| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE HORTON GROUP3 | N19W24101 NORTH RIVERWOOD DRIVE WAUKESHA, WI 53188 | WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION | $45K | — | $45K | 3.00% |
| THE HORTON GROUP3 | 10320 ORLAND PARKWAY ORLAND PARK, IL 60467 | DELTA DENTAL OF WISCONSIN | $5K | — | $5K | 5.71% |
| THE HORTON GROUP3 | N19W24101 RIVERWOOD DR WAUKESHA, WI 53188 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $7K | — | $7K | 10.90% |
| THE HORTON GROUP3 | N19W24101 RIVERWOOD DRIVE WAUKESHA, WI 53188 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | — | $3K | 8.68% |
| THE HORTON GROUP | 10320 ORLAND PARKWAY ORLAND PARK, IL 60467 | SUPERIOR VISION INSURANCE PLAN OF WISCONSIN INC | $1K | — | $1K | 6.89% |
| DIVERSIFIED INSURANCE GROUP Filed as: DIVERSIFIED INSURANCE SOLUTION | 100 NORTH CORPORATE DRIVE SUITE 100 BROOKFIELD, WI 53045 | SUPERIOR VISION INSURANCE PLAN OF WISCONSIN INC | $607 | — | $607 | 3.25% |
| THE HORTON GROUP3 | 10320 ORLAND PARKWAY ORLAND PARK, IL 60467 | DELTA DENTAL OF WISCONSIN | $1K | — | $1K | 7.11% |
| THE HORTON GROUP3 | N19W24101 RIVERWOOD DRIVE WAUKESHA, WI 53188 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | — | $1K | 15.00% |
| THE HORTON GROUP3 | N19W24101 RIVERWOOD DRIVE WAUKESHA, WI 53188 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | — | $1K | 16.36% |
| PATRICK J KOHLER3 | 11270 W PARK PL STE 100 MILWAUKEE, WI 53224 | NORTHWESTERN MUTUAL | $1K | $287 | $2K | — |
| BRIAN P DIX3 | STE 2300 100 EAST WISCONSIN AVENUE MILWAUKEE, WI 53202 | NORTHWESTERN MUTUAL | $957 | $238 | $1K | — |
| WILLIAM JOHN COLLINS3 | STE 2300 100 EAST WISCONSIN AVENUE MILWAUKEE, WI 53202 | NORTHWESTERN MUTUAL | $957 | $238 | $1K | — |
| THE HOLTER AGENCY INC3 | STE 2300 100 E WISCONSIN AVE MILWAUKEE, WI 53202 | NORTHWESTERN MUTUAL | $509 | $44 | $553 | — |
| JAMES P GROGAN3 Filed as: JAMES GROGAN | 11270 W PARK PL STE 100 MILWAUKEE, WI 53224 | NORTHWESTERN MUTUAL | $176 | $41 | $217 | — |
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 | 180 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 183 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION | 418 | $1.5M |
| Dental(2 contracts) | DELTA DENTAL OF WISCONSIN | 134 | $107K |
| Vision | SUPERIOR VISION INSURANCE PLAN OF WISCONSIN INC | 263 | $19K |
| Life insurance(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 250 | $68K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 241 | $34K |
| Long-term disability(2 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 255 | $9K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 418 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.