| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ANSAY & ASSOCIATES LLC3 Filed as: ANSAY & ASSOC LLC | 101 E GRAND AVE #11 PORT WASHINGTON, WI 53074 | UNITEDHEALTHCARE INSURANCE COMPANY | $4K | $14K | $18K | 2.93% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP COPORATE SERVICES MN INC | 505 WATERFORD PARK HWY 169 #1100 PLYMOUTH, MN 55441 | UNITEDHEALTHCARE INSURANCE COMPANY | — | $4K | $4K | 0.75% |
| ANSAY & ASSOCIATES LLC3 Filed as: ANSAY & ASSOC LLC | 101 E GRAND AVE #11 PORT WASHINGTON, WI 53074 | HUMANA INSURANCE COMPANY | $2K | $434 | $3K | 8.12% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP COPORATE SERVICES MN INC | 505 N HIGHEAY 169 PLYMOUTH, MN 55441 | HUMANA INSURANCE COMPANY | $292 | — | $292 | 0.94% |
| ANSAY & ASSOCIATES LLC3 | 101 EAST GRAND AVE PORT WASHINGTON, WI 53074 | HUMANA INSURANCE COMPANY | $445 | — | $445 | 7.73% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP COPORATE SERVICES MN INC | 505 N HIGHEAY 169 PLYMOUTH, MN 55441 | HUMANA INSURANCE COMPANY | $146 | — | $146 | 2.54% |
| ANSAY & ASSOCIATES LLC3 Filed as: ANSAY & ASSOC LLC | 101 E GRAND AVE STE 11 PORT WASHINGTON, WI 53074 | ANTHEM LIFE INSURANCE COMPANY | $445 | — | $445 | 11.95% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP COPORATE SERVICES MN INC | 505 WATERFORD PARK HWY 169 N #1100 PLYMOUTH, MN 55441 | ANTHEM LIFE INSURANCE COMPANY | $54 | — | $54 | 1.45% |
| ANSAY & ASSOCIATES LLC3 | 101 EAST GRAND AVE PORT WASHINGTON, WI 53074 | ANTHEM LIFE INSURANCE COMPANY | $437 | — | $437 | 14.00% |
| ANSAY & ASSOCIATES LLC3 Filed as: ANSAY & ASSOC LLC | 101 E GRAND AVE STE 11 PORT WASHINGTON, WI 53074 | ANTHEM LIFE INSURANCE COMPANY | -$144 | — | -$144 | — |
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 | 89 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 89 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 102 | $597K |
| Dental | HUMANA INSURANCE COMPANY | 58 | $31K |
| Vision | HUMANA INSURANCE COMPANY | 42 | $6K |
| Life insurance(2 contracts) | ANTHEM LIFE INSURANCE COMPANY | 85 | $7K |
| Short-term disability(2 contracts) | ANTHEM LIFE INSURANCE COMPANY | 85 | $3K |
| Other | ANTHEM LIFE INSURANCE COMPANY | 73 | $4K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 102 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.