER3 Filed as: JEFFREY HOEFNER | 3124 LORRABUD LN SUN PRAIRIE, WI 53590 | AFLAC | $121 | — | $121 | 0.40% |
| ADAM WICHMANN3 | 4362 N BULL RUSH DR APPLETON, WI 54913 | AFLAC | $55 | — | $55 | 0.18% |
| ANDREW BLANK3 | W 7410 EARL LANE HORTONVILLE, WI 54944 | AFLAC | $46 | — | $46 | 0.15% |
| RETTENMUND INSURANCE LLC3 | S7991 DENZER RD NORTH FREEDOM, WI 53951 | AFLAC | $30 | — | $30 | 0.10% |
| PAMELA A NOWAK3 Filed as: PAMELA NOWAK | 2514 SKYLINE OAKS DR DE PERE, WI 54155 | AFLAC | $28 | — | $28 | 0.09% |
| JOSHUA ANDREWS3 | 3150 OUTING CT GREEN BAY, WI 54313 | AFLAC | $27 | — | $27 | 0.09% |
| ADAM THOMAS GARDNER3 Filed as: ADAM GARNDNER | 101 N FARWELL ST STE 203 EAU CLAIRE, WI 54703 | AFLAC | $16 | — | $16 | 0.05% |
| CHRIS GUZEWICH3 | 1007 DRAKE FEATHER DR ORANGE PARK, FL 32065 | AFLAC | $16 | — | $16 | 0.05% |
| SHADEL & ASSOCIATES LLC3 Filed as: SHADEL & ASSOCAITES INC | 4811 BEACH BLVD STE 107 JACKSONVILLE, FL 32207 | AFLAC | $10 | — | $10 | 0.03% |
| JIMMY D BOONE3 Filed as: JIMMY BOONE | 5346 DOMINICA CIR SARASOTA, FL 34233 | AFLAC | $9 | — | $9 | 0.03% |
| VERA I CRUICE3 Filed as: VERA CRUICE | 7121 TARPON COURT FLEMING ISLAND, FL 32003 | AFLAC | $8 | — | $8 | 0.03% |
| CHRISTINE LOGSLETT3 | 300 N CROPORATE DR STE 300 BROOKFIELD, WI 53045 | AFLAC | $6 | — | $6 | 0.02% |
| DANNY GROVES3 | 3468 DOCKSIDER DR S JACKSONVILLE, FL 32257 | AFLAC | $4 | — | $4 | 0.01% |
| TROY DANIEL DESLATTE3 Filed as: TROY DESLATTE | 107 SHADY PARK DR LAFAYETTE, LA 70508 | AFLAC | $4 | — | $4 | 0.01% |
| NATHAN BRONSON3 | W217 N5386 TAYLORS WOODS DR MENOMONEE FALLS, WI 53051 | AFLAC | $2 | — | $2 | 0.01% |
| JIMMY LEON JOHNSON3 Filed as: JIMMY JOHNSON | 28 MAGNOLIA AVE ST AUGUSTINE, FL 32084 | AFLAC | $2 | — | $2 | 0.01% |
| VICKI M DICKERT3 Filed as: VICKI DICKERT | 258 SEAVIEW AVE DAYTONA BEACH, FL 32118 | AFLAC | $2 | — | $2 | 0.01% |
| WILLIAM F MURRAY III3 Filed as: WILLIAM MURRAY III | 1298 SAINT PATRICK WAY SUN PRAIRIE, WI 53590 | AFLAC | $1 | — | $1 | 0.00% |
| CHRISTOPHER P DOOLEY3 Filed as: CHRISTOPHER DOOLEY | 2093 NORTHWINDS DR EAU CLAIRE, WI 54701 | AFLAC | $1 | — | $1 | 0.00% |
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 | 23 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 23 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | AFLAC | 23 | $31K |
| Short-term disability | AFLAC | 23 | $31K |
| Long-term disability | AFLAC | 23 | $31K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 23 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.