| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| R & R INSURANCE SERVICES INC3 | N14 STONE RIDGE DRIVE #W23900 WAUKESHA, WI 53188 | SUN LIFE ASSURANCE COMPANY OF CANADA | $5K | — | $5K | 10.62% |
| R & R INSURANCE SERVICES INC3 | 1581 EAST RACINE AVENUE WAUKESHA, WI 53186 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $734 | $734 | 1.51% |
| R & R INSURANCE SERVICES INC3 | PO BOX 1610 WAUKESHA, WI 53187 | WYSSTA INSURANCE COMPANY INC | $772 | — | $772 | 8.39% |
| R & R INSURANCE SERVICES INC3 | N14 STONE RIDGE DRIVE #W23900 WAUKESHA, WI 53188 | SUN LIFE ASSURANCE COMPANY OF CANADA | $433 | — | $433 | 14.99% |
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 | 114 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 116 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | WYSSTA INSURANCE COMPANY INC | 83 | $9K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 124 | $49K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 124 | $49K |
| Other(2 contracts) | SUN LIFE ASSURANCE COMPANY OF CANADA | 124 | $51K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 124 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.