| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIVERSIFIED INSURANCE GROUP3 Filed as: DIVERSIFIED INSURANCE SOLUTIONS INC | 100 N CORPORATE DR., STE 100 BROOKFIELD, WI 53045 | UNITEDHEALTHCARE INSURANCE COMPANY | — | $27K | $27K | 2.33% |
| ASSOCIATED FINANCIAL GROUP LLC3 | 100 N CORPORATE DR STE 100 BROOKFIELD, WI 530455800 | UNITEDHEALTHCARE INSURANCE COMPANY | — | $9K | $9K | 0.80% |
| DIVERSIFIED INSURANCE GROUP3 Filed as: DIVERSIFIED INSURANCE SOLUTIONS INC | 100 N CORPORATE DR #100 BROOKFIELD, WI 53045 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 10.00% |
| JOHNSON INSURANCE SERVICES LLC3 | 1103 HUNTER DR MOUNT PLEASANT, WI 53406 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $302 | $302 | 0.91% |
| DIVERSIFIED INSURANCE GROUP3 Filed as: DIVERSIFIED INSURANCE SOLUTIONS INC | 100 N CORPORATE DR #100 BROOKFIELD, WI 53045 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | — | $4K | 15.00% |
| JOHNSON INSURANCE SERVICES LLC3 | 1103 HUNTER DR MOUNT PLEASANT, WI 53406 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $232 | $232 | 0.89% |
| DIVERSIFIED INSURANCE GROUP3 Filed as: DIVERSIFIED INSURANCE SOLUTIONS INC | 100 N CORPORATE DRIVE #100 BROOKFIELD, WI 53045 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 15.00% |
| JOHNSON INSURANCE SERVICES LLC3 | 1103 HUNTER DR MOUNT PLEASANT, WI 53406 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $176 | $176 | 0.85% |
| DIVERSIFIED INSURANCE GROUP3 Filed as: DIVERSIFIED INSURANCE SOLUTIONS INC | 100 N CORPORATE DR., #100 BROOKFIELD, WI 53045 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 12.00% |
| JOHNSON INSURANCE SERVICES LLC3 | 1103 HUNTER DR MOUNT PLEASANT, WI 53406 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $149 | $149 | 0.93% |
| DIVERSIFIED INSURANCE GROUP3 Filed as: DIVERSIFIED INSURANCE SOLUTIONS INC | 100 N CORPORATE DRIVE #100 BROOKFIELD, WI 53045 | SUPERIOR VISION INSURANCE PLAN OF WISCONSIN, INC. | $1K | — | $1K | 10.00% |
| DIVERSIFIED INSURANCE GROUP3 Filed as: DIVERSIFIED INSURANCE SERVICES | 100 N CORPORATE DR STE 100 BROOKFIELD, WI 53045 | AFLAC | $536 | — | $536 | 11.65% |
| JEAN STEINMETZ3 | 2725 S MOORLAND RD STE 301 NEW BERLIN, WI 53151 | AFLAC | $441 | — | $441 | 9.58% |
| JOSEPH HOFFMAN3 | 601 N THORNBUSH CIRCLE HARTLAND, WI 53029 | AFLAC | $431 | — | $431 | 9.37% |
| NATHEN R KOOI3 Filed as: NATHEN KOOL | 2725 S MOORLAND RD STE 301 NEW BERLIN, WI 53151 | AFLAC | $394 | — | $394 | 8.56% |
| THE WICHMANN GROUP INC3 | 12207 S 210TH ST GRETNA, NE 68028 | AFLAC | $140 | — | $140 | 3.04% |
| JASON SCZEPANIAK3 | 1161 HERITAGE CT SUN PRAIRIE, WI 53590 | AFLAC | $134 | — | $134 | 2.91% |
| DIVERSIFIED INSURANCE GROUP3 Filed as: DIVERSIFIED INSURANCE SOLUTIONS INC | 100 N CORPORATE DR #100 BROOKFIELD, WI 53045 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $376 | — | $376 | 14.99% |
| JOHNSON INSURANCE SERVICES LLC3 | 1103 HUNTER DR MOUNT PLEASANT, WI 53406 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $25 | $25 | 1.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DELTA DENTAL OF WISCONSIN EIN 39-6094742 THIRD PARTY ADMIN | Contract Administrator Service code 13 | — | $6K |
| DIVERSIFIED INSURANCE SERVICES BROKER | Insurance agents and brokers Service code 22 | 100 N CORPORATE DR., STE. 100 BROOKFIELD, WI 53045 | $939 |
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 | 122 | 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) | 122 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 216 | $1.2M |
| Vision | SUPERIOR VISION INSURANCE PLAN OF WISCONSIN, INC. | 159 | $14K |
| Life insurance | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 190 | $21K |
| Short-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 93 | $33K |
| Long-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 123 | $16K |
| Other(5 contracts, 2 carriers) | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 190 | $70K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 216 | — |
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.