| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIAM JOHN COLLINS3 | STE 302 1036 W JUNEAU AVE MILWAUKEE, WI 53233 | NORTHWESTERN MUTUAL | $44K | $11K | $56K | 12.40% |
| THE HOLTER AGENCY INC3 | STE 2300 100 E WISCONSIN AVE MILWAUKEE, WI 53202 | NORTHWESTERN MUTUAL | $10K | $1K | $11K | 2.47% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD EIN 39-0138065 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Float revenue; Claims processing Service code 12 | — | $2.4M |
| WEEBF LLC EIN 26-4568574 NONE | Plan Administrator Service code 14 | — | $748K |
| CONIFER VALUE BASED CARE EIN 52-1964905 NONE | Consulting (general) Service code 16 | — | $396K |
| REINHART BOERNER VAN DEUREN EIN 39-1126909 NONE | Legal Service code 29 | — | $351K |
| BRIDGEWAY BENEFIT TECHNOLOGIES EIN 52-1796473 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $281K |
| SAV RX NONE | Claims processing Service code 12 | 224 NORTH PARK AVE FREMONT, NE 68025 | $220K |
| SWORD HEALTH NONE | Consulting (general) Service code 16 | 13937 S SPRAGUE LN DRAPER, UT 84020 | $123K |
| HEALTH GAUGE NONE | Consulting (general) Service code 16 | 11149 W 95TH ST OVERLAND PARK, KS 66214 | $107K |
| US BANK NONE | Custodial (securities) Service code 19 | PO BOX 1800 ST PAUL, MN 55101 | $71K |
| UNITED ACTUARIAL SERVICES, INC EIN 35-2156428 NONE | Actuarial Service code 11 | — | $62K |
| JENSEN INVESTMENT MANAGEMENT NONE | Investment management Service code 28 | 5500 MEADOWS RD 200 LAKE OSWEGO, OR 97035 | $55K |
| COMBINED CRAFTS EIN 39-1400101 NONE | Accounting (including auditing) Service code 10 | — | $55K |
| FIDUCIARY MANAGEMENT, INC NONE | Investment management Service code 28 | 790 N WATER ST 2100 MILWAUKEE, WI 53202 | $41K |
| COMPUTER MAGIC, INC NONE | Other services Service code 49 | 101 NICHOLS ROAD MONONA, WI 53716 | $39K |
| MARINER INSTITUTIONAL LLC NONE | Investment advisory (plan) Service code 27 | 4901 VINELAND RD STE 600 ORLANDO, FL 32811 | $22K |
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 | 4,855 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 656 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 127 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 5,638 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 5,080 | $260K |
| Long-term disability | NORTHWESTERN MUTUAL | 4,910 | $448K |
| Prescription drug | SIERRA HEALTH AND LIFE INSURANCE COMPANY | 1,007 | $1.5M |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 5,210 | $2.1M |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 5,080 | $260K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,210 | — |
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.