| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FREDERICK STERLING BOLYARD3 | STE 200 7700 RIVERS EDGE DR COLUMBUS, OH 43235 | NORTHWESTERN MUTUAL | $10K | $3K | $13K | 6.46% |
| POTOMAC INSURANCE INC3 Filed as: THE POTOMAC GRP LLC | STE 300 3901 WESTERRE PKWY RICHMOND, VA 23233 | NORTHWESTERN MUTUAL | $2K | $212 | $2K | 0.99% |
| COTTINGHAM & BUTLER3 Filed as: COTTINGHAM BUTLER INS SERV | 800 MAIN ST DUBUQUE, IA 520016822 | AMERITAS LIFE INSURANCE CORP. | $5K | $1K | $6K | 9.55% |
| COTTINGHAM & BUTLER3 Filed as: COTTINGHAM & BUTLER INSURANCE | SERVICES, INC. 800 MAIN STREET DUBUQUE, IA 52004 | HCC LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
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 | 143 | 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) | 143 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AMERITAS LIFE INSURANCE CORP. | 336 | $65K |
| Vision | AMERITAS LIFE INSURANCE CORP. | 336 | $65K |
| Life insurance | NORTHWESTERN MUTUAL | 257 | $199K |
| Short-term disability | NORTHWESTERN MUTUAL | 257 | $199K |
| Long-term disability | NORTHWESTERN MUTUAL | 257 | $199K |
| Other(2 contracts, 2 carriers) | NORTHWESTERN MUTUAL | 257 | $222K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 336 | — |
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.