| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FRETT BARRINGTON LIMITED3 | W 239 N 3490 PEWAUKEE RD 101 PEWAUKEE, WI 53072 | STANDARD INSURANCE COMPANY | $4K | — | $4K | 3.55% |
| R & R INSURANCE SERVICES INC3 Filed as: R&R INSURANCE SERVICES, INC. | 1581 E RACINE AVE WAUKESHA, WI 53186 | STANDARD INSURANCE COMPANY | $311 | — | $311 | 0.26% |
| FRETT BARRINGTON LIMITED3 | W 239 N 3490 PEWAUKEE RD 101 PEWAUKEE, WI 53072 | STANDARD INSURANCE COMPANY | $4K | — | $4K | 3.62% |
| R & R INSURANCE SERVICES INC3 Filed as: R&R INSURANCE SERVICES, INC. | 1581 E RACINE AVE WAUKESHA, WI 53186 | STANDARD INSURANCE COMPANY | $334 | — | $334 | 0.30% |
| FRETT BARRINGTON LIMITED3 | W 239 N 3490 PEWAUKEE RD 101 PEWAUKEE, WI 53072 | STANDARD INSURANCE COMPANY | $4K | — | $4K | 5.92% |
| R & R INSURANCE SERVICES INC3 Filed as: R&R INSURANCE SERVICES, INC. | 1581 E RACINE AVE WAUKESHA, WI 53186 | STANDARD INSURANCE COMPANY | $125 | — | $125 | 0.17% |
| FRETT BARRINGTON LIMITED3 | W 239 N 3490 PEWAUKEE RD 101 PEWAUKEE, WI 53072 | SUPERIOR VISION INSURANCE PLAN OF WISCONSIN, INC. | $2K | — | $2K | 8.30% |
| R & R INSURANCE SERVICES INC Filed as: R&R INSURANCE SERVICES, INC. | 1581 E RACINE AVE WAUKESHA, WI 53186 | SUPERIOR VISION INSURANCE PLAN OF WISCONSIN, INC. | $216 | — | $216 | 0.92% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE SERVICES, INC. EIN 41-1289245 CLAIMS PROCESSOR | Claims processing; Other services Service code 12 | — | $238K |
| DELTA DENTAL OF WISCONSIN EIN 39-6094742 THIRD PARTY ADMINISTRATOR | Contract Administrator Service code 13 | — | $13K |
| R&R INSURANCE SERVICES, INC. EIN 39-1230987 BROKER | Insurance agents and brokers; Other commissions Service code 22 | — | $988 |
| FRETT BARRINGTON LIMITED EIN 39-1715596 BROKER | Other commissions Service code 55 | — | $0 |
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 | 380 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 10 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 391 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | SUPERIOR VISION INSURANCE PLAN OF WISCONSIN, INC. | 347 | $24K |
| Life insurance | STANDARD INSURANCE COMPANY | 386 | $113K |
| Short-term disability | STANDARD INSURANCE COMPANY | 254 | $117K |
| Long-term disability | STANDARD INSURANCE COMPANY | 245 | $76K |
| Stop-loss / reinsurancereinsurance | UNITEDHEALTHCARE INSURANCE COMPANY | 286 | $446K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 386 | — |
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."
No prospect flags tripped on this filing.