| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JMW MARKETING INC.3 Filed as: JMW MARKETING INC | 3000 COUNTY ROAD 42 W, STE 203 BURNSVILLE, MN 553374826 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $4K | — | $4K | 2.42% |
| JMW MARKETING INC.3 Filed as: JMW MARKETING, INC. | 3000 COUNTY ROAD 42 WEST, STE 203 BURNSVILLE, MN 55337 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | $3K | $6K | 9.96% |
| SASID3 | 14 N PARKER DRIVE, SUITE 300 JANESVILLE, WI 53545 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $3K | $3K | 5.00% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 3.20% |
| JMW MARKETING INC.3 Filed as: JMW MARKETING, INC. | 3000 COUNTY ROAD 42 WEST, STE 203 BURNSVILLE, MN 55337 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $3K | $5K | 10.00% |
| SASID3 | 14 N PARKER DRIVE, SUITE 300 JANESVILLE, WI 53545 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $3K | $3K | 5.00% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | — | $1K | 2.39% |
| JMW MARKETING INC.3 Filed as: JMW MARKETING, INC. | 3000 COUNTY ROAD 42 WEST, STE 203 BURNSVILLE, MN 55337 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $3K | $5K | 9.92% |
| SASID3 | 14 N PARKER DRIVE, SUITE 300 JANESVILLE, WA 53545 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $3K | $3K | 5.00% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, ID 60674 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 3.18% |
| JMW MARKETING INC.3 Filed as: JMW MARKETING, INC. | 3000 COUNTY ROAD 42 WEST, STE 203 BURNSVILLE, MN 55337 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $855 | $736 | $2K | 11.12% |
| SASID3 | 14 N PARKER DRIVE, SUITE 300 JANESVILLE, WI 53545 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $716 | $716 | 5.00% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $577 | — | $577 | 4.03% |
| JMW MARKETING INC.3 Filed as: JMW MARKETING, INC. | 3000 COUNTY ROAD 42 WEST, STE 203 BURNSVILLE, MN 55337 | RELIANCE STANDARD INSURANCE COMPANY | $660 | $506 | $1K | 10.67% |
| SASID3 | 14 N PARKER DRIVE, SUITE 300 JANESVILLE, WI 53545 | RELIANCE STANDARD INSURANCE COMPANY | — | $547 | $547 | 5.00% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | RELIANCE STANDARD INSURANCE COMPANY | $434 | — | $434 | 3.97% |
| JMW MARKETING INC.3 Filed as: JMW MARKETING, INC. | 3000 COUNTY ROAD 42 WEST, STE 203 BURNSVILLE, MN 55337 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $312 | $111 | $423 | 12.41% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $199 | — | $199 | 5.84% |
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 | 688 | 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) | 688 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,090 | $168K |
| Vision | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,090 | $168K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,100 | $57K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,093 | $51K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,093 | $53K |
| Other(4 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,100 | $86K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,100 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.