| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY | 755 W BIG BEAVER ROAD SUITE 2300 TROY, MI 48084 | PREVEA360 HEALTH PLAN | $49K | — | $49K | 2.79% |
| IPLAN LLC3 Filed as: IPLAN LLC DBA I PLAN RX | 375 AMS COURT SUITE B GREEN BAY, WI 54313 | SUN LIFE ASSURANCE COMPANY OF CANADA | $7K | — | $7K | 6.56% |
| IPLAN LLC3 | 375 AMS COURT GREEN BAY, WI 54313 | DELTA DENTAL OF WISCONSIN | $9K | — | $9K | 10.05% |
| IPLANRX3 | 375 AMS COURT SUITE B GREEN BAY, WI 54313 | CARE PLUS DENTAL PLAN INC | $613 | — | $613 | 6.00% |
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 | 173 | 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) | 173 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PREVEA360 HEALTH PLAN | 137 | $1.8M |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF WISCONSIN | 107 | $97K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 173 | $100K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 173 | $100K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 173 | $100K |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 173 | $100K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 173 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.