| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 510925 NEW BERLIN, WI 53151 | HUMANA WISCONSIN HEALTH ORGANIZATION INSURANCE CORPORATION | $41K | $2K | $42K | 4.09% |
| MARSH & MCLENNAN AGENCY LLC3 | 2725 SOUTH MOORLAND ROAD NEW BERLIN, WI 53151 | DELTA DENTAL OF WISCONSIN | $5K | — | $5K | 6.27% |
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 510925 NEW BERLIN, WI 53151 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $1K | $4K | 20.46% |
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 510925 NEW BERLIN, WI 53151 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $851 | $3K | 19.83% |
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 510925 NEW BERLIN, WI 53151 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $586 | $2K | 15.05% |
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 510925 NEW BERLIN, WI 53151 | HUMANA INSURANCE COMPANY | $1K | — | $1K | 9.74% |
| JACK D BREES3 | 2989 SOUTH WAUKESHA ROAD WEST ALLIS, WI 53227 | AFLAC | $58 | — | $58 | 1.47% |
| MARIANNE C SPIEGEL3 | 251 TROUT LAKE ROAD DEEP GAP, NC 28618 | AFLAC | $49 | — | $49 | 1.25% |
| GWENDOLYN M TRUSSELL3 | 3715 BURR OAK DRIVE RACINE, WI 53406 | AFLAC | $43 | — | $43 | 1.09% |
| CHRISTINE A VANDENBERG3 | 819 SOUTH BUCHANAN STREET APPLETON, WI 54915 | AFLAC | $39 | — | $39 | 0.99% |
| ROBERT DEFLIEZE3 Filed as: ROBERT A DEFLIEZE | 8122 JACKSON PARK BOULEVARD WAUWATOSA, WI 53213 | AFLAC | $38 | — | $38 | 0.97% |
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 510925 NEW BERLIN, WI 53151 | AFLAC | $32 | — | $32 | 0.81% |
| PAUL W DESPIRITO3 | 3051 PROGRESS WAY SUITE 204 KAUKAUNA, WI 54130 | AFLAC | $20 | — | $20 | 0.51% |
| SCOTT B LEE3 | 390 CONCORD DRIVE BROOKFIELD, WI 53005 | AFLAC | $14 | — | $14 | 0.36% |
| JOSEPH J HERNANDEZ3 | 1061 QUINLAN DRIVE UNIT D PEWAUKEE, WI 53072 | AFLAC | $10 | — | $10 | 0.25% |
| NATHAN BRONSON3 Filed as: NATHAN A BRONSON | W9160 RIPLEY ROAD CAMBRIDGE, WI 53523 | AFLAC | $10 | — | $10 | 0.25% |
| ADAM D WICHMANN3 | 780 CAPILANO COURT CASTLE ROCK, CO 80108 | AFLAC | $9 | — | $9 | 0.23% |
| CHRISTINE LOGSLETT3 Filed as: CHRISTINE M LOGSLETT | 8318 ANNA AVENUE WIND LAKE, WI 53185 | AFLAC | $8 | — | $8 | 0.20% |
| THE WICHMANN GROUP INC3 | 8206 EVERGREEN ROAD KEARNEY, NE 68845 | AFLAC | $8 | — | $8 | 0.20% |
| JEREMY KOOI3 Filed as: JEREMY KOOL | 855 PANORAMA COURT APARTMENT 203 RICHLAND CENTER, WI 53581 | AFLAC | $7 | — | $7 | 0.18% |
| JASON SCZEPANIAK3 | 1161 HERITAGE COURT SUN PRAIRIE, WI 53590 | AFLAC | $6 | — | $6 | 0.15% |
| CHRISTOPHER P DOOLEY3 | 2903 NORTHWINDS DRIVE EAU CLAIRE, WI 54701 | AFLAC | $3 | — | $3 | 0.08% |
| GLEN T SCHWEIKERT3 | 2211 HIGHLAND SPRINGS PLACE LOUISVILLE, KY 40245 | AFLAC | $3 | — | $3 | 0.08% |
| RETTENMUND INSURANCE LLC3 | S7991 DENZER ROAD NORTH FREEDON, WI 53951 | AFLAC | $1 | — | $1 | 0.03% |
| WILLIAM F MURRAY III3 | 1298 SAINT PATRICK WAY SUN PRAIRIE, WI 53590 | AFLAC | $1 | — | $1 | 0.03% |
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 | 235 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 235 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HUMANA WISCONSIN HEALTH ORGANIZATION INSURANCE CORPORATION | 118 | $1.0M |
| Dental | DELTA DENTAL OF WISCONSIN | 127 | $73K |
| Vision | HUMANA INSURANCE COMPANY | 111 | $11K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 183 | $32K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 63 | $16K |
| Other(4 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 235 | $40K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 235 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.