| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: TOM STRONG C/O TOWERS WATSON | 400 N EXECUTIVE DR STE 300 BROOKFIELD, WI 53005 | DELTA DENTAL OF WISCONSIN | $17K | $0 | $17K | 0.32% |
| 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 | $69K | $4K | $73K | 5.29% |
| RC INSURANCE SERVICES INC3 | 1320 WALNUT RIDGE DR STE. 200 HARTLAND, WI 53029 | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | $38K | $0 | $38K | 4.00% |
| RC INSURANCE SERVICES INC3 | 1320 WALNUT RIDGE DR SUITE 200 HARTLAND, WI 53029 | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | $26K | $0 | $26K | 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 | $4K | $35K | 5.64% |
| RC INSURANCE SERVICES INC3 | 1320 WALNUT RIDGE DR. STE 200 HARTLAND, WI 53029 | THE PRUDENTIAL COMPANY OF AMERICA | $18K | $0 | $18K | 3.27% |
| RC INSURANCE SERVICES INC3 | 1320 WALNUT RIDGE DR STE 200 HARTLAND, WI 53029 | THE PRUDENTIAL COMPANY | $7K | $0 | $7K | 4.00% |
| RC INSURANCE SERVICES INC3 | 1320 WALNUT RIDGE DR STE 200 HARTLAND, WI 53029 | THE PRUDENTIAL COMPANY OF AMERICA | $6K | $0 | $6K | 5.00% |
| RC INSURANCE SERVICES INC3 | 1320 WALNUT RIDGE DRIVE STE 200 HARTLAND, WI 53029 | THE PRUDENTIAL COMPANY OF AMERICA | $4K | $0 | $4K | 4.00% |
| RC INSURANCE SERVICES INC3 | 1320 WALNUT RIDGE DR STE. 200 HARTLAND, WI 53029 | THE PRUDENTIAL COMPANY OF AMERICA | $3K | $0 | $3K | 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 | — | — | $0 | — |
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 | 8,211 | 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) | 8,211 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED HEALTHCARE INSURANCE COMPANY | 5 | $30K |
| Dental | DELTA DENTAL OF WISCONSIN | 5,145 | $5.3M |
| Vision | NATIONAL VISION ADMINISTRATORS, LLC | 11,958 | $780K |
| Life insurance | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 4,889 | $652K |
| Short-term disability(2 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 2,173 | $1.5M |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,174 | $628K |
| Other(7 contracts, 4 carriers) | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 4,889 | $2.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 11,958 | — |
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.