| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| M3 INSURANCE SOLUTIONS INC3 Filed as: M3 INSURANCE SOLUTIONS | 828 JOHN NOLEN DR. MADISON, WI 53713 | DEAN HEALTH PLAN INC | $23K | — | $23K | 1.98% |
| M3 INSURANCE SOLUTIONS INC3 Filed as: M2 INSURANCE SOLUTIONS | 828 JOHN NOLEN DR. MADISON, WI 53713 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | $522 | $6K | 8.14% |
| CHRIS ZELLNER3 | 918 ALDORA LN. WAUNAKEE, WI 53597 | AFLAC | $5K | $148 | $5K | 8.18% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: JASON GALLAGHER | 5576 AUCHTER LN. WAUNAKEE, WI 53597 | AFLAC | $2K | $231 | $2K | 4.09% |
| CASEY J HIGGINS3 | 2484 LEOPOLD WAY SUN PRAIRIE, WI 53590 | AFLAC | $902 | $118 | $1K | 1.71% |
| AMY KNUTSON3 | 421 HIGGINS DR. EVANSVILLE, WI 53536 | AFLAC | $928 | $57 | $985 | 1.65% |
| KEVIN ZELLNER3 | 350 COUNTY ROAD A WISCONSIN DELLS, WI 53965 | AFLAC | $624 | $115 | $739 | 1.24% |
| MATTHEW A HOFELDT3 Filed as: MATTHEW HOFELDT | 4918 LANTERN HOLLOW LN. WAUNAKEE, WI 53597 | AFLAC | $541 | — | $541 | 0.91% |
| TED ALDWORTH3 | 3825 MONONA DR. APT 25 MADISON, WI 53714 | AFLAC | $307 | — | $307 | 0.51% |
| DUSTIN PRICE3 | 2113 35TH ST. TWO RIVERS, WI 54241 | AFLAC | $301 | — | $301 | 0.50% |
| MICHAEL A SMITH3 Filed as: MICHAEL SMITH | PO BOX 620163 MIDDLETON, WI 53562 | AFLAC | $231 | — | $231 | 0.39% |
| ERIK BUSSE3 | 6519 HARVEST MOON CT. WAUNAKEE, WI 53597 | AFLAC | $170 | — | $170 | 0.28% |
| ROSS C NELSON3 Filed as: ROSS NELSON | 4611 S 96TH ST STE 100 OMAHA, NE 68127 | AFLAC | $125 | — | $125 | 0.21% |
| JOHN D KEYS3 Filed as: JOHN KREFT | 5605 OSBORN DR. MCFARLAND, WI 53558 | AFLAC | $125 | — | $125 | 0.21% |
| NICHOLAS LAACK-MILLER3 | 2234 LUANN LN APT 109 MADISON, WA 53713 | AFLAC | $86 | $11 | $97 | 0.16% |
| JASON SCZEPANIAK3 | 1161 HERITAGE CT. SUN PRAIRIE, WI 53590 | AFLAC | $80 | — | $80 | 0.13% |
| REBECCA A BAERTSCHI3 Filed as: REBECCA BAERTSCHI | 209 W. MAIN ST. BROOKLYN, WI 53521 | AFLAC | $78 | — | $78 | 0.13% |
| M3 INSURANCE SOLUTIONS INC3 Filed as: M3 INSURANCE SOLUTIONS | 828 JOHN NOLEN DR. MADISON, WI 53713 | AFLAC | $63 | — | $63 | 0.11% |
| PAUL GLOBAL BENEFITS INC3 Filed as: PAUL DESPIRITO | 3051 PROGRESS WAY STE 204 KAUKAUNA, WI 54130 | AFLAC | $46 | — | $46 | 0.08% |
| TREVOR D MARTIN3 Filed as: TREVOR MARTIN | 4001 FELLAND ROAD STE 106 MADISON, WI 53718 | AFLAC | $44 | — | $44 | 0.07% |
| MARILYN L SHAW SCHUH3 Filed as: MARILYN SCHUH | 624 E. CRANSTON RD. BELOIT, WI 53511 | AFLAC | $32 | — | $32 | 0.05% |
| MICHAEL FRASIER3 | 4001 FELLAND RD. STE 113 MADISON, WI 53718 | AFLAC | $30 | — | $30 | 0.05% |
| SHERI L DEAN3 Filed as: SHERI DEAN | 2477 PINTO TRAIL MCFARLAND, WI 53558 | AFLAC | $29 | — | $29 | 0.05% |
