| 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 | $42K | — | $42K | 1.79% |
| LANE BARKSTROM3 | 10701 W RESEARCH DR STE 200 WAUWATOSA, WI 53226 | NORTHWESTERN MUTUAL | $2K | $610 | $3K | 4.38% |
| WILLIAM JOSEPH CARNEY3 Filed as: WILLIAM COLLINS | 10701 W RESEARCH DR STE 200 WAUWATOSA, WI 53226 | NORTHWESTERN MUTUAL | $2K | $549 | $3K | 3.94% |
| MDM GROUP LLC3 | 10701 W RESEARCH DR WAUWATOSA, WI 53226 | NORTHWESTERN MUTUAL | $908 | $109 | $1K | 1.47% |
| BRAIN DIX3 | 1036 W JUNEAU AVE STE 302 MILWAUKEE, WI 53233 | NORTHWESTERN MUTUAL | $242 | $61 | $303 | 0.44% |
| LANE BARKSTROM3 | 10701 W RESEARCH DR STE 200 WAUWATOSA, WI 53226 | NORTHWESTERN MUTUAL | $2K | $382 | $2K | 3.75% |
| WILLIAM JOSEPH CARNEY3 Filed as: WILLIAM COLLINS | 10701 W RESEARCH DR STE 200 WAUWATOSA, WI 53226 | NORTHWESTERN MUTUAL | $1K | $344 | $2K | 3.38% |
| MDM GROUP LLC3 | 10701 W RESEARCH DR STE 200 WAUWATOSA, WI 53226 | NORTHWESTERN MUTUAL | $522 | $63 | $585 | 1.16% |
| BRIAN P DIX3 Filed as: BRIAN DIX | 1036 W JUNEAU AVE STE 302 MILWAUKEE, WI 53233 | NORTHWESTERN MUTUAL | $152 | $38 | $190 | 0.38% |
| LANE BARKSTROM3 | 10701 W RESEARCH DR STE 200 WAUWATOSA, WI 53226 | NORTHWESTERN MUTUAL | $1K | $257 | $1K | 5.00% |
| WILLIAM JOSEPH CARNEY3 Filed as: WILLIAM COLLINS | 10701 W RESEARCH DR WAUWATOSA, WI 53226 | NORTHWESTERN MUTUAL | $916 | $231 | $1K | 4.50% |
| MDM GROUP LLC3 | 10701 W RESEARCH DR STE 200 WAUWATOSA, WI 53226 | NORTHWESTERN MUTUAL | $382 | $46 | $428 | 1.68% |
| BRIAN P DIX3 Filed as: BRIAN DIX | 1036 W JUNEAU AVE STE 302 MILWAUKEE, WI 53233 | NORTHWESTERN MUTUAL | $102 | $26 | $128 | 0.50% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPLOYEE BENEFITS CORPORATION EIN 39-2044064 CLAIMS PROCESSING | Claims processing; Contract Administrator Service code 12 | — | $9K |
| INFINITY BENEFIT SOLUTIONS, INC. BROKER | Insurance agents and brokers Service code 22 | 1036 W JUNEAU AVE STE 302 MILWAUKEE, WI 53233 | $392 |
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 | 113 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 115 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 334 | $2.3M |
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 334 | $2.3M |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 334 | $2.3M |
| Life insurance | NORTHWESTERN MUTUAL | 139 | $51K |
| Short-term disability | NORTHWESTERN MUTUAL | 139 | $26K |
| Long-term disability | NORTHWESTERN MUTUAL | 139 | $69K |
| 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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.