| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | DELTA DENTAL OF WISCONSIN | $22K | — | $22K | 3.00% |
| AON CONSULTING INC3 | 29840 NETWORK PLACE CHICAGO, IL 60673 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $34K | $742 | $34K | 4.76% |
| BYRNE, BYRNE AND COMPANY3 Filed as: BYRNE BYRNE & CO | 217 N JEFFERSON ST STE 450 CHICAGO, IL 60661 | SUN LIFE ASSURANCE COMPANY OF CANADA | $39K | — | $39K | 6.35% |
| BENEFITSTORE INC3 Filed as: BENEFITSTORE | 100 BENEFITFOCUS WAY DANIEL ISLAND, SC 29492 | RELIASTAR LIFE INSURANCE COMPANY | $19K | — | $19K | 18.46% |
| ARLEN ROGER3 Filed as: ARLEN ROGER LOUIS | STE 1000 2121 N CALIFORNIA BLVD WALNUT CREEK, CA 94596 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $4K | — | $4K | 4.89% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC HQ | 10TH FLOOR 18100 VON KARMAN AVE IRVINE, CA 92612 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $4K | $4K | 4.63% |
| ECA FINANCIAL SERVICES INC3 | STE 110 7025 N SCOTTSDALE RD SCOTTSDALE, AZ 85253 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 1.40% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES | PO BOX 8299 PASADENA, CA 91109 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $970 | — | $970 | 1.14% |
| STEVEN GARDINER3 | 100 E WISCONSIN AVE #2300 MILWAUKEE, WI 53202 | JOHN HANCOCK | — | — | $0 | 0.00% |
| ECA FINANCIAL SERVICES INC3 | STE 110 7025 N SCOTTSDALE RD SCOTTSDALE, AZ 85253 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $283 | — | $283 | 6.41% |
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 | 1,046 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 72 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,118 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | QUARTZ HEALTH BENEFIT PLANS CORPORATION | 127 | $962K |
| Dental | DELTA DENTAL OF WISCONSIN | 770 | $726K |
| Vision | NATIONAL VISION ADMINISTRATORS LLC | 1,527 | $102K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 1,039 | $617K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,030 | $724K |
| Long-term disability(3 contracts, 3 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,030 | $813K |
| Prescription drug | QUARTZ HEALTH BENEFIT PLANS CORPORATION | 127 | $962K |
| Other(3 contracts, 3 carriers) | RELIASTAR LIFE INSURANCE COMPANY | 1,026 | $203K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,527 | — |
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.