| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STELLARUS BENEFITS INC Filed as: STELLARUS BENEFITS INC. | 330 S EXECUTIVE DR, SUITE 200 BROOKFIELD, WI 53005 | AETNA LIFE INSURANCE CO. | $7K | — | $7K | 6.49% |
| BENEFIT ADVISORS SERVICES GROUP LLC Filed as: BENEFIT ADVISORS SERVICES GROUP | 1120 SANCTUARY PARKWAY ALPHARETTA, GA 30009 | AETNA LIFE INSURANCE CO. | $2K | — | $2K | 2.16% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE INSURANCE EIN 36-3739571 NONE | Claims processing; Other fees Service code 12 | — | $1.1M |
| COLUMBIA ST. MARY'S EIN 39-0806315 NONE | Other fees; Other services Service code 49 | — | $678K |
| HEALTH MANAGEMENT CONCEPTS, INC. EIN 75-3189468 NONE | Other fees; Claims processing Service code 12 | — | $670K |
| MICHAEL LOVELY EIN 39-6063342 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $241K |
| WHEATON FRANCISCAN MEDICAL GROUP EIN 39-1791586 NONE | Other services; Other fees Service code 49 | — | $216K |
| WELLS FARGO ADVISORS EIN 34-1542819 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $199K |
| JAMES VALUSEK EIN 39-6063342 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $164K |
| TODD MARKOWSKI EIN 39-6063342 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $163K |
| QUALITY SYSTEMS, INC. EIN 95-2888568 NONE | Other services; Other fees Service code 49 | — | $159K |
| MICHAEL STONE EIN 39-6063342 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $152K |
| RICHARD RITTBERG EIN 39-6063342 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $149K |
| JEFFREY STRZELECKI EIN 39-6063342 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $139K |
| GAIL STELMASZEWSKI EIN 39-6063342 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $132K |
| JOSEPH BATTISTA EIN 39-6063342 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $129K |
| DEANNA BELL EIN 39-6063342 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $127K |
| JOHN HINTZ EIN 39-6063342 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $120K |
| DAVID PETERSON EIN 39-6063342 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $116K |
| STEPHANIE BRESLOW EIN 39-6063342 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $111K |
| SHERRI BRUNNER EIN 39-6063342 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $108K |
| ERIK CHRISTOPHER ALEXANDER MD NONE | Other services; Other fees Service code 49 | 1313 N FRANKLIN PLACE, SUITE 2001 MILWAUKEE, WI 53202 | $107K |
| STEVE ORAVETZ EIN 39-6063342 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $102K |
| ALYSSA RUIVIVAR EIN 39-6063342 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $102K |
| THE PREVIANT LAW FIRM SC EIN 39-1211596 NONE | Legal; Direct payment from the plan Service code 29 | — | $100K |
| ANTHONY RICE EIN 39-6063342 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $93K |
| LAURIE HEINZE EIN 39-6063342 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $92K |
| KALPANA N AJJAMPORE MD LLC EIN 45-3548409 NONE | Other fees; Other services Service code 49 | — | $89K |
| BRIAN ZITTEL EIN 39-6063342 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $87K |
| PAMELA BARCZAK EIN 39-6063342 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $86K |
| MOHAMMAD FAREED EIN 39-6063342 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $84K |
| KAR CHIROPRACTIC MASTERS EIN 39-2042735 NONE | Other fees; Other services Service code 49 | — | $84K |
| INNOVATIVE SOFTWARE SOLUTIONS INC EIN 23-2182079 NONE | Other fees; Other services Service code 49 | — | $83K |
| TERESA BATES EIN 39-6063342 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $81K |
| ANNE SANDS EIN 39-6063342 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $81K |
| MARY MCKINNON EIN 39-6063342 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $80K |
| MICHELLE SMITH EIN 39-6063342 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $79K |
| KATHLEEN NELSON EIN 39-6063342 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $79K |
| SUMAN SINGH EIN 39-6063342 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $79K |
| JODI STOVER EIN 39-6063342 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $77K |
| ABBIE RECK EIN 39-6063342 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $77K |
| BRADLEY WEDAN EIN 39-6063342 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $76K |
| MARIANNE PETERSEN EIN 39-6063342 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $75K |
| GLENDA BRONIKOWSKI EIN 39-6063342 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $73K |
| RACHEL FLAIRTY EIN 39-6063342 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $72K |
| JEFFREY T. FOLLANSBEE, M.D., S.C. EIN 39-1834284 NONE | Other services; Other fees Service code 49 | — | $69K |
| LEEANN METZGER EIN 39-6063342 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $69K |
| MILDRED RIVERA EIN 39-6063342 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $69K |
| SANDRA HOFER EIN 39-6063342 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $68K |
| ELIZABETH ROTH EIN 39-6063342 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $67K |
| SOUTHEASTERN PEDIATRIC & ADOLESCENT EIN 39-1556030 NONE | Other services; Other fees Service code 49 | — | $67K |
| STUART LARSON EIN 39-6063342 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $66K |
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 | 2,028 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 129 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,157 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | AETNA LIFE INSURANCE CO. | 2,821 | $101K |
| Long-term disability | AETNA LIFE INSURANCE CO. | 2,821 | $101K |
| Other | AETNA LIFE INSURANCE CO. | 2,821 | $101K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,821 | — |
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.
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.