| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIVERSIFIED INSURANCE GROUP3 Filed as: DIVERSIFIED INSURANCE SERVICES | 100 N. CORPORATE STE 100 BROOKFIELD, WI 53045 | UNITED HEALTHCARE INSURANCE COMPANY | $6K | $67K | $73K | 5.03% |
| DIVERSIFIED INSURANCE GROUP3 Filed as: DIVERSIFIED INSURANCE SERVICES | 100 N. CORPORATE DR. STE 100 BROOKFIELD, WI 53045 | DELTA DENTAL OF WISCONSIN | $7K | — | $7K | 4.81% |
| JOHNSON/DIVERSIFIED LLC3 | 100 N. CORPORATE DR. STE 100 BROOKFIELD, WI 53045 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 6.41% |
| JOHNSON INSURANCE SERVICES LLC3 | 555 MAIN ST #320 RACINE, WI 53403 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $0 | $467 | $467 | 1.08% |
| JOHNSON/DIVERSIFIED LLC3 | 100 N. CORPORATE DR. STE 100 BROOKFIELD, WI 53045 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | — | $4K | 11.21% |
| JOHNSON INSURANCE SERVICES LLC3 | 555 MAIN ST #320 RACINE, WA 53403 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $0 | $347 | $347 | 1.08% |
| JOHNSON/DIVERSIFIED LLC3 | 100 N. CORPORATE DR. STE 100 BROOKFIELD, WI 53045 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 8.99% |
| JOHNSON INSURANCE SERVICES LLC3 | 555 MAIN ST #320 RACINE, WI 53403 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $0 | $274 | $274 | 1.08% |
| DIVERSIFIED INSURANCE GROUP3 Filed as: DIVERSIFIED INSURANCE SOLUTION | 100 M CORPORATE DRIVE SUITE 100 BROOKFIELD, WI 53045 | SUPERIOR VISION INSURANCE PLAN OF WISCONSIN, INC. | $1K | — | $1K | 9.32% |
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 | 177 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 180 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED HEALTHCARE INSURANCE COMPANY | 330 | $1.5M |
| Dental | DELTA DENTAL OF WISCONSIN | 164 | $152K |
| Vision | SUPERIOR VISION INSURANCE PLAN OF WISCONSIN, INC. | 148 | $16K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 177 | $25K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 177 | $43K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 177 | $32K |
| Other | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 177 | $25K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 330 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.