| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| J A COUNTER AND ASSOCIATES INC3 Filed as: J A COUNTER & ASSOCIATES, INC. | 1477 SOUTH KNOWLES AVENUE SUITE 200 NEW RICHMOND, WI 54017 | MEDICA INSURANCE COMPANY | $16K | $654 | $17K | 3.58% |
| J A COUNTER AND ASSOCIATES INC3 Filed as: J A COUNTER & ASSOCIATES, INC. | 1477 SOUTH KNOWLES AVENUE SUITE 200 NEW RICHMOND, WI 54017 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | $3K | $9K | 18.13% |
| GCG FINANCIAL LLC3 Filed as: ALERA GROUP, INC. | 3 PARKWAY NORTH BOULEVARD SUITE 500 DEERFIELD, IL 60015 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $404 | $404 | 0.82% |
| UNKNOWN3 | UNKNOWN MAHTOMEDI, MN 55115 | FRESHBENIES | $130 | $0 | $130 | 20.31% |
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 | 99 | 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) | 99 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | MEDICA INSURANCE COMPANY | 55 | $471K |
| Dental | UNITED OF OMAHA LIFE INSURANCE COMPANY | 99 | $49K |
| Vision | UNITED OF OMAHA LIFE INSURANCE COMPANY | 99 | $49K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 99 | $49K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 99 | $49K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 99 | $49K |
| Prescription drug | MEDICA INSURANCE COMPANY | 55 | $471K |
| Other(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 99 | $50K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 99 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.