| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KOCHER INSURANCE GROUP, INC.3 Filed as: KOCHER INSURANCE GROUP | 1165 N. CLARK ST., STE 7 CHICAGO, IL 606102982 | RELIASTAR LIFE INSURANCE COMPANY | $33K | — | $33K | 2.50% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF WISCONSIN EIN 39-0138065 N/A | Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Claims processing Service code 12 | — | $3.4M |
| BENESYS EIN 38-2383171 N/A | Recordkeeping and information management (computing, tabulating, data processing, etc.); Accounting (including auditing); Claims processing Service code 10 | — | $2.0M |
| CASE MANAGEMENT SPECIALIST, INC. EIN 61-1688248 N/A | Other services Service code 49 | — | $900K |
| BRIDGEWAY BENEFIT TECHNOLOGIES EIN 52-1796473 N/A | Other services Service code 49 | — | $304K |
| RREEF AMERICA L.L.C. EIN 58-2364506 N/A | Investment management fees paid indirectly by plan; Investment management fees paid directly by plan; Investment management Service code 28 | — | $262K |
| ZELIS PAYMENTS HOLDINGS, LLC EIN 84-3069529 N/A | Claims processing Service code 12 | — | $214K |
| INDUSTRY FUND MANAGEMENT PTY LTD N/A | Investment management; Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States) Service code 28 | 114 WEST 47TH STREET, 26TH FLOOR NEW YORK, NY 10036 | $196K |
| BLACKSTONE N/A | Investment management fees paid directly by plan; Investment management; Investment management fees paid indirectly by plan Service code 28 | 345 PARK AVE NEW YORK, NY 10154 | $195K |
| NATIONAL INVESTMENT SERVICES, INC EIN 84-3937993 N/A | Investment management Service code 28 | — | $158K |
| CONSTRUCTION BUSINESS GROUP EIN 39-1703979 AFFILIATED ORGANIZATON | Legal Service code 29 | — | $152K |
| THE SEGAL COMPANY (MIDWEST), INC EIN 13-1975125 N/A | Consulting (general) Service code 16 | — | $140K |
| REINHART BOERNER VAN DEUREN EIN 39-1126909 N/A | Legal Service code 29 | — | $133K |
| SIERRA INVESTMENT PARTNERS, INC EIN 68-0370668 N/A | Investment management Service code 28 | — | $132K |
| SOMMERS AND FARHNRENBACH EIN 36-1796440 N/A | Copying and duplicating Service code 36 | — | $111K |
| IUOE LOCAL 139 EIN 39-0368025 AFFILIATED LABOR ORGANIZA | Other services; Participant communication Service code 38 | — | $108K |
| CVS PHARMACY, INC. EIN 05-0340626 N/A | Claims processing Service code 12 | — | $89K |
| FOUNDRY PARTNERS, LLC EIN 46-1184506 N/A | Securities brokerage commissions and fees; Investment management fees paid directly by plan; Soft dollars commissions Service code 51 | — | $87K |
| BEACH POINT CAPITAL MANAGEMENT LP EIN 80-0242162 N/A | Investment management fees paid directly by plan; Investment management Service code 28 | — | $85K |
| CCSAP EIN 39-1400101 N/A | Accounting (including auditing) Service code 10 | — | $65K |
| ONTECH SYSTEMS INC EIN 20-0636722 N/A | Other services Service code 49 | — | $62K |
| US BANK EIN 31-0841368 N/A | Custodial (securities) Service code 19 | — | $60K |
| OPTUM RX EIN 33-0441200 N/A | Claims processing; Direct payment from the plan; Other fees; Float revenue Service code 12 | — | $56K |
| MARQUETTE ASSOCIATES EIN 36-3485298 N/A | Investment advisory (plan) Service code 27 | — | $51K |
| CALIBRE CPA GROUP, PLLC EIN 47-0900880 N/A | Accounting (including auditing) Service code 10 | — | $42K |
| MEDICAL REVIEW INSTITUTE OF AMERICA EIN 87-1505201 N/A | Other services Service code 49 | — | $26K |
| STATE BANK OF THE LAKES N/A | Custodial (securities); Direct payment from the plan Service code 19 | 8700 75TH STREET KENOSHA, WI 53142 | $21K |
| AURORA MEDICAL GROUP EIN 39-1678306 N/A | Other services Service code 49 | — | $21K |
| SEGAL SELECT INS SERVICES, INC. EIN 46-0619194 N/A | Insurance brokerage commissions and fees Service code 53 | — | $17K |
| BURTON & MAYER EIN 39-0192018 N/A | Copying and duplicating Service code 36 | — | $9K |
| SMART DATA SOLUTIONS EIN 41-2006324 N/A | Other services Service code 49 | — | $6K |
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 | 7,422 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3,255 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 10,677 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | RELIASTAR LIFE INSURANCE COMPANY | 9,918 | $1.3M |
| Other | RELIASTAR LIFE INSURANCE COMPANY | 9,918 | $1.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 9,918 | — |
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.