| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 510925 NEW BERLIN, WI 53151 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $13K | $10K | $24K | 11.85% |
| JED RYAN3 | 35 PARK PL STE 100 APPLETON, WI 54914 | AFLAC | $7K | $108 | $7K | 13.76% |
| PAUL W DESPIRITO3 | 3051 PROGRESS WAY STE 204 KAUKAUNA, WI 54130 | AFLAC | $509 | $8 | $517 | 1.01% |
| JAMIE R LAUENSTEIN3 | 15 S WALNUT ST MAYVILLE, WI 53050 | AFLAC | $417 | $14 | $431 | 0.84% |
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 510925 NEW BERLIN, WI 53151 | AFLAC | $183 | — | $183 | 0.36% |
| CAMERON SUTTON ROBERTS3 Filed as: CAMERON S ROBERTS | N9404 ROSELLA DR APPLETON, WI 54915 | AFLAC | $164 | — | $164 | 0.32% |
| ADAM D WICHMANN3 | 780 CAPILANO CT CASTLE ROCK, CO 80108 | AFLAC | $160 | — | $160 | 0.31% |
| JAIME SUE MARTINEZ3 | PO BOX 524 BLACK MOUNTAIN, NC 28711 | AFLAC | $139 | — | $139 | 0.27% |
| CHARLES J GELLINGS3 | N1684 DOUBLE D CAMPBELLSPORT, WI 53010 | AFLAC | $124 | — | $124 | 0.24% |
| RETTENMUND INSURANCE LLC3 | S7991 DENZER DR NORTH FREEDOM, WI 53951 | AFLAC | $104 | — | $104 | 0.20% |
| SCOTT D MAYER3 | 1440 CHATEAUTER MENASHA, WI 54952 | AFLAC | $102 | — | $102 | 0.20% |
| ROBERT J DONOHUE3 | 808 FAIRWAY DR MOSINEE, WI 54455 | AFLAC | $86 | — | $86 | 0.17% |
| JASON SCZEPANIAK3 | 1161 HERTITAGE CT SUN PRAIRIE, WI 53590 | AFLAC | $61 | — | $61 | 0.12% |
| M3 INSURANCE SOLUTIONS INC3 | 325 TROWBRIDGE DR FOND DU LAC, WI 54937 | AFLAC | $59 | — | $59 | 0.12% |
| GLEN T SCHWEIKERT3 | 2211 HIGHLAND SPRINGS PL LOUISVILLE, KY 40245 | AFLAC | $32 | — | $32 | 0.06% |
| RICHARD BOWHOUSEN3 | 20 S BROAD ST ELKHORN, WI 53121 | AFLAC | $15 | — | $15 | 0.03% |
| WILLIAM F MURRAY III3 | 1298 SAINT PATRICK WAY SUN PRAIRIE, WI 53590 | AFLAC | $11 | — | $11 | 0.02% |
| ROSS C NELSON3 | 440 REGENCY PARKWAY DR STE 234 OMAHA, NE 68114 | AFLAC | $11 | — | $11 | 0.02% |
| WILLIAM PUESTOW3 | 736 N 9TH ST MANITOWOC, WI 54220 | AFLAC | $11 | — | $11 | 0.02% |
| CHRISTOPHER P DOOLEY3 | 2903 NORTHWINDS DR EAU CLAIRE, WI 54701 | AFLAC | $10 | — | $10 | 0.02% |
| SARAH L SKLAMBERG-ROBESON3 Filed as: SARAH-BETH A JANSSEN | 8048 PRAIRIEWOOD TRL NEENAH, WI 54956 | AFLAC | $9 | — | $9 | 0.02% |
| JEREMY KOOI3 | 855 PANORAME CT APT 203 RICHLAND CENTER, WI 53581 | AFLAC | $7 | — | $7 | 0.01% |
| NATHAN BRONSON3 | W9160 RIPLEY RD CAMBRIDGE, WI 53523 | AFLAC | $4 | — | $4 | 0.01% |
| ADAM THOMAS GARDNER3 | 101 N FARWELL ST STE 203 EAU CLAIRE, WI 54703 | AFLAC | $3 | — | $3 | 0.01% |
| ADAM THOMAS GARDNER3 | 101 N FARWELL ST STE 203 EAU CLAIRE, WI 54703 | AFLAC | $3 | — | $3 | 0.01% |
| CHRISTINE LOGSLETT3 | 8318 ANNA AVE WIND LAKE, WI 53185 | AFLAC | $3 | — | $3 | 0.01% |
| CHRISTINE LOGSLETT3 | 918 ALDORA LA WAUNAKEE, WI 53597 | AFLAC | $3 | — | $3 | 0.01% |
| TRAVIS M JANSSEN3 | 8048 PRAIRIEWOOD TRL NEENAH, WI 54956 | AFLAC | $2 | — | $2 | 0.00% |
| THI WICHMANN GROUP INC3 | 8206 EVERGREEN RD KEARNEY, NE 68845 | AFLAC | $2 | — | $2 | 0.00% |
| JEREMY KOOI3 | 25073 HALL LN RICHLAND CENTER, WI 53581 | AFLAC | $1 | — | $1 | 0.00% |
| KENNETH J HOFFMAN3 | N65W13544 COBBLESTONE CT MENOMONEE FALLS, WI 53051 | AFLAC | $1 | — | $1 | 0.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY | 33213 COLLECTION CENTER DR CHICAGO, IL 60693 | SUPERIOR VISION INSURANCE PLAN OF WISCONSIN INC. | $1K | — | $1K | 10.00% |
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 | 117 | 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) | 117 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AFLAC | 53 | $51K |
| Dental | UNITED OF OMAHA LIFE INSURANCE COMPANY | 103 | $198K |
| Vision | SUPERIOR VISION INSURANCE PLAN OF WISCONSIN INC. | 117 | $11K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 103 | $198K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 103 | $198K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 103 | $198K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 117 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.