| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT PLAN ADMINISTRATORS3 | 402 GRAHAM AVE EAU CLAIRE, WI 54701 | SUN LIFE ASSURANCE COMPANY OF CANADA | $57K | — | $57K | 5.00% |
| ANSAY & ASSOCIATES LLC3 | 101 E GRAND AVE STE 11 PORT WASHINGTON, WI 53074 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $3K | $8K | 7.28% |
| JEROD THOMAS SPAETH3 | 330 E KILBOURN AVE STE 950 MILWAUKEE, WI 53202 | NORTHWESTERN MUTUAL | $5K | $1K | $7K | 6.27% |
| DI MEGLIO FNCL GRP LLC3 | 330 E KILBOURN AVE STE 950 MILWAUKEE, WI 53202 | NORTHWESTERN MUTUAL | $1K | $132 | $1K | 1.12% |
| ANSAY & ASSOCIATES LLC3 | 101 E GRAND AVE STE 11 PORT WASHINGTON, WI 53074 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $1K | $6K | 11.67% |
| ANSAY & ASSOCIATES LLC3 | 888 STATE HWY 153 SUITE 200 MOSINEE, WI 54455 | NATIONAL VISION ADMINISTRATORS, LLC | $4K | — | $4K | 10.00% |
| ANSAY & ASSOCIATES LLC3 | 101 E GRAND AVE STE 11 PORT WASHINGTON, WI 53074 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $903 | $6K | 16.64% |
| MARQUARDT INSURANCE GROUP INC3 Filed as: MARQUARDT INSURANCE GROUP | 5712 HIDDEN RIVER CIRCLE WESTON, WI 54476 | ASSURITY LIFE INSURANCE COMPANY | $2K | — | $2K | 11.44% |
| ADVANTAGE GROUP GA LLC3 | 510 ALDERSON STREET SCHOFIELD, WI 54476 | ASSURITY LIFE INSURANCE COMPANY | $546 | — | $546 | 2.83% |
| ADVANTAGE GROUP GA LLC3 Filed as: ADVANTAGE GROUP MGA LLC | 510 ALDERSON STREET SCHOFIELD, WI 54475 | ASSURITY LIFE INSURANCE COMPANY | $517 | — | $517 | 2.68% |
| JOSEPH R JURGENSMIER3 Filed as: JOSEPH J JURGENSMIER | 130 ETHEL ST WAUSAU, WI 54403 | ASSURITY LIFE INSURANCE COMPANY | $217 | — | $217 | 1.12% |
| CORY MARQUARDT3 | 510 ALDERSON ST SCHOFIELD, WI 54476 | ASSURITY LIFE INSURANCE COMPANY | $35 | — | $35 | 0.18% |
| JOSHUA MULDER3 | 408 WAUSAU ST. BIRNAMWOOD, WI 54414 | ASSURITY LIFE INSURANCE COMPANY | $19 | — | $19 | 0.10% |
| ANSAY & ASSOCIATES LLC3 | 101 E GRAND AVE STE 200 PORT WASHINGTON, WI 53074 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $319 | $2K | 12.38% |
| MARQUARDT INSURANCE GROUP INC3 | 5712 HIDDEN RIVER CIRCLE WESTON, WI 54476 | ILLINOIS MUTUAL INSURANCE | $510 | — | $510 | 6.09% |
| JOSEPH R JURGENSMIER3 | 130 ETHEL ST WAUSAU, WI 54403 | ILLINOIS MUTUAL INSURANCE | $281 | — | $281 | 3.36% |
| ADVANTAGE GROUP GA LLC3 | 510 ALDERSON STREET SCHOFIELD, WI 54476 | ILLINOIS MUTUAL INSURANCE | $263 | — | $263 | 3.14% |
| ADVANTAGE GROUP GA LLC3 Filed as: ADVANTAGE GROUP MGA LLC | 510 ALDERSON STREET SCHOFIELD, WI 54475 | ILLINOIS MUTUAL INSURANCE | $106 | — | $106 | 1.27% |
| JOSHUA MULDER3 Filed as: JOSHUA N MULDER | 408 WAUSAU ST. BIRNAMWOOD, WI 54414 | ILLINOIS MUTUAL INSURANCE | $10 | — | $10 | 0.12% |
| CORY MARQUARDT3 | — | ILLINOIS MUTUAL INSURANCE | $1 | — | $1 | 0.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENEFIT PLAN ADMINISTRATORS EIN 27-1304628 CLAIMS PROCESSING | Claims processing; Contract Administrator Service code 12 | — | $123K |
| EVO FIRST, INC EIN 92-1199332 THIRD PARTY ADMINISTRATO | Claims processing Service code 12 | — | $23K |
| DELTA DENTAL OF WISCONSIN EIN 39-6094742 TPA(DENTAL BENEFIT) | Contract Administrator Service code 13 | — | $11K |
| ANSAY & ASSOCIATES LLC- INS AGENT OR BROKER | Insurance agents and brokers Service code 22 | 101 EAST GRAND AVE STE 11 PORT WASHINGTON, WI 53074 | $1K |
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 | 248 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 12 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 12 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 272 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | NATIONAL VISION ADMINISTRATORS, LLC | 438 | $37K |
| Life insurance(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 138 | $55K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 230 | $110K |
| Long-term disability | NORTHWESTERN MUTUAL | 17 | $110K |
| Stop-loss / reinsurancereinsurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 200 | $1.1M |
| Other(4 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 247 | $104K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 438 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.