| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 245 S EXECUTIVE DR STE 200 BROOKFIELD, WI 530054204 | BLUE CROSS BLUE SHIELD OF WISCONSIN | $13K | — | $13K | 5.26% |
| THE PLEXUS GROUPE LLC3 | 21805 W FIELD PKWY STE 300 DEER PARK, IL 600103231 | BLUE CROSS BLUE SHIELD OF WISCONSIN | $11K | — | $11K | 4.74% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES, INC | 245 S EXECUTIVE DR STE 200 BROOKFIELD, WI 530054204 | RELIASTAR LIFE INSURANCE COMPANY | $15K | — | $15K | 7.52% |
| THE PLEXUS GROUPE LLC3 | 21805 W FIELD PKWY UNIT 300 DEER PARK, IL 600103231 | RELIASTAR LIFE INSURANCE COMPANY | $15K | — | $15K | 7.48% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES, INC | 2 PIERCE PL FL 14 ITASCA, IL 601431203 | RELIASTAR LIFE INSURANCE COMPANY | $5K | — | $5K | 2.37% |
| THE PLEXUS GROUPE LLC3 Filed as: THE PLEXUS GROUPE, LLC | 21805 W FIELD PKWY STE 300 DEER PARK, IL 600103231 | VISION SERVICE PLAN | $1K | — | $1K | 2.42% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES, INC | 245 S EXECUTIVE DR. STE 200 BROOKFIELD, WI 530054204 | VISION SERVICE PLAN | $587 | — | $587 | 1.02% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF WISCONSIN EIN 39-0138065 NONE | Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other commissions; Contract Administrator; Float revenue; Other fees; Insurance agents and brokers; Claims processing; Insurance brokerage commissions and fees Service code 12 | — | $231K |
| COMPCARE HEALTH SVC INSURANCE CORP EIN 39-1462554 NONE | Other fees; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Other services; Float revenue; Claims processing Service code 12 | — | $172K |
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 | 584 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 584 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(3 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF WISCONSIN | 338 | $272K |
| Vision | VISION SERVICE PLAN | 341 | $57K |
| Life insurance | RELIASTAR LIFE INSURANCE COMPANY | 861 | $194K |
| Long-term disability | RELIASTAR LIFE INSURANCE COMPANY | 861 | $194K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF WISCONSIN | 875 | $308K |
| Other | RELIASTAR LIFE INSURANCE COMPANY | 861 | $194K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 875 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.