| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL INC | 75 REMITTANCE DRIVE SUITE 1926 CHICAGO, IL 60675 | BLUE CROSS BLUE SHIELD OF WISCONSIN | $56K | — | $56K | 2.30% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF PENNSYLVANIA INC | 11 HIGHVIEW DR RADNOR, PA 19087 | BLUE CROSS BLUE SHIELD OF WISCONSIN | $14K | — | $14K | 0.58% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF PENNSYLVANIA INC | ONE PPG PLACE SUITE 600 PITTSBURGH, PA 15222 | BLUE CROSS BLUE SHIELD OF WISCONSIN | $8K | — | $8K | 0.33% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL INC | 123 N. WACKER DR., STE 1000 CHICAGO, IL 60606 | BLUE CROSS BLUE SHIELD OF WISCONSIN | $629 | — | $629 | 0.03% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL INC | 75 REMITTANCE DRIVE SUITE 1926 CHICAGO, IL 60675 | COMPCARE HEALTH SERVICES INSURANCE CORPORATION | $56K | — | $56K | 6.08% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF PENNSYLVANIA INC | 11 HIGHVIEW DR RADNOR, PA 19087 | COMPCARE HEALTH SERVICES INSURANCE CORPORATION | $14K | — | $14K | 1.53% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF PENNSYLVANIA INC | ONE PPG PLACE SUITE 600 PITTSBURGH, PA 15222 | COMPCARE HEALTH SERVICES INSURANCE CORPORATION | $8K | — | $8K | 0.87% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL INC | 123 N. WACKER DR., STE 1000 CHICAGO, IL 60606 | COMPCARE HEALTH SERVICES INSURANCE CORPORATION | $629 | — | $629 | 0.07% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL INC. | PO BOX 23004 GREEN BAY, WI 543053004 | BLUE CROSS BLUE SHIELD OF WISCONSIN | $7K | — | $7K | 2.92% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF PENNSYLVANIA, INC. | 100 MATSONFORD ROAD BUILDING 5, SUITE 200 RADNOR, PA 19087 | BLUE CROSS BLUE SHIELD OF WISCONSIN | $5K | — | $5K | 2.08% |
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 | 360 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 365 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF WISCONSIN | 621 | $3.4M |
| Dental | BLUE CROSS BLUE SHIELD OF WISCONSIN | 315 | $238K |
| Vision | BLUE CROSS BLUE SHIELD OF WISCONSIN | 621 | $2.5M |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 373 | $175K |
| Short-term disability | ANTHEM LIFE INSURANCE COMPANY | 373 | $175K |
| Long-term disability | ANTHEM LIFE INSURANCE COMPANY | 373 | $175K |
| Other | ANTHEM LIFE INSURANCE COMPANY | 373 | $175K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 621 | — |
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.