| JEFFREY D HOEFNER3 Filed as: JEFFREY HOEFNER | 3124 LORRABUD LN. SUN PRAIRIE, WI 53590 | AFLAC | $26 | — | $26 | 0.04% |
| ELIZABETH A LENZO3 Filed as: ELIZABETH LENZO | 701 ALBEROSKY WAY BATAVIA, IL 60510 | AFLAC | $26 | — | $26 | 0.04% |
| JEREMY KOOI3 | 3495 HUNTER HOLLOW RD. DODGEVILLE, WI 53533 | AFLAC | $24 | — | $24 | 0.04% |
| WILLIAM C HAGEN3 Filed as: WILLIAM HAGEN | 258 CORPORATE DR. STE 200 MADISON, WI 53714 | AFLAC | $13 | $4 | $17 | 0.03% |
| CHRISTOPHER P DOOLEY3 Filed as: CHRISTOPHER DOOLEY | 2903 NORTHWINDS DR. EAU CLAIRE, WI 54701 | AFLAC | $8 | — | $8 | 0.01% |
| CHRIS ZELLNER3 Filed as: CHRIS SOULIER | 602 WILLIAM WAY WAUNAKEE, WI 53597 | AFLAC | $7 | — | $7 | 0.01% |
| GLEN T SCHWEIKERT3 Filed as: GLEN SCHWEIKERT | 2211 HIGHLAND SPRINGS PL LOUISVILLE, KY 40245 | AFLAC | $7 | — | $7 | 0.01% |
| MARY CLARK3 | 722 E STATE ST MAUSTON, WI 53948 | AFLAC | $7 | — | $7 | 0.01% |
| JOSHUA J PARISE3 Filed as: JOSHUA PARISE | 7325 JANES AVE. WOODRIDGE, IL 60517 | AFLAC | $5 | — | $5 | 0.01% |
| NATHAN BRONSON3 | W217 N5386 TAYLORS WOODS DR. MENOMONEE FALLS, WI 53051 | AFLAC | $4 | — | $4 | 0.01% |
| ADAM THOMAS GARDNER3 Filed as: ADAM GARDNER | 101 N FARWELL ST STE 203 EAU CLAIRE, WI 54703 | AFLAC | $3 | — | $3 | 0.01% |
| WILLIAM F MURRAY III3 Filed as: WILLIAM MURRAY III | 1298 SAINT PATRICK WAY SUN PRAIRIE, WI 53590 | AFLAC | $3 | — | $3 | 0.01% |
| CORY MUCHOW3 | 200 CHESTNUT DR ELROY, WA 53929 | AFLAC | $3 | — | $3 | 0.01% |
| CHRISTINE LOGSLETT3 | 300 N CORPORATE DR STE 300 BROOKFIELD, WI 53045 | AFLAC | $2 | — | $2 | 0.00% |
| BRAD M PINCHART3 Filed as: BRAD PINCHART | 6696 PRAIRIE CREEK RD WINDSOR, WI 53598 | AFLAC | $2 | — | $2 | 0.00% |
| KENNETH J HOFFMAN3 Filed as: KENNETH HOFFMAN | N65 W13544 COBBLESTONE CT. MENOMONEE FALLS, WI 53051 | AFLAC | $1 | — | $1 | 0.00% |
| SHADEL & ASSOCIATES LLC3 Filed as: SHADEL & ASSOCIATES INC. | 4811 BEACH BLVD STE 107 JACKSONVILLE, FL 32207 | AFLAC | $1 | — | $1 | 0.00% |
| JAMEY MILLER INC3 | 10375 CENTURION PKWY N STE 100 JACKSONVILLE, FL 32256 | AFLAC | $1 | — | $1 | 0.00% |
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 | 572 | 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) | 572 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | DEAN HEALTH PLAN INC | 246 | $1.2M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 572 | $78K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 572 | $78K |
| Short-term disability(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 572 | $138K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 572 | $78K |
| Other(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 572 | $138K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 572 | — |
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.