| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE WORKSITE GROUP LLC3 | 1900 POLARIS PARKWAY, SUITE 450 COLUMBUS, OH 43240 | SUN LIFE ASSURANCE COMPANY OF CANADA | $41K | — | $41K | 15.61% |
| TRICOR, INC3 Filed as: TRICOR LLC | 600 STAR BREWERY DRIVE, SUITE 110 DUBUQUE, IA 52001 | SUN LIFE ASSURANCE COMPANY OF CANADA | $33K | — | $33K | 12.37% |
| ASSUREDPARTNERS3 | 4350 WEAVER PARKWAY WARRENVILLE, IL 60555 | SUN LIFE ASSURANCE COMPANY OF CANADA | $2K | — | $2K | 0.68% |
| THE WORKSITE GROUP LLC3 Filed as: THE WORKSITE GROUP, LLC | UNKNOWN CLINTON, WI 53525 | SUN LIFE ASSURANCE COMPANY OF CANADA | $7K | $0 | $7K | 10.78% |
| ASSUREDPARTNERS3 | 4350 WEAVER PARKWAY WARRENVILLE, IL 60555 | SUN LIFE ASSURANCE COMPANY OF CANADA | $6K | $0 | $6K | 9.20% |
| TRICOR, INC3 Filed as: TRICOR, LLC | 2031 RIVERSIDE DRIVE BELOIT, WI 53511 | WYSSTA INSURANCE COMPANY, INC. | $2K | — | $2K | 4.04% |
| ASSUREDPARTNERS3 | 4350 WEAVER PARKWAY WARRENVILLE, IL 60555 | WYSSTA INSURANCE COMPANY, INC. | $2K | — | $2K | 4.04% |
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 | 333 | 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) | 333 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | WYSSTA INSURANCE COMPANY, INC. | 258 | $50K |
| Life insurance(2 contracts) | SUN LIFE ASSURANCE COMPANY OF CANADA | 783 | $332K |
| Long-term disability(2 contracts) | SUN LIFE ASSURANCE COMPANY OF CANADA | 783 | $332K |
| Other(2 contracts) | SUN LIFE ASSURANCE COMPANY OF CANADA | 783 | $332K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 783 | — |
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.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.