| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 | 332 WEST SUPERIOR ST SUITE 700 DULUTH, MN 55802 | SECURITY HEALTH PLAN OF WISCONSIN, INC. | $14K | $0 | $14K | 2.14% |
| MAGGY SUE LOKKEN3 | E6275 COUNTY ROAD V ELEVA, WI 54738 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3K | $470 | $4K | 7.34% |
| VALUE ADDED SOLUTIONS3 | 1161 HERITAGE CT SUN PRAIRIE, WI 53590 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $343 | $692 | $1K | 2.03% |
| CORCORAN & HOYT LLC3 | 3905 TAMPA ROAD OLDSMAR, FL 34677 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $550 | $130 | $680 | 1.33% |
| MARY K RADTKE3 | 1118 VALLEY STREAM DRIVE MADISON, WI 53711 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $292 | $62 | $354 | 0.69% |
| ERIN KLINK3 | N3186 JEFFERSON RD. RUBICON, WI 53078 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $33 | $59 | $92 | 0.18% |
| JODY ANN WALL3 | 1334 ROCKRIDGE RD WAUKESHA, WI 53188 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $15 | $1 | $16 | 0.03% |
| DALE T BUTLER3 | 15234 REEDS STREET OVERLAND PARK, KS 66223 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3 | $0 | $3 | 0.01% |
| MARY R ROEMER3 | N16W26577 WILD OATS DRIVE PEWAUKEE, WI 53072 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1 | $1 | $2 | 0.00% |
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 510925 NEW BERLIN, WI 531510925 | HUMANA DENTAL INSURANCE COMPANY | $4K | -$36 | $4K | 9.81% |
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 | 125 | 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) | 125 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SECURITY HEALTH PLAN OF WISCONSIN, INC. | 84 | $672K |
| Dental | HUMANA DENTAL INSURANCE COMPANY | 65 | $38K |
| Vision | HUMANA DENTAL INSURANCE COMPANY | 65 | $38K |
| Life insurance | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 126 | $51K |
| Short-term disability | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 126 | $51K |
| Prescription drug | SECURITY HEALTH PLAN OF WISCONSIN, INC. | 84 | $672K |
| Other | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 126 | $51K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 126 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.