| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JOHNSON FINANCIAL GROUP3 | 1103 HUNTER DR MOUNT PLEASANT, WI 53406 | HUMANA WISCONSIN HEALTH ORGANIZATION INSURANCE CORPORATION | $42K | — | $42K | 2.15% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE | 1103 HUNTER DR MOUNT PLEASANT, WI 53406 | HUMANA WISCONSIN HEALTH ORGANIZATION INSURANCE CORPORATION | $14K | — | $14K | 0.71% |
| JOHNSON FINANCIAL GROUP3 | 1103 HUNTER DR MOUNT PLEASANT, WI 53406 | SUN LIFE | $20K | — | $20K | 11.44% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE | 1103 HUNTER DR MOUNT PLEASANT, WI 53406 | SUN LIFE | $7K | — | $7K | 4.02% |
| DELTA DENTAL OF WISCONSIN5 | 2801 HOOVER RD STEVENS POINT, WI 54481 | DELTA DENTAL OF WISCONSIN | — | $16K | $16K | 12.25% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE | 1103 HUNTER DR MOUNT PLEASANT, WI 53406 | DELTA DENTAL OF WISCONSIN | $3K | — | $3K | 2.18% |
| PARAGON PARTNERS LTD3 Filed as: PARAGON PARTNERS LIMITED | 9420 E DOUBLETREE RANCH RD STE C-103 SCOTTSDALE, AZ 85258 | TRANSAMERICA LIFE INSURANCE COMPANY | $4K | — | $4K | 11.85% |
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 | 445 | 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) | 445 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HUMANA WISCONSIN HEALTH ORGANIZATION INSURANCE CORPORATION | 229 | $2.0M |
| Dental | DELTA DENTAL OF WISCONSIN | 305 | $129K |
| Vision | HUMANA WISCONSIN HEALTH ORGANIZATION INSURANCE CORPORATION | 229 | $2.0M |
| Life insurance(2 contracts, 2 carriers) | SUN LIFE | 445 | $204K |
| Short-term disability | SUN LIFE | 445 | $172K |
| Long-term disability | SUN LIFE | 445 | $172K |
| Other | EMPLOYER 105 - HRA | 206 | $11K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 445 | — |
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.