| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ANSAY & ASSOCIATES LLC3 Filed as: ANSAY & ASSOCIATES, LLC | 101 EAST GRAND AVENUE PORT WASHINGTON, WI 53074 | QBE INSURANCE | $52K | $3K | $56K | 9.25% |
| AUXIANT3 | 2450 RIMROCK ROAD MADISON, WI 53713 | QBE INSURANCE | $26K | — | $26K | 4.35% |
| ANSAY & ASSOCIATES LLC3 | 101 EAST GRAND AVENUE SUITE 11 PORT WASHINGTON, WI 53074 | DELTA DENTAL OF WISCONSIN | $6K | — | $6K | 5.58% |
| ANSAY & ASSOCIATES LLC3 Filed as: ANSAY & ASSOCIATION LLC | 2901 WEST BELTLINE HIGHWAY SUITE 202 MADISON, WI 53713 | METROPOLITAN LIFE INSURANCE COMPANY | $9K | $22 | $9K | 9.50% |
| ANSAY & ASSOCIATES LLC3 | 101 EAST GRAND AVENUE SUITE 11 PORT WASHINGTON, WI 53074 | WYSSTA INSURANCE COMPANY INC | $1K | — | $1K | 8.54% |
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 | 138 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 140 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF WISCONSIN | 144 | $106K |
| Vision | WYSSTA INSURANCE COMPANY INC | 116 | $13K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 274 | $98K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 274 | $98K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 274 | $98K |
| Stop-loss / reinsurancereinsurance | QBE INSURANCE | 138 | $601K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 274 | $98K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 274 | — |
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.