| 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 | $9K | $8K | $16K | 9.77% |
| JED RYAN3 | 3051 PROGRESS WAY STE 204 KAUKAUNA, WI 54130 | AFLAC | $5K | — | $5K | 10.23% |
| PAUL W DESPIRITO3 | 3051 PROGRESS WAY STE 204 KAUKAUNA, WI 54130 | AFLAC | $706 | — | $706 | 1.40% |
| RICHARD BOWHOUSEN3 | 2467 CLOVER ST OSHKOSH, WI 54901 | AFLAC | $204 | — | $204 | 0.40% |
| CAEMERON ROBERTS3 | N9404 ROSELLA DR APPLETON, WI 54915 | AFLAC | $189 | — | $189 | 0.37% |
| JAIME SUE MARTINEZ3 | PO BOX 524 BLACK MOUNTAIN, NC 28711 | AFLAC | $187 | — | $187 | 0.37% |
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 510925 NEW BERLIN, WI 53151 | AFLAC | $187 | — | $187 | 0.37% |
| ADAM D WICHMANN3 | 780 CAPILANO CT CASTLE ROCK, CO 80108 | AFLAC | $174 | — | $174 | 0.34% |
| CHARLES J GELLINGS3 | N1684 DOUBLE D CAMPBELLSPORT, WI 53010 | AFLAC | $135 | — | $135 | 0.27% |
| RETTENMUND INSURANCE LLC3 | S7991 DENZER DR NORTH FREEDOM, WI 53951 | AFLAC | $132 | — | $132 | 0.26% |
| SCOTT D MAYER3 | 1440 CHATEAUTER MENASHA, WI 54952 | AFLAC | $101 | — | $101 | 0.20% |
| ROBERT J DONOHUE3 | 808 FAIRWAY DR MOSINEE, WI 54455 | AFLAC | $86 | — | $86 | 0.17% |
| WILLIAM PUESTOW3 | 736 N 9TH ST MANITOWOC, WI 54220 | AFLAC | $79 | — | $79 | 0.16% |
| M3 INSURANCE SOLUTIONS INC3 | 325 TROWBRIDGE DR FOND DU LAC, WI 54937 | AFLAC | $76 | — | $76 | 0.15% |
| JASON SCZEPANIAK3 | 1161 HERITAGE CT SUN PRAIRIE, WI 53590 | AFLAC | $69 | — | $69 | 0.14% |
| GLEN T SCHWEIKERT3 | 2211 HIGHLAND SPRINGS PL LOUISVILLE, KY 40245 | AFLAC | $37 | — | $37 | 0.07% |
| JAMIE R LAUENSTEIN3 | 15 S WALNUT ST MAYVILLE, WI 53050 | AFLAC | $23 | — | $23 | 0.05% |
| WILLIAM F MURRAY III3 | 1298 SAINT PATRICK WAY SUN PRAIRIE, WI 53590 | AFLAC | $14 | — | $14 | 0.03% |
| THE WICHMANN GROUP INC3 | 8206 EVERGREEN RD KEARNEY, NE 68845 | AFLAC | $12 | — | $12 | 0.02% |
| ROSS C NELSON3 | 440 REGENCY PARKWAY DR STE 234 OMAHA, NE 68114 | AFLAC | $11 | — | $11 | 0.02% |
| CHRISTOPHER P DOOLEY3 | 2903 NORTHWINDS DR EAU CLAIRE, WI 54701 | AFLAC | $10 | — | $10 | 0.02% |
| JEREMY KOOI3 | 855 PANORAME CT APT 203 RICHLAND CENTER, WI 53581 | AFLAC | $10 | — | $10 | 0.02% |
| 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% |
| CHRISTOPHER J ZELLNER3 | 918 ALDORA LN WAUNAKEE, WI 53597 | AFLAC | $3 | — | $3 | 0.01% |
| CHRISTINE LOGSLETT3 | 8318 ANNA AVE WIND LAKE, WI 53185 | AFLAC | $3 | — | $3 | 0.01% |
| TRAVIS M JANSSEN3 | 8048 PRAIRIEWOOD TRL NEENAH, WI 84956 | AFLAC | $2 | — | $2 | 0.00% |
| KENNETH J HOFFMAN3 | N65W13544 COBBLESTONE CT MENOMONEE FALLS, WI 53051 | AFLAC | $1 | — | $1 | 0.00% |
| SHADEL & ASSOCIATES LLC3 Filed as: SHADEL & ASSOCIATES INC | 3100 BLUFF LANE HILLSBOROUGH, NC 27278 | AFLAC | $1 | — | $1 | 0.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY | 2725 SOUTH MOORELAND RD NEW BERLIN, WI 53151 | SUPERIOR VISION INSURANCE PLAN OF WISCONSIN INC. | $1K | — | $1K | 11.00% |
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 | 84 | 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) | 84 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AFLAC | 52 | $51K |
| Dental | UNITED OF OMAHA LIFE INSURANCE COMPANY | 115 | $169K |
| Vision | SUPERIOR VISION INSURANCE PLAN OF WISCONSIN INC. | 77 | $11K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 115 | $169K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 115 | $169K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 115 | $169K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 115 | — |
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.