| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JOHNSON INSURANCE SERVICES LLC3 | 333 WEST WISCONSIN AVENUE MILWAUKEE, WI 53202 | BLUECROSS BLUESHIELD OF ILLINOIS | $78K | $15K | $93K | 3.68% |
| JOHNSON INSURANCE SERVICES LLC3 | 1103 HUNTER DRIVE RACINE, WI 53406 | UNITEDHEALTHCARE INSURANCE COMPANY | $17K | $0 | $17K | 9.61% |
| JOHNSON INSURANCE SERVICES LLC3 | 1103 HUNTER DRIVE, SUITE 100 MOUNT PLEASANT, WI 53406 | UNITEDHEALTHCARE INSURANCE COMPANY | $2K | -$40 | $2K | 0.92% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE | 1103 HUNTER DRIVE, SUITE 100 MOUNT PLEASANT, WI 53406 | UNITEDHEALTHCARE INSURANCE COMPANY | $855 | $0 | $855 | 0.47% |
| JOHNSON INSURANCE SERVICES LLC3 | 318 SOUTH WASHINGTON STREET SUITE 200 GREEN BAY, WI 54301 | STANDARD INSURANCE COMPANY | $2K | $0 | $2K | 1.73% |
| RCS INSURANCE BROKERAGE, INC.3 Filed as: RCS INSURANCE BROKERAGE INC | 3500 KYOTO GARDENS DRIVE PALM BEACH GARDENS, FL 33410 | STANDARD INSURANCE COMPANY | $657 | $0 | $657 | 0.55% |
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 | 230 | 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) | 230 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 338 | $2.5M |
| Dental | STANDARD INSURANCE COMPANY | 159 | $119K |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 330 | $181K |
| Life insurance | UNITEDHEALTHCARE INSURANCE COMPANY | 330 | $181K |
| Short-term disability | UNITEDHEALTHCARE INSURANCE COMPANY | 330 | $181K |
| Long-term disability | UNITEDHEALTHCARE INSURANCE COMPANY | 330 | $181K |
| Prescription drug | BLUECROSS BLUESHIELD OF ILLINOIS | 338 | $2.5M |
| Other | UNITEDHEALTHCARE INSURANCE COMPANY | 330 | $181K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 338 | — |
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.