| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAUSMANN GROUP INC3 Filed as: HAUSMANN GROUP, INC | 740 REGENT ST - STE 400 MADISON, WI 53715 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | $2K | $6K | 7.97% |
| HAUSMANN GROUP INC3 | 740 REGENT STREET-STE 400 MADISON, WI 53715 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $8K | $1K | $10K | 18.26% |
| HAUSMANN GROUP INC3 Filed as: HAUSMANN GROUP | 740 REGENT ST - STE 400 MADISON, WI 53715 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | $394 | $3K | 18.77% |
| HAUSMANN GROUP INC3 Filed as: HAUSMANN GROUP | 740 REGENT ST - STE 400 MADISON, WI 53715 | ILLINOIS MUTUAL LIFE INSURANCE COMPANY | $114 | — | $114 | 9.16% |
| ADVANTAGE GROUP GA LLC3 Filed as: ADVANTAGE GROUP MGA, LLC | 510 ALDERSON STREET SCHOFIELD, MN 54476 | ILLINOIS MUTUAL LIFE INSURANCE COMPANY | $24 | — | $24 | 1.93% |
| MARQUARDT INSURANCE GROUP INC3 Filed as: MARQUARDT INSURANCE GROUP | 320 S KENSINGTON AVE LA GRANGE, IL 60525 | ILLINOIS MUTUAL LIFE INSURANCE COMPANY | $11 | — | $11 | 0.88% |
| DAHLKE INC INSURANCE BROKERAGE3 | 15396 BROAD OAKS RD, EL CAJON, CA 92021 | ILLINOIS MUTUAL LIFE INSURANCE COMPANY | $4 | — | $4 | 0.32% |
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 | 292 | 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) | 292 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(3 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 292 | $87K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 80 | $53K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 80 | $53K |
| Other(3 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 292 | $87K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 292 | — |
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.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.