| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ANSAY & ASSOCIATES LLC3 Filed as: ANSAY & ASSOCIATES, LLC | 888 STATE HWY 153, SUITE 200 MOSINEE, WI 54455 | SECURITY HEALTH PLAN OF WISCONSIN, INC. | $110K | — | $110K | 1.33% |
| ANSAY & ASSOCIATES LLC3 Filed as: ANSAY & ASSOCIATES, LLC | 888 STATE HWY 153 SUITE 200 MOSINEE, WI 54455 | SECURITY HEALTH PLAN OF WISCONSIN, INC. | $49K | — | $49K | 1.30% |
| ANSAY & ASSOCIATES LLC3 Filed as: ANSAY & ASSOCIATES, LLC | 702 N HIGH POINT RD MADISON, WI 537172240 | RELIASTAR LIFE INSURANCE COMPANY | $133K | — | $133K | 9.81% |
| ANSAY & ASSOCIATES LLC3 Filed as: ANSAY & ASSOCIATES, LLC | 888 STATE HWY 153 SUITE 200 MOSINEE, WI 54455 | SECURITY HEALTH PLAN OF WISCONSIN, INC. | $31K | — | $31K | 4.23% |
| U R L INC3 | 5320 JAYCEE AVE HARRISBURG, PA 17112 | HIGHMARK, INC. | $24K | — | $24K | 3.36% |
| ANSAY & ASSOCIATES LLC3 | 101 EAST GRAND AVE STE 11 PORT WASHINGTON, WI 53074 | WYSSTA INSURANCE COMPANY INC | $12K | — | $12K | 8.00% |
| ANSAY & ASSOCIATES LLC3 Filed as: ANSAY & ASSOCIATES, LLC | 888 STATE HWY 153 SUITE 200 MOSINEE, WI 54455 | SECURITY HEALTH PLAN OF WISCONSIN, INC. | $7K | — | $7K | 4.58% |
| ANSA Y & ASSOCIATES, LLC3 | 888 STATE HWY 153 SUITE 200 MOSINEE, WI 54455 | SECURITY HEALTH PLAN OF WISCONSIN, INC. | $317 | — | $317 | 2.03% |
| ANSAY & ASSOCIATES LLC3 | 101 EAST GRAND AVE STE 11 PORT WASHINGTON, WI 53074 | WYSSTA INSURANCE COMPANY INC | $729 | — | $729 | 8.01% |
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 | 1,164 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 205 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,369 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(6 contracts, 2 carriers) | SECURITY HEALTH PLAN OF WISCONSIN, INC. | 1,214 | $13.6M |
| Vision(2 contracts) | WYSSTA INSURANCE COMPANY INC | 1,030 | $161K |
| Life insurance | RELIASTAR LIFE INSURANCE COMPANY | 1,367 | $1.4M |
| Short-term disability | RELIASTAR LIFE INSURANCE COMPANY | 1,367 | $1.4M |
| Long-term disability | RELIASTAR LIFE INSURANCE COMPANY | 1,367 | $1.4M |
| Prescription drug(6 contracts, 2 carriers) | SECURITY HEALTH PLAN OF WISCONSIN, INC. | 1,214 | $13.6M |
| Other(5 contracts, 5 carriers) | RELIASTAR LIFE INSURANCE COMPANY | 1,367 | $1.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,367 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.