| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NATIONAL INSURANCE SERV OF WISC INC3 | 250 SOUTH EXECUTIVE DRIVE SUITE 300 BROOKFIELD, WI 53005 | MADISON NATIONAL LIFE INSURANCE COMPANY INC | $11K | — | $11K | 12.00% |
| NATIONAL INSURANCE SERV OF WI INC3 | 250 SOUTH EXECUTIVE DRIVE SUITE 301 BROOKFIELD, WI 53005 | DELTA DENTAL OF MINNESOTA | $2K | — | $2K | 3.00% |
| NATIONAL INSURANCE SERV OF WI INC3 | 250 SOUTH EXECUTIVE DRIVE SUITE 300 BROOKFIELD, WI 53005 | MADISON NATIONAL LIFE INSURANCE COMPANY INC | $1K | — | $1K | 7.00% |
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 | 169 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 170 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF MINNESOTA | 122 | $55K |
| Life insurance | MADISON NATIONAL LIFE INSURANCE COMPANY INC | 169 | $17K |
| Long-term disability | MADISON NATIONAL LIFE INSURANCE COMPANY INC | 162 | $92K |
| Other | MADISON NATIONAL LIFE INSURANCE COMPANY INC | 169 | $17K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 169 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.