| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIVERSIFIED INSURANCE GROUP3 Filed as: DIVERSIFIED INSURANCE SERVICES INC | 100 NORTH CORPORATE DRIVE 100 BROOKFIELD, WI 53045 | QBE INSURANCE CORPORATION | $34K | — | $34K | 5.65% |
| ASSOCIATED FINANCIAL GROUP LLC3 Filed as: ASSOCIATED FINANCIAL GROUP | 711 EISENHOWER DR KIMBERLY, WI 54136 | QBE INSURANCE CORPORATION | $15K | — | $15K | 2.51% |
| ASSOCIATED BENEFITS AND RISK CONSUL3 | 100 NORTH CORPORATE DRIVE 100 BROOKFIELD, WI 53045 | SUPERIOR VISION INSURANCE PLAN OF WISCONSIN INC | $7K | — | $7K | 10.00% |
| ASSOCIATED FINANCIAL GROUP LLC3 Filed as: ASSOCIATED FINANCIAL GROUP | 12600 WHITEWATER DRIVE SUITE 100 MINNETONKA, MN 53045 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | — | $3K | 4.23% |
| M3 INSURANCE SOLUTIONS INC3 | 828 JOHN NOLEN DRIVE MADISON, WI 537088950 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | — | $1K | 1.77% |
| ASSOCIATED FINANCIAL GROUP LLC3 Filed as: ASSOCIATED FINANCIAL GROUP | 12600 WHITEWATER DRIVE SUITE 100 MINNETONKA, MN 53045 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | — | $3K | 8.33% |
| M3 INSURANCE SOLUTIONS INC3 | 828 JOHN NOLEN DRIVE MADISON, WI 537088950 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $651 | — | $651 | 1.67% |
| ASSOCIATED FINANCIAL GROUP LLC3 Filed as: ASSOCIATED FINANCIAL GROUP | 12600 WHITEWATER DRIVE SUITE 100 MINNETONKA, MN 53045 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 8.30% |
| M3 INSURANCE SOLUTIONS INC3 | 828 JOHN NOLEN DRIVE MADISON, WI 537088950 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $451 | — | $451 | 1.70% |
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 | 388 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 5 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 397 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | SUPERIOR VISION INSURANCE PLAN OF WISCONSIN INC | 300 | $71K |
| Life insurance(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 683 | $104K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 190 | $27K |
| Stop-loss / reinsurancereinsurance | QBE INSURANCE CORPORATION | 388 | $596K |
| Other | RELIANCE STANDARD LIFE INSURANCE COMPANY | 683 | $66K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 683 | — |
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.