| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE | 1103 HUNTER DR MOUNT PLEASANT, WI 53406 | METROPOLITAN LIFE INSURANCE COMPANY | $15K | $3K | $17K | 12.23% |
| RSC INSURANCE BROKERAGE INC3 | 160 FEDERAL ST FL 4 BOSTON, MA 02110 | METROPOLITAN LIFE INSURANCE COMPANY | — | $2K | $2K | 1.26% |
| JOHNSON INSURANCE SERVICES LLC3 | 1103 HUNTER DR STE 100 MOUNT PLEASANT, WI 53406 | METROPOLITAN LIFE INSURANCE COMPANY | — | $28 | $28 | 0.02% |
| CAMERON SUTTON ROBERTS3 | N9404 ROSELLA DRIVE APPLETON, WI 54915 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $763 | $4K | 5.13% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE | DBA RISK STRATEGIES COMPANY MOUNT PLEASANT, WI 53406 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $29 | $3K | 3.63% |
| DANIEL FROST3 | 241 POYGAN RD OMRO, WI 54963 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $201 | $2K | 2.74% |
| MIH BENEFITS LLC3 | 106 CUMBERLYNN DR FOND DU LAC, WI 54935 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $411 | $2K | 2.48% |
| JOHNSON INSURANCE SERVICES LLC3 Filed as: JOHNSON INSURANCE SERVICES | 1103 HUNTER DR MOUNT PLEASANT, WI 53406 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 1.46% |
| RODNEY JAMES SONNENBERG3 | 432 AMORY ST FOND DU LAC, WI 54935 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $423 | $0 | $423 | 0.60% |
| ADAM J ZAHN3 | 725 E GRANT STREET APPLETON, WI 54911 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $199 | $0 | $199 | 0.28% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| TPAC UNDERWRITERS, INC. EIN 75-2396335 STOP-LOSS INSURANCE COVER | Insurance agents and brokers Service code 22 | 3810 PHEASANT RIDGE DR NE, STE 400 MINNEAPOLIS, MN 55449 | $387K |
| VITORI HEALTH, LLC EIN 85-4262795 THIRD PARTY ADMIN | Contract Administrator Service code 13 | 4000 WEST 114TH STREET, SUITE 110 LEAWOOD, KS 66211 | $54K |
| I PLAN, LLC EIN 27-2616799 BROKER/ADVISORY SERVICES | Insurance agents and brokers Service code 22 | 111 N BROADWAY, STE C GREEN BAY, WI 54303 | $41K |
| SELF FUND HEALTH (CAREBOT HEALTH) EIN 84-4739592 THIRD PARTY ADMIN | Contract Administrator Service code 13 | 2747 PRAIRIE CIRCLE VERONA, WI 53593 | $26K |
| MEDWATCH LLC EIN 16-1662117 MEDICAL MANAGEMENT | Contract Administrator Service code 13 | 400 COLONIAL CENTER PKWY, STE 320 LAKE MARY, FL 32746 | $9K |
| DELTA DENTAL OF WI EIN 39-6094742 THIRD PARTY ADMIN | Contract Administrator Service code 13 | 2801 HOOVER RD STEVENS POINT, WI 54481 | $8K |
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 | 182 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 182 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 347 | $211K |
| Short-term disability(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 347 | $211K |
| Long-term disability(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 347 | $211K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 347 | $140K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 347 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.