| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON MIDWEST | 400 N EXECUTIVE DR STE 300 BROOKFIELD, WI 530050000 | DELTA DENTAL OF WISCONSIN | $16K | — | $16K | 0.34% |
| 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 | $67K | — | $67K | 5.00% |
| WILLIS TOWERS WATSON US LLC3 | LOCKBOX #28852 PO BOX 28852 NEW YORK, NY 100878852 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $4K | $4K | 0.30% |
| RC INSURANCE SERVICES INC3 | 1320 WALNUT RIDGE DRIVE SUITE 200 HARTLAND, WI 53029 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $45K | — | $45K | 4.00% |
| RC INSURANCE SERVICES INC3 | 1320 WALNUT RIDGE DRIVE SUITE 200 HARTLAND, WI 53029 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $31K | — | $31K | 4.00% |
| 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 | $27K | — | $27K | 5.00% |
| WILLIS TOWERS WATSON US LLC3 | LOCKBOX #28852 PO BOX 28852 NEW YORK, NY 100878852 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $4K | $4K | 0.75% |
| RC INSURANCE SERVICES INC3 | 1320 WALNUT RIDGE DRIVE SUITE 200 HARTLAND, WI 53029 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $22K | — | $22K | 4.17% |
| RC INSURANCE SERVICES INC3 | 1320 WALNUT RIDGE DRIVE SUITE 200 HARTLAND, WI 53029 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $7K | — | $7K | 5.00% |
| 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 | $3K | — | $3K | 5.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON NORTHEAST INC | 200 LIBERTY ST NEW YORK, NY 10281 | HARTFORD LIFE AND ACCIDENT | $6K | — | $6K | 15.00% |
| RC INSURANCE SERVICES INC3 | 1320 WALNUT RIDGE DRIVE SUITE 200 HARTLAND, WI 53029 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $281 | — | $281 | 3.99% |
| RC INSURANCE SERVICES INC3 | 1320 WALNUT RIDGE DRIVE SUITE 200 HARTLAND, WI 53029 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $26 | — | $26 | 5.09% |
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 | 4,506 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 4,506 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED HEALTHCARE INSURANCE COMPANY | 5 | $34K |
| Dental | DELTA DENTAL OF WISCONSIN | 4,628 | $4.7M |
| Vision | NATIONAL VISION ADMINISTRATORS, LLC | 10,650 | $734K |
| Life insurance(4 contracts) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 4,506 | $2.4M |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,837 | $1.3M |
| Long-term disability(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,198 | $600K |
| Other(3 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 4,896 | $181K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 10,650 | — |
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.