| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FORESITE BENEFIT PARTNERS | 2300 RIVERSIDE DRIVE SUITE 204 GREEN BAY, WI 54301 | BLUE CROSS BLUE SHIELD OF WISCONSIN | $97K | — | $97K | 2.21% |
| FORESITE BENEFIT PARTNERS3 | 2300 RIVERSIDE DR SUITE 204 GREEN BAY, WI 54301 | PRINCIPAL LIFE INSURANCE COMPANY | $13K | $4K | $17K | 6.46% |
| FORESITE BENEFIT PARTNERS Filed as: FORESITE BENEFITS PARTNERS | 2300 RIVERSIDE DR SUITE 204 GREEN BAY, WI 54301 | BLUE CROSS BLUE SHIELD OF WISCONSIN | $5K | — | $5K | 3.00% |
| FORESITE BENEFIT PARTNERS | 2300 RIVERSIDE DRIVE SUITE 204 GREEN BAY, WI 54301 | BLUE CROSS BLUE SHIELD OF WISCONSIN | $7K | — | $7K | 10.00% |
| MOR STRATEGY, INC. Filed as: MOR STRATEGY GROUP LLC | 958 MEZZANINE DR. LAFAYETTE, IN 47905 | MOR STRATEGY GROUP LLC | $57K | — | $57K | 100.00% |
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 | 822 | 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. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 825 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF WISCONSIN | 822 | $4.4M |
| Dental | BLUE CROSS BLUE SHIELD OF WISCONSIN | 487 | $166K |
| Vision | BLUE CROSS BLUE SHIELD OF WISCONSIN | 752 | $66K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 646 | $268K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 646 | $268K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 646 | $268K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF WISCONSIN | 822 | $4.4M |
| Other | MOR STRATEGY GROUP LLC | 515 | $57K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 822 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.