| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CHRISTOPHER LOKKEN3 | 1446 116TH ST. CHIPPEWA FALLS, WI 54729 | WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION | $32K | — | $32K | 2.72% |
| JOHNSON INSURANCE SERVICES LLC3 Filed as: JOHNSON INSURANCE SERVICES, LLC | 1103 HUNTER DR. MOUNT PLEASANT, WI 53406 | DELTA DENTAL OF WISCONSIN | $4K | — | $4K | 6.37% |
| MIDWEST SELECT INSURANCE GROUP LLC3 | N27 W23953 PAUL RD., STE 200 PEWAUKEE, WI 53072 | COMPANION LIFE | — | $8K | $8K | 22.53% |
| MIDWEST SELECT INSURANCE GROUP LLC3 | N27 W23953 PAUL ROAD, STE.200 PEWAUKEE, WI 53072 | COMPANION LIFE | — | $3K | $3K | 22.60% |
| JOHNSON INSURANCE SERVICES LLC3 | 1103 HUNTER DR. MOUNT PLEASANT, WI 53406 | WYSSTA INSURANCE COMPANY INC | $827 | — | $827 | 8.35% |
| MIDWEST SELECT INSURANCE GROUP LLC3 Filed as: MIDWEST SELECT INS. GROUP, INC. | 1101 W. CLAIREMONT AVE., STE. 2E EAU CLAIRE, WI 54701 | ASSURITY LIFE INSURANCE COMPANY | $1K | — | $1K | 20.28% |
| MIDWEST SELECT INSURANCE GROUP LLC3 Filed as: MIDWEST SELECT INSURANCE GROUP | 1101 W. CLAIREMONT AVE., STE. 2E EAU CLAIRE, WA 54701 | ASSURITY LIFE INSURANCE COMPANY | $2K | — | $2K | 35.35% |
| MIDWEST SELECT INSURANCE GROUP LLC3 | N27 W23953 PAUL ROAD, STE. 200 PEWAUKEE, WA 53072 | COMPANION LIFE | — | $88 | $88 | 22.51% |
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 | 211 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 212 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION | 171 | $1.2M |
| Dental | DELTA DENTAL OF WISCONSIN | 111 | $69K |
| Vision | WYSSTA INSURANCE COMPANY INC | 91 | $10K |
| Life insurance(3 contracts) | COMPANION LIFE | 118 | $49K |
| Short-term disability(2 contracts) | COMPANION LIFE | 118 | $49K |
| Long-term disability(3 contracts) | COMPANION LIFE | 118 | $49K |
| Other(5 contracts, 2 carriers) | COMPANION LIFE | 118 | $60K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 171 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
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.