| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ANSAY & ASSOCIATES LLC3 Filed as: ANSAY & ASSOCIATES, LLC | 9809 S FRANKLIN DR.-SUITE 300 FRANKLIN, WI 53132 | UNITEDHEALTHCARE INSURANCE COMPANY | — | $39K | $39K | 4.21% |
| FMLASOURCE INC3 Filed as: FMLASOURCE INC. | 455 N CITYFRONT PLAZA DRIVE-13TH FL CHICAGO, IL 60611 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $5K | $5K | 15.91% |
| ANSAY & ASSOCIATES LLC3 Filed as: ANSAY & ASSOCIATES, LLC | 101 E. GRAND AVE-SUITE 11 PORT WASHINGTON, WI 53074 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | — | $5K | 14.71% |
| ASCENTIS5 | 11995 SINGLETREE LANE -SUITE 400 EDEN PRAIRIE, MN 55344 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $3K | $3K | 11.00% |
| ANSAY & ASSOCIATES LLC3 Filed as: ANSAY & ASSOCIATES, LLC | 1710 LAWRENCE DR-SUITE 100 DE PERE, WI 54115 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $262 | $262 | 0.83% |
| ANSAY & ASSOCIATES LLC3 Filed as: ANSAY & ASSOCIATES, LLC | 101 E GRAND AVE.-STE 11 PORT WASHINGTON, WI 53074 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 15.00% |
| ANCENTIS5 | 11995 SINGLETREE LANE - SUITE 400 EDEN PRAIRIE, MN 55344 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 11.00% |
| ANSAY & ASSOCIATES LLC3 Filed as: ANSAY & ASSOCIATES, LLC | 1710 LAWRENCE DR-STE 100 DE PERE, WI 54115 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $125 | $125 | 0.84% |
| ASCENTIS5 | 11995 SINGLETREE LANE-SUITE 400 EDEN PRAIRIE, MN 55344 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 11.00% |
| ANSAY & ASSOCIATES LLC3 Filed as: ANSAY & ASSOCIATS, LLC | 101 E. GRAND AVE. - STE 11 PORT WASHINGTON, WI 53074 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 10.00% |
| ANSAY & ASSOCIATES LLC3 Filed as: ANSAY & ASSOCIATES, LLC | 1710 LAWRENCE DRIVE-STE 100 DE PERE, WI 54115 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $127 | $127 | 0.87% |
| ANSAY & ASSOCIATES LLC3 Filed as: ANSAY & ASSOCIATES, LLC | 101 E GRAND AVE-STE 11 PORT WASHINGTON, WI 53074 | WYSSTA INSURANCE COMPANY, INC. | $1K | — | $1K | 8.09% |
| ANSAY & ASSOCIATES LLC3 Filed as: ANSAY & ASSOCIATES, LLC | 101 E. GRAND AVE - SUITE 11 PORT WASHINGTON, WI 53074 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 15.00% |
| ASCENTIS5 | 11995 SINGLETREE LANE-STE 400 EDEN PRAIRIE, MN 55344 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $1K | $1K | 11.00% |
| ANSAY & ASSOCIATES LLC3 Filed as: ANSAY & ASSOCIATES, LLC | 1710 LAWRENCE DR-STE 100 DE PERE, WI 54115 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $68 | $68 | 0.58% |
| ANSAY & ASSOCIATES LLC3 Filed as: ANSAY & ASSOCIATES, LLC | 101 E GRAND AVE-STE. 11 PORT WASHINGTON, WI 53074 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 15.00% |
| ASCENTIS5 | 11995 SINGLETREE LANE-STE 400 EDEN PRAIRIE, MN 55344 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $998 | $998 | 11.00% |
| ANSAY & ASSOCIATES LLC3 | 1710 LAWRENCE DRIVE-STE 100 DE PERE, WI 54115 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $75 | $75 | 0.83% |
| ASCENTIS5 | 11995 SINGLETREE LANE-SUITE 400 EDEN PRAIRIE, MN 55344 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $788 | $788 | 11.01% |
| ANSAY & ASSOCIATES LLC3 Filed as: ANSAY & ASSOCIATION, LLC | 101 E GRAND AVE - SUITE 11 PORT WASHINGTON, WI 53074 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $716 | — | $716 | 10.00% |
| ANSAY & ASSOCIATES LLC3 Filed as: ANSAY & ASSOCIATES, LLC | 1710 LAWRENCE DRIVE-STE 100 DE PERE, WI 54115 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $47 | $47 | 0.66% |
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 | 189 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 195 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 127 | $938K |
| Vision | WYSSTA INSURANCE COMPANY, INC. | 142 | $14K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 107 | $32K |
| Short-term disability(3 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 53 | $31K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 41 | $15K |
| Other(3 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 107 | $52K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 142 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.