| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INFINITY BENEFIT SOLUTIONS INC3 | 1036 W JUNEAU AVE STE 302 MILWAUKEE, WI 53233 | UNITEDHEALTHCARE INSURANCE COMPANY | $35K | — | $35K | 1.77% |
| LANE BARKSTROM3 | 100 E WISCONSIN AVE STE 2300 MILWAUKEE, WI 53202 | NORTHWESTERN MUTUAL | $2K | $590 | $3K | 5.37% |
| WILLIAM JOHN COLLINS3 Filed as: WILLIAM COLLINS | 1036 W JUNEAU AVE STE 302 MILWAUKEE, WI 53233 | NORTHWESTERN MUTUAL | $2K | $531 | $3K | 4.84% |
| THE HOLTER AGENCY INC3 | 100 E WISCONSIN AVE STE 2300 MILWAUKEE, WI 53202 | NORTHWESTERN MUTUAL | $937 | $112 | $1K | 1.92% |
| BRAIN DIX3 | 1036 W JUNEAU AVE STE 302 MILWAUKEE, WI 53233 | NORTHWESTERN MUTUAL | $234 | $59 | $293 | 0.54% |
| LANE BARKSTROM3 | 100 E WISCONSIN AVE STE 2300 MILWAUKEE, WI 53202 | NORTHWESTERN MUTUAL | $1K | $313 | $2K | 4.29% |
| WILLIAM JOHN COLLINS3 Filed as: WILLIAM COLLINS | 1036 W JUNEAU AVE STE 302 MILWAUKEE, WI 53233 | NORTHWESTERN MUTUAL | $1K | $281 | $1K | 3.86% |
| THE HOLTER AGENCY INC3 | 100 E WISCONSIN AVE STE 2300 MILWAUKEE, WI 53202 | NORTHWESTERN MUTUAL | $500 | $60 | $560 | 1.54% |
| BRIAN P DIX3 Filed as: BRIAN DIX | 1036 W JUNEAU AVE STE 302 MILWAUKEE, WI 53233 | NORTHWESTERN MUTUAL | $125 | $31 | $156 | 0.43% |
| LANE BARKSTROM3 | 100 E WISCONSIN AVE STE 2300 MILWAUKEE, WI 53202 | NORTHWESTERN MUTUAL | $889 | $222 | $1K | 5.28% |
| WILLIAM JOHN COLLINS3 Filed as: WILLIAM COLLINS | 1036 W JUNEAU AVE STE 302 MILWAUKEE, WI 53233 | NORTHWESTERN MUTUAL | $800 | $200 | $1K | 4.75% |
| THE HOLTER AGENCY INC3 | 100 E WISCONSIN AVE STE 2300 MILWAUKEE, WI 53202 | NORTHWESTERN MUTUAL | $355 | $43 | $398 | 1.89% |
| BRAIN DIX3 | 1036 W JUNEAU AVE STE 302 MILWAUKEE, WI 53233 | NORTHWESTERN MUTUAL | $89 | $22 | $111 | 0.53% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPLOYEE BENEFITS CORPORATION EIN 39-2044064 CLAIMS PROCESSING | Claims processing; Contract Administrator Service code 12 | — | $9K |
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 | 116 | 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) | 116 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 313 | $2.0M |
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 313 | $2.0M |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 313 | $2.0M |
| Life insurance | NORTHWESTERN MUTUAL | 124 | $36K |
| Short-term disability | NORTHWESTERN MUTUAL | 124 | $21K |
| Long-term disability | NORTHWESTERN MUTUAL | 124 | $55K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 313 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.