| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ANTHONIE L GOEDHEER3 | 100 N CORPORATE DRIVE, STE 100 BROOKFIELD, WI 53045 | WPS HEALTH PLAN INC | $52K | — | $52K | 4.00% |
| ANTHONIE L GOEDHEER3 | 100 N CORPORATE DRIVE, STE 100 BROOKFIELD, WI 53045 | WISCONSIN PHYSICIANS SERVICE INSURANCE CORP | $10K | — | $10K | 4.00% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62889 VIRGINIA BEACH, VA 23466 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 5.39% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62889 VIRGINIA BEACH, VA 23466 | STANDARD INSURANCE COMPANY | $916 | — | $916 | 2.67% |
| AIT SERVICES LLC3 | 10405 6TH AVE N, STE 100A PLYMOUTH, MN 55441 | STANDARD INSURANCE COMPANY | — | $276 | $276 | 0.80% |
| USI INSURANCE SERVICES LLC | 711 EISENHOWER DRIVE KIMBERLY, WI 54136 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 7.72% |
| AIT SERVICES LLC3 | 10405 6TH AVE N, STE 100A PLYMOUTH, MN 55441 | STANDARD INSURANCE COMPANY | — | $293 | $293 | 1.51% |
| USI INSURANCE SERVICES LLC3 | 711 EISENHOWER DRIVE KIMBERLY, WI 54136 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 19.45% |
| AIT SERVICES LLC3 | 10405 6TH AVE N, STE 100A PLYMOUTH, MN 55441 | STANDARD INSURANCE COMPANY | — | $596 | $596 | 3.50% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62889 VIRGINIA BEACH, VA 23466 | STANDARD INSURANCE COMPANY | -$2K | — | -$2K | -10.87% |
| USI INSURANCE SERVICES LLC3 | 711 EISENHOWER DRIVE KIMBERLY, WI 54136 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 8.91% |
| AIT SERVICES LLC3 | 10405 6TH AVE N, STE 100A PLYMOUTH, MN 55441 | STANDARD INSURANCE COMPANY | — | $589 | $589 | 3.50% |
| USI INSURANCE SERVICES LLC3 | 711 EISENHOWER DRIVE KIMBERLY, WI 54136 | HUMANA INSURANCE COMPANY | $1K | — | $1K | 9.79% |
| USI INSURANCE SERVICES LLC3 | 711 EISENHOWER DRIVE KIMBERLY, WI 54136 | HUMANA INSURANCE COMPANY | $43 | — | $43 | 0.34% |
| USI INSURANCE SERVICES LLC3 | 4605 COLUMBUS STREET, PO BOX 62817 VIRGINIA BEACH, VA 23462 | HUMANA DENTAL INSURANCE COMPANY | $4K | — | $4K | 47.40% |
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 | 162 | 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) | 162 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WPS HEALTH PLAN INC | 189 | $1.3M |
| Dental | HUMANA DENTAL INSURANCE COMPANY | 129 | $9K |
| Vision | HUMANA INSURANCE COMPANY | 105 | $13K |
| Life insurance(2 contracts) | STANDARD INSURANCE COMPANY | 171 | $51K |
| Short-term disability(2 contracts) | STANDARD INSURANCE COMPANY | 170 | $36K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 189 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.