| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF ILLINOIS INC | 233 S WACKER DR CHICAGO, IL 60606 | BLUECROSS BLUESHIELD OF ILLINOIS | $200K | $8K | $208K | 2.40% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF WISCONSIN INC | 93033 NETWORK PL CHICAGO, IL 60673 | METROPOLITAN LIFE INSURANCE COMPANY | — | $7K | $7K | 1.17% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF WI, INC | PO BOX 1650 MILWAUKEE, WI 53201 | RELIASTAR LIFE INSURANCE COMPANY | $10K | — | $10K | 1.89% |
| JEAN PIERRE B BIAGUI4 | 5626 W VLIET ST APT 1 MILWAUKEE, WI 53208 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $742 | — | $742 | 8.38% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF ILLINOIS INC | 233 S WACKER DR 20TH FL CHICAGO, IL 60606 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $351 | — | $351 | 3.96% |
| LINDA F JACKSON4 | 7800 W LISBON AVE APT 3 MILWAUKEE, WI 53222 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $335 | — | $335 | 3.78% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON MIDWEST INC | 93033 NETWORK PLACE CHICAGO, IL 60673 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $317 | — | $317 | 3.58% |
| RHONA S UNSELL INC4 | 6525 GUNPARK DRIVE STE 370-152 BOULDER, CO 80301 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $37 | — | $37 | 0.42% |
| ANNETTE SZOBAR4 | 2314 S ROUTE 59 #179 PLAINFIELD, IL 60586 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $11 | — | $11 | 0.12% |
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 | 744 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 10 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 761 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 1,550 | $8.7M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 2,301 | $562K |
| Vision | VISION SERVICE PLAN | 631 | $65K |
| Life insurance | RELIASTAR LIFE INSURANCE COMPANY | 939 | $518K |
| Short-term disability | RELIASTAR LIFE INSURANCE COMPANY | 939 | $518K |
| Long-term disability | RELIASTAR LIFE INSURANCE COMPANY | 939 | $518K |
| Other(3 contracts, 2 carriers) | RELIASTAR LIFE INSURANCE COMPANY | 939 | $531K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,301 | — |
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.