| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MEDICAL MANAGEMENT BENEFITS3 | 394 WILLIAMSTOWNE STE 201 DELAFIELD, WI 530180000 | DELTA DENTAL OF WISCONSIN | $6K | — | $6K | 3.30% |
| GARY WROBLEWSKI3 | 394 WILLIAMSTOWNE SUITE 201 DELAFIELD, WI 53018 | RELIANCE STANDARD LIFE INS CO | $20K | — | $20K | 30.00% |
| GARY WROBLEWSKI3 | 394 WILLIAMSTOWNE SUITE 201 DELAFIELD, WI 53018 | RELIANCE STANDARD LIFE INS CO | $8K | — | $8K | 20.00% |
| MEDICAL MANAGEMENT BENEFITS3 | 394 WILLIAMSTOWNE STE 201 DELAFIELD, WI 530180000 | WYSSTA INSURANCE COMPANY INC | $2K | — | $2K | 8.00% |
| MEDICAL MANAGEMENT BENEFITS3 | 394 WILLIAMSTOWNE SUITE 201 DELAFIELD, WI 53018 | WYSSTA INSURANCE COMPANY, INC. | $950 | — | $950 | 8.00% |
| GARY WROBLEWSKI3 | 394 WILLIAMSTOWNE SUITE 201 DELAFIELD, WI 53018 | RELIANCE STANDARD LIFE INS CO | $1K | — | $1K | 10.36% |
| GARY WROBLEWSKI3 | 394 WILLIAMSTOWNE SUITE 201 DELAFIELD, WI 53018 | RELIANCE STANDARD LIFE INS CO | $518 | — | $518 | 15.00% |
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 | 280 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 284 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF WISCONSIN | 206 | $173K |
| Vision(2 contracts) | WYSSTA INSURANCE COMPANY INC | 178 | $35K |
| Life insurance(2 contracts) | RELIANCE STANDARD LIFE INS CO | 284 | $52K |
| Short-term disability | RELIANCE STANDARD LIFE INS CO | 215 | $90K |
| Long-term disability | RELIANCE STANDARD LIFE INS CO | 60 | $65K |
| Other(2 contracts) | RELIANCE STANDARD LIFE INS CO | 284 | $15K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 284 | — |
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.