| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AVERGENT LLC3 Filed as: AVERGENT, LLC | 1400 LOMBARDI AVE STE 40 GREEN BAY, WI 54304 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $2K | $7K | 11.59% |
| AVERGENT LLC3 | 1400 LOMBARDI AVE STE 40 GREEN BAY, WI 54304 | CONTINENTAL AMERICAN INSURANCE COMPANY | $12K | — | $12K | 26.80% |
| EPSIX, INC.3 | 3300 N SCOTTSDALE RD APT 4020 SCOTTSDALE, AZ 85251 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6K | — | $6K | 13.34% |
| MARK HOLZINGER3 Filed as: MARK R PASSI | 3503 MCELROY ST EAU CLAIRE, WI 54701 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 4.71% |
| KARA SUE STADEL3 Filed as: KARA S STADEL | 4049 N RAWLINS RD GALENA, IL 61036 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 3.66% |
| PAUL W DESPIRITO3 | N 2892 HILLCREST DR HORTONVILLE, WI 54944 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 2.83% |
| MICHAEL FRASIER3 | 1196 DYNES WAY SUN PRAIRIE, WI 53590 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 2.72% |
| CIARA MORRISON3 | 814 PARKVIEW DR MILTON, WI 53563 | CONTINENTAL AMERICAN INSURANCE COMPANY | $987 | — | $987 | 2.29% |
| JENNIFER L DAVIES3 | 1712 E LAFAYETTE PL MILWAUKEE, WI 53202 | CONTINENTAL AMERICAN INSURANCE COMPANY | $955 | — | $955 | 2.21% |
| JAMES PRINISKI3 | 1218 N PAGE ST STOUGHTON, WI 53589 | CONTINENTAL AMERICAN INSURANCE COMPANY | $770 | — | $770 | 1.78% |
| TARA A STAPELMANN3 | 10353 MIDLAND RD MAZOMANIE, WI 53560 | CONTINENTAL AMERICAN INSURANCE COMPANY | $699 | — | $699 | 1.62% |
| TAD HOWARD ASP3 Filed as: TAD H ASP | 10890 N SMITH RD HAYWARD, WI 54843 | CONTINENTAL AMERICAN INSURANCE COMPANY | $593 | — | $593 | 1.37% |
| MORGAN E MARKOWSKI3 | 1616 S 167TH ST NEW BERLIN, WI 53151 | CONTINENTAL AMERICAN INSURANCE COMPANY | $446 | — | $446 | 1.03% |
| NICHOLAS HASELWANDER3 | 101 N. FARWELL STREET SUITE 203 EAU CLAIRE, WI 54703 | CONTINENTAL AMERICAN INSURANCE COMPANY | $357 | — | $357 | 0.83% |
| MICHELLE L NODORFT3 | 1546 COUNTY ROAD B PLATTEVILLE, WI 53818 | CONTINENTAL AMERICAN INSURANCE COMPANY | $279 | — | $279 | 0.65% |
| WILL C HAGAN3 | 5903 SPARTAN DR APT 5 MCFARLAND, WI 53558 | CONTINENTAL AMERICAN INSURANCE COMPANY | $259 | — | $259 | 0.60% |
| MANDY RUECHEL3 | 1030 LUM AVE WATERLOO, MI 53594 | CONTINENTAL AMERICAN INSURANCE COMPANY | $174 | — | $174 | 0.40% |
| AVERGENT LLC3 | 1400 LOMBARDI AVE STE 40 GREEN BAY, WI 54304 | SUPERIOR VISION INSURANCE PLAN OF WISCONSIN INC. | $3K | — | $3K | 9.92% |
| AVERGENT LLC3 Filed as: AVERGENT, LLC | 1400 LOMBARDI AVE STE 40 GREEN BAY, WI 54304 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $979 | $979 | 4.09% |
| AVERGENT LLC3 Filed as: AVERGENT, LLC | 1400 LOMBARDI AVE STE 40 GREEN BAY, WI 54304 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $1K | $4K | 21.56% |
| AVERGENT LLC3 Filed as: AVERGENT, LLC | 1400 LOMBARDI AVE STE 40 GREEN BAY, WI 54304 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $213 | $92 | $305 | 14.30% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DELTA DENTAL OF WISCONSIN EIN 39-6094742 THIRD PARTY ADMIN | Contract Administrator Service code 13 | 2801 HOOVER ROAD STEVENS POINT, WI 54481 | $11K |
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 | 216 | 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) | 216 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | SUPERIOR VISION INSURANCE PLAN OF WISCONSIN INC. | 312 | $26K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 209 | $23K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 208 | $57K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 208 | $24K |
| Other(3 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 270 | $66K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 312 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
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.