| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY, LLC | 17335 GOLF PKWY STE 450 BROOKFIELD, WI 53045 | DELTA DENTAL OF WISCONSIN | $24K | — | $24K | 11.39% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY, LLC | 10201 FAIRFAX BLVD STE 500 FAIRFAX, VA 22030 | METROPOLITAN LIFE INSURANCE COMPANY | $25K | — | $25K | 16.16% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY, LLC | 250 PEHLE AVE STE 400, PARK 80, PLAZA 2 SADDLE BROOK, NJ 07663 | METROPOLITAN LIFE INSURANCE COMPANY | — | $2K | $2K | 1.12% |
| PLANSOURCE BENEFITS ADMINISTRATION3 | 101 S GARLAND AVE STE 203 ORLANDO, FL 32801 | METROPOLITAN LIFE INSURANCE COMPANY | $905 | — | $905 | 0.59% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN | 6279 TRI RIDGE BLVD STE 400 LOVELAND, OH 451408320 | METROPOLITAN LIFE INSURANCE COMPANY | — | $21 | $21 | 0.01% |
| MARSH & MCLENNAN AGENCY LLC3 | 4900 LIBBIE MILL E BLVD STE 100 RICHMOND, VA 23230 | STANDARD INSURANCE COMPANY | $5K | $2K | $6K | 9.47% |
| MARSH & MCLENNAN AGENCY LLC3 | 17335 GOLF PARKWAY SUITE 450 BROOKFIELD, WI 53045 | WYSSTA INSURANCE COMPANY, INC. | $4K | — | $4K | 8.03% |
| MARSH & MCLENNAN AGENCY LLC3 | 4900 LIBBIE MILL E BLVD STE 100 RICHMOND, VA 23230 | STANDARD INSURANCE COMPANY | $3K | $1K | $4K | 9.80% |
| JENNON CARUTH3 | PO BOX 46122 EDEN PRAIRIE, MN 55344 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | $202 | $6K | 15.28% |
| MARSH & MCLENNAN AGENCY LLC3 | 10201 FAIRFAX BLVD STE 500 FAIRFAX, VA 220302222 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | — | $3K | 9.39% |
| PLANSOURCE BENEFITS ADMINISTRATION3 | 101 S GARLAND AVE. STE 203 ORLANDO, FL 32801 | METROPOLITAN LIFE INSURANCE COMPANY | $267 | — | $267 | 0.73% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN | 250 PEHLE AVE, STE 400 PARK 80, PLAZA 2 SADDLEBROOK, OH 076635826 | METROPOLITAN LIFE INSURANCE COMPANY | — | $161 | $161 | 0.44% |
| MARSH & MCLENNAN AGENCY LLC3 | 6279 TRI RIDGE BLVD STE 400 LOVELAND, OH 451408320 | METROPOLITAN LIFE INSURANCE COMPANY | — | $5 | $5 | 0.01% |
| JENNON CARUTH3 | PO BOX 46122 EDEN PRAIRIE, MN 55344 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $186 | $4K | 10.49% |
| MARSH & MCLENNAN AGENCY LLC3 | 10201 FAIRFAX BLVD STE 500 FAIRFAX, VA 220302222 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | — | $3K | 8.58% |
| PLANSOURCE BENEFITS ADMINISTRATION3 | 101 S GARLAND AVE. STE 203 ORLANDO, FL 32801 | METROPOLITAN LIFE INSURANCE COMPANY | $208 | — | $208 | 0.61% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN | 250 PEHLE AVE, STE 400 PARK 80, PLAZA 2 SADDLEBROOK, NJ 076635826 | METROPOLITAN LIFE INSURANCE COMPANY | — | $152 | $152 | 0.45% |
| MARSH & MCLENNAN AGENCY LLC3 | 6279 TRI RIDGE BLVD STE 400 LOVELAND, OH 451408320 | METROPOLITAN LIFE INSURANCE COMPANY | — | $4 | $4 | 0.01% |
| JENNON CARUTH3 | PO BOX 46122 EDEN PRAIRIE, MN 55344 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | $180 | $5K | 16.80% |
| MARSH & MCLENNAN AGENCY LLC3 | 10201 FAIRFAX BLVD. STE 500 FAIRFAX, VA 220302222 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | — | $3K | 9.37% |
| PLANSOURCE BENEFITS ADMINISTRATION3 | 101 S GARLAND AVE. STE 203 ORLANDO, FL 32801 | METROPOLITAN LIFE INSURANCE COMPANY | $207 | — | $207 | 0.67% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN | 250 PEHLE AVE, STE 400 PARK 80, PLAZA 2 SADDLEBROOK, NJ 076635826 | METROPOLITAN LIFE INSURANCE COMPANY | — | $144 | $144 | 0.46% |
| M3 INS SOLUTIONS INC3 | 828 JOHN NOLEN DR MADISON, WI 537131424 | METROPOLITAN LIFE INSURANCE COMPANY | $59 | — | $59 | 0.19% |
| MARSH & MCLENNAN AGENCY LLC3 | 6279 TRI RIDGE BLVD STE 400 LOVELAND, OH 451408320 | METROPOLITAN LIFE INSURANCE COMPANY | — | $4 | $4 | 0.01% |
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 | 390 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 394 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF WISCONSIN | 291 | $213K |
| Vision | WYSSTA INSURANCE COMPANY, INC. | 280 | $44K |
| Life insurance | STANDARD INSURANCE COMPANY | 390 | $38K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 218 | $153K |
| Long-term disability | STANDARD INSURANCE COMPANY | 390 | $66K |
| Other(4 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 390 | $140K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 390 | — |
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.