| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RICHARD HUDOCK3 | STE 2300 100 E WISCONSIN AVE MILWAUKEE, WI 53202 | NORTHWESTERN MUTUAL | $21K | $5K | $27K | 6.23% |
| WILLIAM JOHN COLLINS3 | STE 302 1036 W JUNEAU AVE MILWAUKEE, WI 53233 | NORTHWESTERN MUTUAL | $21K | $5K | $27K | 6.23% |
| THE HOLTER AGENCY INC3 | STE 2300 100 E WISCONSIN AVE MILWAUKEE, WI 53202 | NORTHWESTERN MUTUAL | $9K | $1K | $11K | 2.48% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD EIN 39-0138065 NONE | Float revenue; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Claims processing Service code 12 | — | $1.8M |
| REINHART BOERNER VAN DEUREN EIN 39-1126909 NONE | Legal Service code 29 | — | $327K |
| CONIFER VALUE BASED CARE EIN 52-1964905 NONE | Consulting (general) Service code 16 | — | $215K |
| INNOVATIVE SOFTWARE SOLUTIONS, INC EIN 23-2182079 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $183K |
| UNITED ACTUARIAL SERVICES, INC EIN 35-2156428 NONE | Actuarial Service code 11 | — | $58K |
| COMBINED CRAFTS EIN 39-1400101 NONE | Accounting (including auditing) Service code 10 | — | $50K |
| BAUMAN ASSOCIATES, LTD EIN 39-1277627 NONE | Accounting (including auditing) Service code 10 | — | $34K |
| ANDCO CONSULTING EIN 59-3676225 NONE | Investment advisory (plan) Service code 27 | — | $29K |
| CHARTER COMMUNICATIONS NONE | Other services Service code 49 | 400 ATLANTIC ST FL 10 STAMFORD, CT 06901 | $12K |
| BADGER GRAPHIC SYSTEMS NONE | Other services Service code 49 | 1155 WILBURN RD SUN PRAIRIE, WI 53590 | $9K |
| WELLS PRINT & DIGITAL SERVICES NONE | Other services Service code 49 | 3121 WATFORD WAY MADISON, WI 53713 | $7K |
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 | 3,832 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 532 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 113 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 4,477 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | STANDARD INSURANCE COMPANY | 4,355 | $266K |
| Long-term disability | NORTHWESTERN MUTUAL | 3,754 | $427K |
| Prescription drug | UNITED HEALTHCARE INSURANCE COMPANY | 882 | $978K |
| Stop-loss / reinsurancereinsurance | ULLICO | 3,975 | $1.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,355 | — |
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.