| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIANE DETERS3 Filed as: DIANE DETERS - 110193S | 305 5TH AVE S STE 200 LA CROSSE, WI 54601 | KANSAS CITY LIFE INSURANCE COMPANY | $4K | — | $4K | 14.29% |
| TRI-STATE MARKETING INC.3 Filed as: TRI-STATE MARKETING INC | 505 KING ST, STE 200 LA CROSSE, WI 54601 | STARMOUNT LIFE INSURANCE COMPANY | $1K | — | $1K | 10.00% |
| TRI-STATE MARKETING INC.3 Filed as: TRI-STATE MARKETING INC | 505 KING ST, STE 200 LA CROSSE, WI 54601 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 12.78% |
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 | 99 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 99 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | STARMOUNT LIFE INSURANCE COMPANY | 27 | $14K |
| Life insurance(2 contracts, 2 carriers) | KANSAS CITY LIFE INSURANCE COMPANY | 99 | $37K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 20 | $8K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 99 | — |
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.