| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CYGANIAK PLANNING INC3 | 3515 N 124TH ST STE 100 BROOKFIELD, WI 53005 | UNITEDHEALTHCARE INSURANCE COMPANY | $2K | — | $2K | 1.62% |
| ALICE MAGUIRE3 | 4512 TWIN PINES LN WESTON, WI 54476 | AFLAC | $992 | $91 | $1K | 10.61% |
| DONNA M GRENWALT3 | 101 BROOKLYN AVE EDGAR, WI 54426 | AFLAC | $639 | $9 | $648 | 6.35% |
| ANTHONY MUELLER3 | 1722 N HUME AVE MARSHFIELD, WI 54449 | AFLAC | $399 | $103 | $502 | 4.92% |
| LOWELL HEISE3 | 134531 COUNTY ROAD U MARATHON, WI 54448 | AFLAC | $473 | — | $473 | 4.63% |
| FAITH MILLER3 | 1910 MONROE ST STEVENS POINT, WI 54481 | AFLAC | $118 | $72 | $190 | 1.86% |
| BENJAMIN BAKER3 | 5010 ISLE VIEW DR RHINELANDER, WI 54501 | AFLAC | $136 | $50 | $186 | 1.82% |
| TAD HOWARD ASP3 | 10890 N SMITH RD HAYWARD, WI 54843 | AFLAC | $91 | — | $91 | 0.89% |
| JAMES CATION3 | 2431 77TH ST S WISCONSIN RAPIDS, WI 54494 | AFLAC | $72 | $8 | $80 | 0.78% |
| KERRI ANN LAMON3 | N15345 WOODY RD PARK FALLS, WI 54552 | AFLAC | $41 | — | $41 | 0.40% |
| CHELSEA JOHNSON3 | 110817 COUNTY ROAD L ATHENS, WI 54411 | AFLAC | $41 | — | $41 | 0.40% |
| DEBOT & ASSOCIATES INC3 | 2925 WELSBY AVE STEVENS POINT, WI 54481 | AFLAC | $32 | — | $32 | 0.31% |
| ALISON M MORROW3 | 311 FINANCIAL WAY STE 220 WAUSAU, WI 54401 | AFLAC | $11 | — | $11 | 0.11% |
| ROBERT J DONOHUE3 | 808 FAIRWAY DR MOSINEE, WI 54455 | AFLAC | $10 | — | $10 | 0.10% |
| W BRADFORD DEBOT3 | 2925 WELSBY AVE STEVENS POINT, WI 54481 | AFLAC | $5 | — | $5 | 0.05% |
| PAULA A RUESCH3 | 231198 PICKARD AVE ABBOTSFORD, WA 54405 | AFLAC | $4 | — | $4 | 0.04% |
| KNUTE NELSON3 | 920 AUTUMN SAGE WAY PFLUGERVILLE, TX 78660 | AFLAC | $3 | — | $3 | 0.03% |
| STEVEN T SPEICHINGER3 | 3008 CHRISTIAN AVE WAUSAU, WI 54401 | AFLAC | $3 | — | $3 | 0.03% |
| GLEN T SCHWEIKERT3 | 2211 HIGHLAND SPRINGS PL LOUISVILLE, KY 40245 | AFLAC | $2 | — | $2 | 0.02% |
| JASON SCZEPANIAK3 | 1161 HERITAGE CT SUN PRAIRIE, WI 53590 | AFLAC | $2 | — | $2 | 0.02% |
| MELISSA WIDUCKI3 | 3648 COUNTY RD W CRANDON, WI 54520 | AFLAC | $2 | — | $2 | 0.02% |
| WILLIAM F MURRAY III3 | 1298 SAINT PATRICK WAY SUN PRAIRIE, WI 53590 | AFLAC | $1 | — | $1 | 0.01% |
| JEREMY KOOI3 | 855 PANORAMA CT APT 203 RICHLAND CENTER, WI 53581 | AFLAC | $1 | — | $1 | 0.01% |
| ROSS C NELSON3 | 440 REGENCY PARKWAY DR STE 234 OMAHA, NE 68114 | AFLAC | $1 | — | $1 | 0.01% |
| CHRISTOPHER P DOOLEY3 | 2903 NORTHWINDS DR EAU CLAIRE, WI 54701 | AFLAC | $1 | — | $1 | 0.01% |
| CHRISTOPHER J ZELLNER3 | 918 ALDORA LN WAUNAKEE, WI 53597 | AFLAC | $1 | — | $1 | 0.01% |
| ADAM THOMAS GARDNER3 | 101 N FARWELL ST STE 203 EAU CLAIRE, WI 54703 | AFLAC | $1 | — | $1 | 0.01% |
| CHRISTINE LOGSLETT3 | 8318 ANNA AVE WIND LAKE, WI 53185 | AFLAC | $1 | — | $1 | 0.01% |
| NATHAN BRONSON3 Filed as: NATHAN A BRONSON | W9160 RIPLEY RD CAMBRIDGE, WI 53523 | AFLAC | $1 | — | $1 | 0.01% |
| CYGANIAK PLANNING INC3 | 3515 N 124TH ST STE 100 BROOKFIELD, WI 53005 | DELTA DENTAL OF WISCONSIN | $993 | — | $993 | 13.44% |
| CYGANIAK PLANNING INC3 | 3515 N 124TH ST STE 100 BROOKFIELD, WI 53005 | WYSSTA INSURANCE COMPANY INC | $105 | — | $105 | 8.83% |
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 | 0 | 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) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 200 | $124K |
| Dental(2 contracts, 2 carriers) | AFLAC | 161 | $18K |
| Vision | WYSSTA INSURANCE COMPANY INC | 99 | $1K |
| Life insurance | AFLAC | 161 | $10K |
| Short-term disability | AFLAC | 161 | $10K |
| Other | AFLAC | 161 | $10K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 200 | — |
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.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.