| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF WISCONSIN INC | PO BOX 1650 MILWAUKEE, WI 532011650 | DELTA DENTAL OF WISCONSIN | $24K | — | $24K | 0.30% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE INC. | LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 100878852 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $77K | $12K | $89K | 5.78% |
| RC INSURANCE SERVICES INC3 | 1320 WALNUT RIDGE DR SUITE 200 HARTLAND, WI 53029 | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | $32K | — | $32K | 3.75% |
| RC INSURANCE SERVICES INC3 | 1320 WALNUT RIDGE DR STE. 200 HARTLAND, WI 53029 | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | $30K | — | $30K | 4.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE INC | LOCKBOX #28852 P.O. BOX 28852 NEW YORK, NY 100878852 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $31K | $9K | $39K | 6.41% |
| RC INSURANCE SERVICES INC3 | 1320 WALNUT RIDGE DR. STE 200 HARTLAND, WI 53029 | THE PRUDENTIAL COMPANY OF AMERICA | $21K | — | $21K | 3.68% |
| NATIONAL GROUP PROTECTION INC3 Filed as: NATIONAL GROUP PROTECTION | 1445 GREENBRIER PL CHARLOTTESVILLE, VA 22901 | CIGNA GROUP INSURANCE | $16K | — | $16K | 6.00% |
| RC INSURANCE SERVICES INC3 | 1320 WALNUT RIDGE DRIVE STE 200 HARTLAND, WI 53029 | THE PRUDENTIAL COMPANY OF AMERICA | $4K | — | $4K | 4.00% |
| RC INSURANCE SERVICES INC3 | 1320 WALNUT RIDGE DR STE. 200 HARTLAND, WI 53029 | THE PRUDENTIAL COMPANY OF AMERICA | $4K | — | $4K | 4.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF WI INC | 2323 N MAYFAIR ROAD STE. 600 MILWAUKEE, WI 53226 | HARTFORD LIFE AND ACCIDENT | $6K | — | $6K | 15.00% |
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 | 6,099 | 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) | 6,099 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED HEALTHCARE INSURANCE COMPANY | 6 | $30K |
| Dental | DELTA DENTAL OF WISCONSIN | 4,652 | $7.8M |
| Vision | NATIONAL VISION ADMINISTRATORS, LLC | 11,747 | $821K |
| Life insurance(2 contracts, 2 carriers) | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 4,553 | $1.1M |
| Short-term disability(2 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 2,295 | $1.6M |
| Long-term disability(2 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,212 | $881K |
| Other(5 contracts, 3 carriers) | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 5,344 | $2.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 11,747 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.