| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 1000 EAST WARRENVILLE RD, SUITE 230 NAPERVILLE, IL 60563 | COMPCARE HEALTH SERVICES INSURANCE CORPORATION | $55K | — | $55K | 1.23% |
| K & K INSURANCE SERV. INC3 | 11518 N. PORT WASHINGTON RD. MEQUON, WI 53092 | COMPCARE HEALTH SERVICES INSURANCE CORPORATION | $38K | — | $38K | 0.85% |
| WISCONSIN INSURANCE BROKERAGE LLC3 | 3326 S 47TH STREET GREENFIELD, WI 53219 | COMPCARE HEALTH SERVICES INSURANCE CORPORATION | $8K | — | $8K | 0.17% |
| VERITAS RISK SERVICES3 | 3025 HIGHLAND PARKWAY, SUITE 650 DOWNERS GROVE, IL 60515 | METROPOLITAN LIFE INSURANCE COMPANY | $34K | — | $34K | 2.71% |
| BENEFIT COMMUNICATIONS INC3 | 2977 SIDCO DRIVE NASHVILLE, TN 37204 | METROPOLITAN LIFE INSURANCE COMPANY | — | $19K | $19K | 1.51% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF WISCONSIN INC | 93033 NETWORK PLACE CHICAGO, IL 60673 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | $28 | $5K | 0.37% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF WISCONSIN INC | 2323 N. MAYFAIR RD. #600 MILWAUKEE, WI 53226 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $35K | $21K | $55K | 4.87% |
| VERITAS RISK SERVICES3 Filed as: VERITAS RISK SERVICES - BOR | 3025 HIGHLAND PARKWAY, SUITE 650 DOWNERS GROVE, IL 60515 | COMBINED INSURANCE COMPANY OF AMERICA | $16K | — | $16K | 6.69% |
| VERITAS RISK SERVICES3 Filed as: VERITAS RISK SERVICES - BOR | 3025 HIGHLAND PARKWAY, SUITE 650 DOWNERS GROVE, IL 60515 | COMBINED INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 6.63% |
| VERITAS RISK SERVICES3 Filed as: VERITAS RISK SERVICES - BOR | 3025 HIGHLAND PARKWAY, SUITE 650 DOWNERS GROVE, IL 60515 | COMBINED INSURANCE COMPANY OF AMERICA | $6 | — | $6 | 1.08% |
| VERITAS RISK SERVICES3 Filed as: VERITAS RISK SERVICES - BOR | 3025 HIGHLAND PARKWAY,SUITE 650 DOWNERS GROVE, IL 60515 | COMBINED INSURANCE COMPANY OF AMERICA | $1 | — | $1 | 0.92% |
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 | 3,996 | 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) | 3,996 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMPCARE HEALTH SERVICES INSURANCE CORPORATION | 632 | $4.5M |
| Dental(3 contracts, 2 carriers) | COMPCARE HEALTH SERVICES INSURANCE CORPORATION | 2,300 | $1.8M |
| Vision(4 contracts) | COMBINED INSURANCE COMPANY OF AMERICA | 2,580 | $275K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 5,630 | $1.2M |
| Long-term disability | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 4,533 | $1.1M |
| Other(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 5,630 | $1.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,630 | — |
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.