| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MELISSA WIDUCKI3 | PO BOX 34 CRANDON, WI 54520 | AFLAC | $6K | $94 | $6K | 9.11% |
| DAVID R PONTA AND OTHER AGENTS3 | 145 SIUTH DUKE STREET, SUITE B YORK, PA 17401 | AFLAC | $3K | $92 | $3K | 4.00% |
| TAMMY MEYERS3 | 1550 TABLE ROCK ROAD GETTUSBURG, PA 17325 | AFLAC | $555 | $29 | $584 | 0.90% |
| BENJAMIN BAKER3 | 5010 ISLE VEW DRIVE RHINELANDER, WI 54501 | AFLAC | $533 | $7 | $540 | 0.83% |
| TAD HOWARD ASP3 | 10890 NORTH SMITH ROAD HAYWARD, WI 54843 | AFLAC | $452 | $19 | $471 | 0.73% |
| RICKY E ROBINSON3 | 934 SWEENEY DRIVE, SUITE 1 HAGERSTOWN, MD 21740 | AFLAC | $390 | $0 | $390 | 0.60% |
| BAKER BENEFIT SOLUTIONS INC3 | 5010 ISLE VIEW DRIVE RHINELANDER, WI 54501 | AFLAC | $348 | $7 | $355 | 0.55% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: SILVERSTONE GROUP INC | 11516 MIRACLE HILLS DRIVE OMAHA, NE 68154 | SUPERIOR VISION INSURANCE PLAN OF WISCONSIN INC. | $1K | $0 | $1K | 9.10% |
| ASSUREDPARTNERS3 Filed as: DIMOND BROS INSURANCE LLC | PO BOX 1090 PARIS, IL 61944 | SUPERIOR VISION INSURANCE PLAN OF WISCONSIN INC. | $148 | $0 | $148 | 0.90% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL GREAT PLAINS | 11516 MIRACLE HILLS DRIVE OMAHA, NE 68154 | DELTA DENTAL OF WISCONSIN | $858 | $0 | $858 | 11.75% |
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 | 275 | 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) | 277 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF WISCONSIN | 146 | $7K |
| Vision | SUPERIOR VISION INSURANCE PLAN OF WISCONSIN INC. | 187 | $16K |
| Other(2 contracts, 2 carriers) | AFLAC | 275 | $71K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 275 | — |
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.