| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SCOTT MADSON3 | 3091 BOYAGER DRIVE GREEN BAY, WI 54311 | BERKSHIRE LIFE INSURANCE COMPANY OF AMERICA | $6K | — | $6K | 6.25% |
| MICHAEL L. SCOTT3 Filed as: MICHAEL L SCOTT | 1488 W SOUTH PARK AVE OSHKOSH, WI 54902 | BERKSHIRE LIFE INSURANCE COMPANY OF AMERICA | $5K | — | $5K | 5.59% |
| THIRD COAST ADVISORS INC3 | 1166 QUAIL COURT STE 100 PEWAUKEE, WI 53072 | BERKSHIRE LIFE INSURANCE COMPANY OF AMERICA | $5K | — | $5K | 5.31% |
| ASSOCIATED FINANCIAL GROUP LLC3 Filed as: ASSOCIATED FINANCIAL GROUP | 711 EISENHOWER DRIVE KIMBERLY, WI 54136 | RELIASTAR LIFE INSURANCE COMPANY | $4K | — | $4K | 4.72% |
| SCOT J MADSON3 Filed as: SCOT MADSON | 3091 BOYAGER DRIVE GREEN BAY, WI 54311 | GUARDIAN LIFE INSURANCE COMPANY | $1K | — | $1K | 6.13% |
| MICHAEL L. SCOTT3 Filed as: MICHAEL L SCOTT | 1488 W SOUTH PARK AVE OSHKOSH, WI 54902 | GUARDIAN LIFE INSURANCE COMPANY | $1K | — | $1K | 6.13% |
| THIRD COAST ADVISORS INC3 Filed as: THIRD COAST ADVISORS INC. | 1166 QUAIL COURT STE 100 PEWAUKEE, WI 53072 | GUARDIAN LIFE INSURANCE COMPANY | $21 | — | $21 | 0.12% |
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 | 451 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 451 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Long-term disability(3 contracts, 3 carriers) | BERKSHIRE LIFE INSURANCE COMPANY OF AMERICA | 451 | $197K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 451 | — |
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.