| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STEPHEN DUDKIEWICZ3 | AON RISK SERVICES CENTRAL, INC. 111 N WASHINGTON ST., SUITE 300 GREEN BAY, WI 54301 | HEALTHPARTNERS INSURANCE COMPANY NE WI | $27K | — | $27K | 2.00% |
| CUSTOM BENEFIT PROGRAMS INC3 | 897 12TH STREET HAMMONTON, NJ 08037 | TRANSAMERICA LIFE INSURANCE COMPANY | $11K | — | $11K | 27.00% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL INC | 1175 LOMBARDI AVE #350 GREEN BAY, WI 54309 | TRANSAMERICA LIFE INSURANCE COMPANY | $3K | — | $3K | 6.14% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL INC | 29840 NETWORK PLACE CHICAGO, IL 606731296 | DELTA DENTAL OF WISCONSIN | $2K | — | $2K | 5.80% |
| DISABILITY RMS5 | P.O. BOX 9757, PORTLAND, ME 04104 | TRANSAMERICA LIFE INSURANCE COMPANY | — | $5K | $5K | 13.50% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL INC | 1175 LOMBARDI AVE #350 GREEN BAY, WI 54304 | TRANSAMERICA LIFE INSURANCE COMPANY | $4K | — | $4K | 10.00% |
| DISABILITY RMS5 | P.O. BOX 9757, PORTLAND, ME 04104 | TRANSAMERICA LIFE INSURANCE COMPANY | — | $3K | $3K | 13.50% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL INC | 1175 LOMBARDI AVE #350 GREEN BAY, WI 54304 | TRANSAMERICA LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL INC | 29840 NETWORK PLACE CHICAGO, IL 606731296 | WYSSTA INSURANCE COMPANY INC | $440 | — | $440 | 8.00% |
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 | 185 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 187 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTHPARTNERS INSURANCE COMPANY NE WI | 175 | $1.4M |
| Dental | DELTA DENTAL OF WISCONSIN | 55 | $41K |
| Vision | WYSSTA INSURANCE COMPANY INC | 63 | $6K |
| Life insurance | TRANSAMERICA LIFE INSURANCE COMPANY | 176 | $42K |
| Short-term disability | TRANSAMERICA LIFE INSURANCE COMPANY | 364 | $35K |
| Long-term disability | TRANSAMERICA LIFE INSURANCE COMPANY | 45 | $19K |
| Other | TRANSAMERICA LIFE INSURANCE COMPANY | 176 | $42K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 364 | — |
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.