| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MIDWEST INSURANCE GROUP3 Filed as: MIDWEST INSURANCE GROUP LLC | 2574 SUN VALLEY DRIVE SUITE# 205 DELAFIELD, WI 53018 | NETWORK HEALTH PLAN | $26K | — | $26K | 3.03% |
| MIDWEST INSURANCE GROUP3 | 2574 SUN VALLEY DRIVE, SUITE 205 DELAFIELD, WI 53018 | NETWORK HEALTH PLAN | $11K | $783 | $12K | 4.00% |
| MIDWEST INSURANCE GROUP3 Filed as: MIDWEST INSURANCE GROUP LLC | 2574 SUN VALLEY DRIVE SUITE# 205 DELAFIELD, WI 53018 | PRINCIPAL LIFE INSURANCE COMPANY | $18K | $5K | $22K | 9.82% |
| MIDWEST INSURANCE GROUP3 | 2574 SUN VALLEY DRIVE, STE 205 DELAFIELD, WI 53018 | CARE-PLUS DENTAL PLANS, INC | $2K | — | $2K | 8.00% |
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 | 214 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 8 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 222 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | NETWORK HEALTH PLAN | 86 | $1.1M |
| Dental(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 160 | $257K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 160 | $227K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 160 | $227K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 160 | $227K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 160 | $227K |
| Other(2 contracts, 2 carriers) | NETWORK HEALTH PLAN | 160 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 160 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.