| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RICHARD HUDOCK3 | STE 2300 100 E WISCONSIN AVE MILWAUKEE, WI 53202 | NORTHWESTERN MUTUAL | $41K | $10K | $51K | 13.51% |
| THE HOLTER AGENCY INC3 | STE 2300 100 E WISCONSIN AVE MILWAUKEE, WI 53202 | NORTHWESTERN MUTUAL | $9K | $1K | $10K | 2.68% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD EIN 39-0138065 NONE | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Claims processing; Other services Service code 12 | — | $1.5M |
| INNOVATIVE SOFTWARE SOLUTIONS, INC EIN 23-2182079 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $199K |
| REINHART BOERNER VAN DEUREN EIN 39-1126909 NONE | Legal Service code 29 | — | $139K |
| CAREWISE HEALTH INC EIN 95-3999237 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $94K |
| COMBINED CRAFTS EIN 39-1400101 NONE | Accounting (including auditing) Service code 10 | — | $48K |
| UNITED ACTUARIAL SERVICES, INC EIN 35-2156428 NONE | Actuarial Service code 11 | — | $45K |
| BAUMAN ASSOCIATES, LTD EIN 39-1277627 NONE | Accounting (including auditing) Service code 10 | — | $32K |
| WHN INVESTORS EIN 39-1382973 NONE | Investment advisory (plan) Service code 27 | — | $28K |
| FAIR HEALTH, INC EIN 90-0524293 NONE | Claims processing Service code 12 | — | $20K |
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 | 3,525 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 513 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 112 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 4,150 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | STANDARD INSURANCE COMPANY | 4,031 | $240K |
| Long-term disability | NORTHWESTERN MUTUAL | 3,468 | $381K |
| Prescription drug | UNITED HEALTHCARE INSURANCE COMPANY | 821 | $902K |
| Stop-loss / reinsurancereinsurance | ULLICO | 3,679 | $1.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,031 | — |
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."
No prospect flags tripped on this filing.