| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT ADVISORS NETWORK LLC0 Filed as: BENEFIT ADVISORS NETWORK/ | CIGNA GROUP INSURANCE 2675 N MAYFIELD RD SUITE 210 WAUWATOSA, WA 53226 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $3K | $3K | 5.96% |
| MIDWEST SELECT INSURANCE GROUP LLC3 Filed as: MIDWEST SELECT INSURANCE | N27 W23953 PAUL ROAD, STE 200 PEWAUKEE, WI 53072 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 3.75% |
| ASSOCIATED FINANCIAL GROUP LLC3 | 711 EISENHOWER DR KIMBERLY, WI 54136 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 3.75% |
| MIDWEST SELECT INSURANCE GROUP LLC3 Filed as: MIDWEST SELECT INSURANCE | N27 W23953 PAUL ROAD, STE 200 PEWAUKEE, WI 53072 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 7.50% |
| ASSOCIATED FINANCIAL GROUP LLC3 Filed as: ASSOCIATED FINANCIAL GROUP | 711 EISENHOWER DR KIMBERLY, WI 54136 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 7.50% |
| BENEFIT ADVISORS NETWORK LLC0 Filed as: BENEFIT ADVISORS NETWORK/ | CIGNA GROUP INSURANCE 2675 N MAYFIELD RD SUITE 210 WAUWATOSA, WI 53226 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $2K | $2K | 5.95% |
| ASSOCIATED FINANCIAL GROUP LLC3 Filed as: ASSOCIATED FINANCIAL GROUP | 711 EISENHOWER DR KIMBERLY, WI 54136 | SUPERIOR VISION INSURANCE PLAN OF WISCONSIN INC | $1K | — | $1K | 9.74% |
| ASSOCIATED FINANCIAL GROUP LLC3 | 711 EISENHOWER DRIVE KIMBERLY, WI 54136 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $452 | — | $452 | 7.50% |
| MIDWEST SELECT INSURANCE GROUP LLC3 Filed as: MIDWEST SELECT INSURANCE | N27 W23953 PAUL ROAD, STE 200 PEWAUKEE, WI 53072 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $452 | — | $452 | 7.50% |
| BENEFIT ADVISORS NETWORK LLC0 Filed as: BENEFIT ADVISORS NETWORK/ | CIGNA GROUP INSURANCE 2675 N MAYFIELD RD SUITE 210 WAUWATOSA, WI 53226 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $339 | $339 | 5.63% |
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 | 260 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 261 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | SUPERIOR VISION INSURANCE PLAN OF WISCONSIN INC | 135 | $11K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 260 | $37K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 84 | $45K |
| Other(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 260 | $43K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 260 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.