| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSOCIATED FINANCIAL GROUP LLC3 | 711 EISENHOWER DR KIMBERLY, WI 541362142 | UNITEDHEALTHCARE INSURANCE COMPANY | $648 | $22K | $22K | 2.99% |
| PFLUG INSURANCE AGENCY3 Filed as: PFLUG INSURANCE AGENCY INC | 7400 1ST AVE KENOSHA, WI 531435562 | UNITEDHEALTHCARE INSURANCE COMPANY | $104 | $4K | $4K | 0.48% |
| PFLUG INSURANCE AGENCY3 Filed as: PFLUG INSURANCE AGENCY INC | 7400 1ST AVE KENOSHA, WI 531435562 | HUMANA | $17K | — | $17K | 5.01% |
| ASSOCIATED FINANCIAL GROUP LLC3 | 711 EISENHOWER DRIVE KIMBERLY, WI 54136 | STANDARD INSURANCE COMPANY | $4K | — | $4K | 7.11% |
| PFLUG INSURANCE AGENCY3 Filed as: PFLUG INSURANCE AGENCY INC | 7400 1ST AVE KENOSHA, WI 531435562 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 2.08% |
| HOLLY A MARITA3 | 7107 33RD AVE KENOSHA, WI 53142 | CONTINENTAL AMERICAN INSURANCE COMPANY | $414 | — | $414 | 3.05% |
| JEFFREY A GENTZ3 Filed as: JEFFREY GENTZ | 8918 29TH CT KENOSHA, WI 53143 | CONTINENTAL AMERICAN INSURANCE COMPANY | $311 | — | $311 | 2.29% |
| CHRISTOPHER BALKE3 | 3220 WOOD RD UNIT 4 MT PLEASANT, WI 53046 | CONTINENTAL AMERICAN INSURANCE COMPANY | $178 | — | $178 | 1.31% |
| CHRISTINE LOGSLETT3 Filed as: CHRISTINE M LOGSLETT | 300 N CORPORATE DRIVE STE 300 BROOKFIELD, WI 53045 | CONTINENTAL AMERICAN INSURANCE COMPANY | $154 | — | $154 | 1.13% |
| KARRIE L STERKEN3 | 55 S PARK ST ZEELAND, MI 49464 | CONTINENTAL AMERICAN INSURANCE COMPANY | $91 | — | $91 | 0.67% |
| JASON SCZEPANIAK3 Filed as: JASON P SCZEPANIAK | 4001 FELLAND RD SUITE 106 MADISON, WI 53718 | CONTINENTAL AMERICAN INSURANCE COMPANY | $91 | — | $91 | 0.67% |
| ROSS C NELSON3 | 1403 WIMBLETON WAY WAUNAKEE, WI 53597 | CONTINENTAL AMERICAN INSURANCE COMPANY | $16 | — | $16 | 0.12% |
| CHRISTOPHER P DOOLEY3 | 2903 NORTHWINDS DR EAU CLAIRE, WI 54701 | CONTINENTAL AMERICAN INSURANCE COMPANY | $14 | — | $14 | 0.10% |
| JEREMY KOOI3 | 304 W PARKVIEW ST COTTAGE GROVE, WI 53527 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3 | — | $3 | 0.02% |
| ADAM THOMAS GARDNER3 Filed as: ADAM T GARDNER | 101 N. FARWELL STREET STE 203 EAU CLAIRE, WI 54703 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.01% |
| CHRISTOPHER J ZELLNER3 | 4001 FELLAND ROAD STE 106 MADISON, WI 53718 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.01% |
| PFLUG INSURANCE AGENCY3 Filed as: PFLUG INSURANCE AGENCY INC | 7400 1ST AVE KENOSHA, WI 531435562 | HUMANA | $55 | — | $55 | 2.50% |
| HUMANA MARKETPOINT INC3 | 500 W MAIN NCT 28 LOUISVILLE, KY 402022946 | HUMANA | $10 | — | $10 | 0.45% |
| UMR, INC.5 Filed as: UNITED HEALTHCARE BENEFIT SERVICES | 10701 WEST RESEARCH DR WAUWATOSA, WI 53226 | UNITED HEALTHCARE BENEFIT SERVICES | — | $1K | $1K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DELTA DENTAL OF WISCONSIN EIN 39-6094742 THIRD PARTY ADMINISTRATOR | Contract Administrator Service code 13 | 1233 NORTH MAYFAIR RD STE 204 MILWAUKEE, WI 53226 | $4K |
| ASSOCIATED FINANCIAL GROUP LLC BROKER | Insurance agents and brokers Service code 22 | 711 EISENHOWER DR KIMBERLY, WI 54136 | $2K |
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 | 251 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 251 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 251 | $1.1M |
| Vision(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 251 | $1.1M |
| Life insurance(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 160 | $55K |
| Short-term disability | STANDARD INSURANCE COMPANY | 160 | $53K |
| Long-term disability | STANDARD INSURANCE COMPANY | 160 | $53K |
| Other(2 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 42 | $14K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 251 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.