Plan Ledger DOL Form 5500 · updated monthly

Stat Imaging Solutions, LLCbenefits

Stat Imaging Solutions, LLC Health & Welfare Plan · GREEN BAY, WI · plan year 2023

Broker compensation reported · 2023
$21,516

Stat Imaging Solutions, LLC's benefits plan covered 146 active participants in 2023, providing health · life · dental · vision · short-term disability · long-term disability · other. Insurance brokers and agents were paid $21,516 in commissions and fees, costs that ultimately come out of what the employer and employees pay for coverage. That is $147 per covered person, below the median for employer plans that report broker pay.

Insurance contracts · 20238
BLUE CROSS BLUE SHIELD OF WISCONSIN · health ppopremiums n/a · 105 covered
UNITED OF OMAHA LIFE INSURANCE COMPANY · stdpremiums n/a · 66 covered
WYSSTA INSURANCE COMPANY, INC. · visionpremiums n/a · 93 covered
UNITED OF OMAHA LIFE INSURANCE COMPANYpremiums n/a · 22 covered
UNITED OF OMAHA LIFE INSURANCE COMPANYpremiums n/a · 34 covered
UNITED OF OMAHA LIFE INSURANCE COMPANY · stdpremiums n/a · 22 covered
UNITED OF OMAHA LIFE INSURANCE COMPANY · ltdpremiums n/a · 41 covered
UNITED OF OMAHA LIFE INSURANCE COMPANY · lifepremiums n/a · 76 covered
Brokers & agents paid · 20235
FMLASOURCE INC.$5,264 · incl $5,264 fees
ANSAY & ASSOCIATES, LLC$11,094 · incl $1,754 fees
ASCENTIS$3,106 · incl $3,106 fees
ANSAY & ASSOCIATION, LLC$1,035 · incl $210 fees
ANCENTIS$1,017 · incl $1,017 fees
Also brokered by Fmlasource Inc.5
Paq Inc CA$30,574

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Source: DOL Form 5500 Schedule A, plan year 2023, EIN 260194462 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.