| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JAMES R MUELLER3 | N19 W24400 RIVERWOOD DR STE 100 WAUKESHA, WI 53188 | NETWORK HEALTH PLAN | $8K | $0 | $8K | 1.79% |
| HAYS COMPANIES, INC.3 | 80 SOUTH 8TH ST., STE 700 MINNEAPOLIS, MN 55402 | NETWORK HEALTH PLAN | $1K | $0 | $1K | 0.32% |
| JAMES R MUELLER3 | 4349 BUCHANAN ROAD OCONOMOWOC, WI 53066 | HARTFORD LIFE AND ACCIDENT | $8K | $0 | $8K | 15.00% |
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 | 231 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 231 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | HARTFORD LIFE AND ACCIDENT | 231 | $55K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 231 | $55K |
| Other | HARTFORD LIFE AND ACCIDENT | 231 | $55K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 231 | — |
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.