| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PRAIRIE STATES ENTERPRISES, INC.5 | 401 N. MICHIGAN AVE., SUITE 2902 CHICAGO, IL 60611 | COMPANION LIFE INSURANCE COMPANY | — | $71K | $71K | 34.74% |
| ASSOCIATED FINANCIAL GROUP LLC3 | 711 EISENHOWER DR KIMBERLY, WI 541362142 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 9.46% |
| BENEFITS INC3 | 250 N PATRICK BLVD, SUITE 100 BROOKFIELD, WI 530455876 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $739 | $739 | 2.08% |
| ASSOCIATED FINANCIAL GROUP LLC3 | 711 EISENHOWER DR KIMBERLY, WI 541362142 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 15.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PRIAIRE STATES ENTERPRISES, INC. EIN 57-0523959 CLAIMS ADMINISTRATION | Claims processing Service code 12 | 401 N. MICHIGAN AVE., SUITE 2902 CHICAGO, IL 60611 | $39K |
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 | 270 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 270 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 303 | $46K |
| Stop-loss / reinsurancereinsurance | COMPANION LIFE INSURANCE COMPANY | 270 | $203K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 303 | $36K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 303 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.