| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 | HNI RISK SERVICES 16805 W CLEVELAND AVE NEW BERLIN, WI 53151 | STANDARD INSURANCE COMPANY | $74K | — | $74K | 10.21% |
| BENEFITFOCUS.COM, INC.3 Filed as: BENEFITFOCUS.COM INC | 100 BENEFITFOCUS WAY CHARLESTON, SC 29492 | STANDARD INSURANCE COMPANY | — | $53K | $53K | 7.29% |
| ACRISURE LLC3 Filed as: ACRISURE MIDWEST PARTNERS INS | PO BOX 510187 NEW BERLIN, WI 531510187 | DELTA DENTAL OF WISCONSIN | $73K | — | $73K | 11.77% |
| ACRISURE LLC3 | HNI RISK SERVICES 16805 W CLEVELAND AVE NEW BERLIN, WI 53151 | STANDARD INSURANCE COMPANY | $108K | — | $108K | 25.17% |
| BENEFITFOCUS.COM, INC.3 Filed as: BENEFITFOCUS.COM INC. | 100 BENEFITFOCUS WAY CHARLESTON, SC 29492 | STANDARD INSURANCE COMPANY | — | $34K | $34K | 7.98% |
| BENEFITFOCUS.COM, INC.3 Filed as: BENEFITSFOCUS.COM INC. | 100 BENEFITFOCUS WAY CHARLESTON, SC 29492 | STANDARD INSURANCE COMPANY | — | $26K | $26K | 7.38% |
| ACRISURE LLC3 | HNI RISK SERVICES 16805 W CLEVELAND AVE NEW BERLIN, WI 53151 | STANDARD INSURANCE COMPANY | $26K | — | $26K | 7.27% |
| ACRISURE LLC3 | HNI RISK SERVICES 16805 W CLEVELAND AVE NEW BERLIN, WI 53151 | STANDARD INSURANCE COMPANY | $27K | — | $27K | 11.51% |
| BENEFITFOCUS.COM, INC.3 Filed as: BENEFITFOCUS.COM INC | 100 BENEFITFOCUS WAY CHARLESTON, SC 29492 | STANDARD INSURANCE COMPANY | — | $17K | $17K | 7.34% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | PO BOX 1788 GRAND RAPIDS, MI 495011788 | VISION SERVICE PLAN | $16K | — | $16K | 9.98% |
| ACRISURE LLC3 Filed as: ACRISURE MIDWEST PARTNERS INS | PO BOX 510187 NEW BERLIN, WI 531510187 | DELTA DENTAL OF WISCONSIN | $19K | — | $19K | 12.61% |
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 | 2,473 | 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) | 2,473 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts) | DELTA DENTAL OF WISCONSIN | 1,034 | $774K |
| Vision | VISION SERVICE PLAN | 2,231 | $157K |
| Life insurance | STANDARD INSURANCE COMPANY | 2,533 | $357K |
| Short-term disability | STANDARD INSURANCE COMPANY | 1,128 | $721K |
| Long-term disability | STANDARD INSURANCE COMPANY | 1,060 | $230K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,533 | — |
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.