| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ANSAY & ASSOCIATES LLC3 | 101 EAST GRAND AVE PORT WASHINGTON, WI 53074 | AETNA LIFE INSURANCE COMPANY | $8K | — | $8K | 0.52% |
| DIVERSIFIED INSURANCE GROUP3 Filed as: DIVERSIFIED INSURANCE SERVICES, INC | 100 N CORPORATE DR BROOKFIELD, WI 53045 | AETNA LIFE INSURANCE COMPANY | $5K | — | $5K | 0.31% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 330 S EXECUTIVE DRIVE BROOKFIELD, WI 53005 | AETNA LIFE INSURANCE COMPANY | $5K | — | $5K | 0.29% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 300 LASALLE ST, 17TH FLOOR CHICAGO, IL 60654 | AETNA LIFE INSURANCE COMPANY | $4K | — | $4K | 0.28% |
| HAUSMANN-JOHNSON INSURANCE INC3 Filed as: HAUSMANN-JOHNSON INC | 700 REGENT STREET MADISON, WI 53715 | AETNA LIFE INSURANCE COMPANY | $3K | — | $3K | 0.18% |
| HNI RISK SERVICES3 Filed as: HNI RISK SERVICES, LLC | 16805 W CLEVELAND AVE NEW BERLIN, WI 53151 | AETNA LIFE INSURANCE COMPANY | $1K | — | $1K | 0.09% |
| INFINITY BENEFIT SOLUTIONS INC3 Filed as: INFINITY BENEFIT SOLUTIONS, INC. | 100 E WISCONSIN AVE MILWAUKEE, WI 53202 | AETNA LIFE INSURANCE COMPANY | $689 | — | $689 | 0.04% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 4000 MIDLANTIC AVE MT LAUREL, NJ 08054 | AETNA LIFE INSURANCE COMPANY | $315 | — | $315 | 0.02% |
| CLERKIN WUNDERLIN GROUP3 Filed as: CLERKIN WUNDERLIN GROUP INC. | 402 GAMMON PLACE MADISON, WI 53719 | AETNA LIFE INSURANCE COMPANY | $266 | — | $266 | 0.02% |
| COTTINGHAM & BUTLER3 Filed as: COTTINGHAM & BUTLER INC. | PO BOX 28 DUBUQUE, IA 52004 | AETNA LIFE INSURANCE COMPANY | $232 | — | $232 | 0.01% |
| FRED MARSHALL3 Filed as: FRED H MARSHALL MARHALL FINANCIAL | 10 E DOTY ST, #800 MADISON, WI 53703 | AETNA LIFE INSURANCE COMPANY | $61 | — | $61 | 0.00% |
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 | 8,796 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 8,796 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Long-term disability | AETNA LIFE INSURANCE COMPANY | 8,796 | $1.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 8,796 | — |
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.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.