| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSOCIATED FINANCIAL GROUP LLC3 | 711 EISENHOWER DR KIMBERLY, MN 54136 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $82K | — | $82K | 4.58% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF WISCONSIN, INC. | 2323 NORTH MAYFAIR ROAD, SUITE 600 MILWAUKEE, WI 53226 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $7K | $13K | $20K | 1.12% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF WISCONSIN, INC. | 2323 NORTH MAYFAIR ROAD, SUITE 600 MILWAUKEE, WI 532260997 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | — | $7K | $7K | 0.67% |
| ASSOCIATED FINANCIAL GROUP LLC3 | 711 EISENHOWER DRIVE KIMBERLY, WI 541362142 | RELIASTAR LIFE INSURANCE COMPANY | $91K | — | $91K | 9.04% |
| VISION SERVICE PLAN5 | 3333 QUALITY DRIVE RANCHO CORDOVA, CA 95670 | VISION SERVICE PLAN | — | $155K | $155K | 20.00% |
| ASSOCIATED FINANCIAL GROUP LLC3 Filed as: ASSOCIATED FINANCIAL GROUP | 711 EISENHOWER DRIVE KIMBERLY, WI 541362142 | VISION SERVICE PLAN | $32K | — | $32K | 4.17% |
| REUBEN WARNER ASSOCIATES, INC.3 | 1655 RICHMOND AVENUE STATEN ISLAND, NY 10314 | FEDERAL INSURANCE COMPANY | $85 | — | $85 | 20.09% |
| ASSOCIATED FINANCIAL GROUP LLC3 | 200 N ADAMS STREET GREEN BAY, WI 54301 | FEDERAL INSURANCE COMPANY | $42 | — | $42 | 9.93% |
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 | 5,430 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 37 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 108 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 5,575 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 4,556 | $774K |
| Life insurance | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 9,564 | $1.8M |
| Long-term disability | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 4,921 | $1.0M |
| Prescription drug | QUARTZ HEALTH BENEFITS PLANS CORPORATION | 648 | $3.2M |
| Other(3 contracts, 3 carriers) | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 9,564 | $2.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 9,564 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.