| 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 | $6K | — | $6K | 2.28% |
| DAVID J RADKE3 Filed as: DAVID RADKE | PO BOX 1650 MILWAUKEE, WI 53201 | BLUE CARE NETWORK OF MICHIGAN | $1K | — | $1K | 0.39% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON MIDWEST, INC | 93033 NETWORK PLACE CHICAGO, IL 60673 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $7K | — | $7K | 4.93% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON MIDWEST, INC. | 400 NORTH EXECUTIVE DRIVE SUITE 300 BROOKFIELD, WI 53005 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $372 | $1K | $2K | 1.09% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON MIDWEST INC. | 233 S WACKER DR STE 2000 CHICAGO, IL 60606 | BLUE CROSS AND BLUE SHIELD OF ILLINOIS | $5K | $275 | $5K | 4.01% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: EMPLOYEE BENEFIT RISK MANAGEMENT | 823 COMMERCE DR. #350 OAK BROOK, IL 60523 | BLUE CROSS AND BLUE SHIELD OF ILLINOIS | $958 | — | $958 | 0.78% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON MIDWEST INC | 330 WEST COLLEGE AVENUE UNIT 201 APPLETON, WI 54911 | GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN | $2K | — | $2K | 4.83% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON MIDWEST | 122 EAST COLLEGE AVENUE SUITE 201 APPLETON, WI 54911 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $704 | — | $704 | 12.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON INS SVCS WEST | 525 MARKET ST SUITE 3400 SAN FRANCISCO, CA 94105 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $33K | $33K | 608.97% |
| 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 | $540 | — | $540 | 9.87% |
| WILLIAM F CLANCY3 | 108 PALAFOX PL PENSACOLA, FL 32502 | NORTHWESTERN MUTUAL | $185 | $47 | $232 | 8.60% |
| WILLIAM JOHN COLLINS3 | 1036 W JUNEAU AVE SUITE 302 MILWAUKEE, WI 53233 | NORTHWESTERN MUTUAL | $92 | $23 | $115 | 4.26% |
| BRIAN P DIX3 | 1036 W JUNEAU AVENUE SUITE 302 MILWAUKEE, WI 53233 | NORTHWESTERN MUTUAL | $55 | $14 | $69 | 2.56% |
| R SCOTT SCHWERTFEGER3 | 316 E SILVER SPRING DR STE 300 WHITEFISH BAY, WI 53217 | NORTHWESTERN MUTUAL | $37 | $9 | $46 | 1.70% |
| THE HOLTER AGENCY INC3 | 100 E WISCONSIN AVE STE 2300 MILWAUKEE, WI 53202 | NORTHWESTERN MUTUAL | $33 | $4 | $37 | 1.37% |
| KRISTAN RENEA BRINKLEY3 | 108 PALAFOX PL PENSACOLA, FL 32502 | NORTHWESTERN MUTUAL | $18 | $7 | $25 | 0.93% |
| SALAZAR FNCL GRP LLC3 | 4345 SOUTHPOINT BLVD STE 400 JACKSONVILLE, FL 32216 | NORTHWESTERN MUTUAL | $18 | $2 | $20 | 0.74% |
| ALEJANDRO MARCHAN3 Filed as: ALEJANDRO MIGUEL MARCHAN | 316 E SILVER SPRING DR STE 300 WHITEFISH BAY, WI 53217 | NORTHWESTERN MUTUAL | $4 | $1 | $5 | 0.19% |
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 | 385 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 388 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | BLUE CARE NETWORK OF MICHIGAN | 20 | $426K |
| Life insurance(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 385 | $149K |
| Short-term disability(3 contracts, 3 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 21 | $14K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 385 | $143K |
| Prescription drug(3 contracts, 3 carriers) | BLUE CARE NETWORK OF MICHIGAN | 20 | $426K |
| Other(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 385 | $149K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 385 | — |
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.