| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | 6000 CLEARWATER DRIVE MINNETONKA, MN 55343 | NETWORK HEALTH PLAN | $46K | $4K | $50K | 3.09% |
| USI INSURANCE SERVICES LLC3 | 6000 CLEARWATER DRIVE MINNETONKA, MN 55343 | AMERICAN UNITED LIFE INSURANCE COMPANY | $34K | $943 | $35K | 20.66% |
| MEGAN R SILVERMAN3 Filed as: MEGAN SILVERMAN | UNKNOWN FALLSTON, MD 21047 | AMERICAN UNITED LIFE INSURANCE COMPANY | -$42 | -$42 | -$84 | -0.05% |
| 5G BENEFITS LLC3 Filed as: 5G BENEFITS, LLC | UNKNOWN FOND DU LAC, WI 54937 | AMERICAN UNITED LIFE INSURANCE COMPANY | -$125 | $0 | -$125 | -0.07% |
| USI INSURANCE SERVICES LLC3 | 711 EISENHOWER DRIVE KIMBERLY, WI 54136 | DELTA DENTAL OF WISCONSIN | $10K | $0 | $10K | 11.48% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62817 VIRGINIA BEACH, VA 23466 | UNUM INSURANCE COMPANY | $7K | $1K | $8K | 13.03% |
| MEGAN R SILVERMAN3 Filed as: MEGAN R. SILVERMAN | 1423 MARTIN MEADOWS DRIVE FALLSTON, MD 21047 | UNUM INSURANCE COMPANY | $3K | $0 | $3K | 5.41% |
| 5GBENEFITS LLC3 Filed as: 5GBENEFITS, LLC | 131 NORTH ROLLING MEADOWS DRIVE FOND DU LAC, WI 54937 | UNUM INSURANCE COMPANY | $1K | $53 | $2K | 2.40% |
| DAVID J MCCLELLAN3 Filed as: DAVID MCCLELLAN | 114 ROYAL HORSE WAY REINHOLDS, PA 17569 | UNUM INSURANCE COMPANY | $561 | $0 | $561 | 0.88% |
| USI INSURANCE SERVICES LLC3 | 711 EISENHOWER DRIVE KIMBERLY, WI 54136 | WYSSTA INSURANCE COMPANY, INC. | $2K | $0 | $2K | 9.97% |
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 | 250 | 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) | 250 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | NETWORK HEALTH PLAN | 144 | $1.6M |
| Dental | DELTA DENTAL OF WISCONSIN | 146 | $86K |
| Vision | WYSSTA INSURANCE COMPANY, INC. | 125 | $15K |
| Life insurance | AMERICAN UNITED LIFE INSURANCE COMPANY | 250 | $168K |
| Short-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 250 | $168K |
| Long-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 250 | $168K |
| Prescription drug | NETWORK HEALTH PLAN | 144 | $1.6M |
| Other(2 contracts, 2 carriers) | AMERICAN UNITED LIFE INSURANCE COMPANY | 250 | $232K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 250 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.