| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON INSURANCE SVCS | 400 N EXECUTIVE DRIVE SUITE 300 BROOKFIELD, WI 53005 | BLUE CARE NETWORK OF MICHIGAN | $15K | — | $15K | 4.43% |
| DAVID J RADKE3 Filed as: DAVID RADKE | PO BOX 1650 MILWAUKEE, WI 53201 | BLUE CARE NETWORK OF MICHIGAN | $3K | — | $3K | 0.91% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON MIDWEST INC. | 122 EAST COLLEGE AVENUE SUITE 20 APPLETON, WI 54911 | BLUE CROSS AND BLUE SHIELD OF ILLINOIS | $3K | — | $3K | 2.71% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF WISCONSIN INC | 122 EAST COLLEGE AVE SUITE 201 APPLETON, WI 54911 | BLUE CROSS AND BLUE SHIELD OF ILLINOIS | $1K | — | $1K | 0.91% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: EMPLOYEE BENEFIT RISK MANAGEMENT | 823 COMMERCE DR. SUITE 350 OAKBROOK, IL 60523 | BLUE CROSS AND BLUE SHIELD OF ILLINOIS | — | $877 | $877 | 0.70% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF WISCONSIN, INC | 2323 N MAYFAIR RD STE 600 MILWAUKEE, WI 53226 | GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN | $3K | — | $3K | 9.77% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON MIDWEST, INC | 93033 NETWORK PLACE CHICAGO, IL 60673 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $384 | — | $384 | 3.44% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON MIDWEST | 122 E COLLEGE AVE STE 201 APPLETON, WI 54911 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $816 | — | $816 | 11.76% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON INSURANCE | 122 EAST COLLEGE AVENUE SUITE 201 APPLETON, WI 54911 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | — | $116 | $116 | 1.67% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON MIDWEST, INC | 400 N EXECUTIVE DR STE 300 BROOKFIELD, WI 53005 | SUN LIFE ASSURANCE COMPANY OF CANADA | $604 | — | $604 | 10.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON INS SVCS WEST | PO BOX 101162 PASADENA, CA 91189 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $38 | $38 | 0.63% |
| WILLIAM F CLANCY3 | 108 PALAFOX PL PENSACOLA, FL 32502 | NORTHWESTERN MUTUAL | $519 | $262 | $781 | 20.01% |
| WILLIAM JOHN COLLINS3 | 1036 W JUNEAU AVE SUITE 302 MILWAUKEE, WI 53233 | NORTHWESTERN MUTUAL | $259 | $131 | $390 | 9.99% |
| BRIAN P DIX3 | 1036 W JUNEAU AVENUE SUITE 302 MILWAUKEE, WI 53233 | NORTHWESTERN MUTUAL | $156 | $78 | $234 | 6.00% |
| R SCOTT SCHWERTFEGER3 | 500 W SILVER SPRING DR STE K-290 GLENDALE, WI 53217 | NORTHWESTERN MUTUAL | $104 | $52 | $156 | 4.00% |
| SALAZAR FNCL GRP LLC3 | 245 RIVERSIDE AVE STE 100 JACKSONVILLE, FL 32202 | NORTHWESTERN MUTUAL | $104 | $25 | $129 | 3.31% |
| THE HOLTER AGENCY INC3 | 100 E WISCONSIN AVE STE 2300 MILWAUKEE, WI 53202 | NORTHWESTERN MUTUAL | $93 | $22 | $115 | 2.95% |
| ALEJANDRO MARCHAN3 Filed as: ALEJANDRO MIGUEL MARCHAN | 500 W SILVER SPRING DR STE K-290 GLENDALE, WI 53217 | NORTHWESTERN MUTUAL | $9 | $7 | $16 | 0.41% |
| CHRISTOPHER DAVID CARLSON3 | 11270 W PARK PL STE 100 MILWAUKEE, WI 53224 | NORTHWESTERN MUTUAL | $1 | $1 | $2 | 0.05% |
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 | 461 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 465 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | BLUE CARE NETWORK OF MICHIGAN | 30 | $495K |
| Life insurance(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 461 | $18K |
| Short-term disability(3 contracts, 3 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 21 | $17K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 461 | $11K |
| Prescription drug | BLUE CARE NETWORK OF MICHIGAN | 30 | $336K |
| Other(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 461 | $18K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 461 | — |
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."
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.