| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MICHIGAN PLANNERS, INC.3 Filed as: MICHIGAN PLANNERS INC. | 59259 VAN DYKE RD WASHINGTON, MI 480942205 | UNITED HEALTHCARE INSURANCE COMPANY | $27K | $0 | $27K | 4.92% |
| LIBERTY INS GROUP INC.3 | 17040 W GREENFIELD AVE SUITE 1 BROOKFIELD, WI 530056899 | UNITED HEALTHCARE INSURANCE COMPANY | $13K | $1K | $15K | 2.63% |
| FORSITE BENEFIT PARTNERS3 | 2300 RIVERSIDE DR SUITE 104 GREEN BAY, WI 54301 | STANDARD INSURANCE COMPANY | $3K | $0 | $3K | 3.47% |
| MICHIGAN PLANNERS, INC.3 Filed as: MICHIGAN PLANNERS INC. | 59259 VAN DYKE AVE WASHINGTON, MI 48094 | STANDARD INSURANCE COMPANY | $2K | $0 | $2K | 2.07% |
| MICHIGAN PLANNERS, INC.3 Filed as: MICHIGAN PLANNERS | 59259 VAN DYKE AVE WASHINGTON, MI 48094 | DELTA DENTAL OF WISCONSIN | $6K | $0 | $6K | 8.86% |
| FORSITE BENEFIT PARTNERS3 | 2300 RIVERSIDE DR SUITE 104 GREEN BAY, WI 54301 | STANDARD INSURANCE COMPANY | $2K | $0 | $2K | 3.97% |
| MICHIGAN PLANNERS, INC.3 Filed as: MICHIGAN PLANNERS INC. | 59259 VAN DYKE AVE WASHINGTON, MI 48094 | STANDARD INSURANCE COMPANY | $1K | $0 | $1K | 3.20% |
| FORSITE BENEFIT PARTNERS3 | 2300 RIVERSIDE DR SUITE 104 GREEN BAY, WI 54301 | STANDARD INSURANCE COMPANY | $2K | $0 | $2K | 5.74% |
| MICHIGAN PLANNERS, INC.3 Filed as: MICHIGAN PLANNERS INC. | 59259 VAN DYKE AVE WASHINGTON, MI 48094 | STANDARD INSURANCE COMPANY | $2K | $0 | $2K | 5.40% |
| MICHIGAN PLANNERS, INC.3 Filed as: MICHIGAN PLANNERS | 59259 VAN DYKE AVE WASHINGTON, MI 48094 | WYSSTA INSURANCE COMPANY INC. | $737 | $0 | $737 | 5.37% |
| FORSITE BENEFIT PARTNERS3 Filed as: FORSITE BENEFITS | 2300 RIVERSIDE DR SUITE 104 GREEN BAY, WI 54301 | WYSSTA INSURANCE COMPANY INC. | $366 | $0 | $366 | 2.67% |
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 | 136 | 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) | 140 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED HEALTHCARE INSURANCE COMPANY | 334 | $553K |
| Dental | DELTA DENTAL OF WISCONSIN | 112 | $72K |
| Vision | WYSSTA INSURANCE COMPANY INC. | 119 | $14K |
| Life insurance | STANDARD INSURANCE COMPANY | 201 | $73K |
| Short-term disability | STANDARD INSURANCE COMPANY | 199 | $43K |
| Long-term disability | STANDARD INSURANCE COMPANY | 201 | $38K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 334 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.