| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF WISCONSIN, INC. | PO BOX 877 APPLETON, WI 54912 | HUMANA WISCONSIN HEALTH ORGANIZATION INSURANCE CORPORATION | $26K | — | $26K | 3.69% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INS SERVICES OF GA INC | 1 GLENLAKE PKWY 11TH FLOOR ATLANTA, GA 30328 | HUMANA WISCONSIN HEALTH ORGANIZATION INSURANCE CORPORATION | — | $6K | $6K | 0.90% |
| JAMES JANSCH3 | 122 E COLLEGE AVE PO BOX 877 APPLETON, WI 54912 | WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION | $9K | — | $9K | 4.01% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF WI INC | 400 N EXECUTIVE DR SUITE 300 BROOKFIELD, WI 53005 | HARTFORD LIFE AND ACCIDENT | $4K | — | $4K | 8.29% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SERVICES OF CA | 801 SOUTH FIGUEROA ST SUITE 700 LOS ANGELES, CA 90017 | HARTFORD LIFE AND ACCIDENT | — | $1K | $1K | 2.10% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF WISCONSIN, INC. | PO BOX 877 APPLETON, WI 54912 | HUMANA DENTAL INSURANCE COMPANY | $5K | — | $5K | 11.07% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INS SERVICES OF GA INC | 1 GLENLAKE PKWY 11TH FLOOR ATLANTA, GA 30328 | HUMANA DENTAL INSURANCE COMPANY | — | $556 | $556 | 1.31% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF WISCONSIN, INC. | 122 E COLLEGE AVE APPLETON, WI 54911 | DELTA DENTAL OF WISCONSIN | $1K | — | $1K | 8.41% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF WISCONSIN INC | PO BOX 877 APPLETON, WI 54912 | HUMANA INSURANCE COMPANY | $667 | — | $667 | 10.87% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INS SERVICES OF GEORGIA INC | 1 GLENLAKE PKWY ATLANTA, GA 30328 | HUMANA INSURANCE COMPANY | — | $79 | $79 | 1.29% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF WISCONSIN, INC. | 122 E COLLEGE AVE APPLETON, WI 54911 | WYSSTA INSURANCE COMPANY INC | $164 | — | $164 | 8.01% |
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 | 117 | 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) | 117 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HUMANA WISCONSIN HEALTH ORGANIZATION INSURANCE CORPORATION | 205 | $945K |
| Dental(2 contracts, 2 carriers) | HUMANA DENTAL INSURANCE COMPANY | 76 | $57K |
| Vision(2 contracts, 2 carriers) | HUMANA INSURANCE COMPANY | 64 | $8K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 121 | $52K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 121 | $52K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 121 | $52K |
| Other | HARTFORD LIFE AND ACCIDENT | 121 | $52K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 205 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.