| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSOCIATED FINANCIAL GROUP LLC3 | 12600 WHITEWATER DR MINNETONKA, MN 55343 | COMPCARE HEALTH SERVICES INSURANCE CORPORATION | $38K | $238 | $38K | 1.70% |
| WISCONSIN INSURANCE BROKERAGE LLC3 | 3326 S 47TH STREET GREENFIELD, WI 53219 | COMPCARE HEALTH SERVICES INSURANCE CORPORATION | $19K | — | $19K | 0.84% |
| ROGERS BENEFIT GROUP INC3 | 80 S 8TH ST #4628 MINNEAPOLIS, MN 55402 | COMPCARE HEALTH SERVICES INSURANCE CORPORATION | — | $9K | $9K | 0.40% |
| WISCONSIN INSURANCE BROKERAGE LLC3 | 3326 S 47TH ST GREENFIELD, WI 53219 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 7.52% |
| ASSOCIATED FINANCIAL GROUP LLC3 | 711 EISENHOWER DR KIMBERLY, WI 54136 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 7.48% |
| WISCONSIN INSURANCE BROKERAGE LLC3 | 3326 S 47TH ST GREENFIELD, WI 53219 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 7.79% |
| ASSOCIATED FINANCIAL GROUP LLC3 | 711 EISENHOWER DR KIMBERLY, WI 54136 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 7.21% |
| WISCONSIN INSURANCE BROKERAGE LLC3 | 3326 S 47TH ST GREENFIELD, WI 53219 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 7.54% |
| ASSOCIATED FINANCIAL GROUP LLC3 | 711 EISENHOWER DR KIMBERLY, WI 54136 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 7.46% |
| ASSOCIATED BENEFITS & RISK CON3 | 711 EISENHOWER DR KIMBERLY, WI 541360000 | WYSSTA INSURANCE COMPANY INC | $1K | — | $1K | 8.00% |
| FMLA SOURCE INC5 | 455 N CITYFRONT PLZ DR 13TH FLOOR CHICAGO, IL 60611 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $5K | $5K | 95.23% |
| WISCONSIN INSURANCE BROKERAGE LLC3 | 3326 S 47TH STREET GREENFIELD, WI 53219 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $415 | — | $415 | 7.62% |
| ASSOCIATED FINANCIAL GROUP LLC3 | 711 EISENHOWER DR KIMBERLY, WI 54136 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $402 | — | $402 | 7.38% |
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. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 198 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMPCARE HEALTH SERVICES INSURANCE CORPORATION | 202 | $2.2M |
| Dental | WYSSTA INSURANCE COMPANY INC | 132 | $17K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 275 | $5K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 146 | $46K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 136 | $28K |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 275 | $36K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 275 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.