| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF WISCONSIN INC. | 93033 NETWORK PL CHICAGO, IL 606730001 | METLIFE INSURANCE COMPANY | $156K | $7K | $163K | 3.39% |
| HAYS COMPANIES, INC.3 Filed as: HAYS BENEFITS GROUP OF WI LLC | 1200 NORTH MAYFAIR ROAD, SUITE 100 MILWAUKEE, WI 53226 | COMPCARE HEALTH INSURANCE CORPORATION | $59K | $0 | $59K | 1.31% |
| K & K INSURANCE SERV. INC3 | 11518 N. PORT WASHINGTON RD. MEQUON, WI 53092 | COMPCARE HEALTH INSURANCE CORPORATION | $41K | $0 | $41K | 0.91% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF WISCONSIN INC. | 2323 N. MAYFAIR RD. #600 MILWAUKEE, WI 53223 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $29K | $23K | $52K | 4.51% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF WISCONSIN INC. | 93033 NETWORK PL CHICAGO, IL 606730001 | METLIFE INSURANCE COMPANY | $94K | $31 | $94K | 11.21% |
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 | 4,322 | 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) | 4,322 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNITED HEALTHCARE INSURANCE | 3,008 | $11.2M |
| Dental(2 contracts, 2 carriers) | COMPCARE HEALTH SERVICES INSURANCE CORPORATION | 2,429 | $1.9M |
| Vision | METLIFE INSURANCE COMPANY | 8,687 | $4.8M |
| Life insurance(2 contracts) | METLIFE INSURANCE COMPANY | 8,687 | $5.6M |
| Long-term disability | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 4,801 | $1.1M |
| Other(2 contracts) | METLIFE INSURANCE COMPANY | 8,687 | $5.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 8,687 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.