| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON MIDWEST | 93033 NETWORK PL CHICAGO, IL 606731970 | VISION SERVICE PLAN | $5K | — | $5K | 0.82% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | MINNESOTA LIFE INSURANCE COMPANY | $15K | $8K | $23K | 4.71% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON MIDWEST | 10 SOUTH LASALLE STREET STE. 3000 CHICAGO, IL 606031002 | MINNESOTA LIFE INSURANCE COMPANY | $5K | $3K | $7K | 1.55% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | MINNESOTA LIFE INSURANCE COMPANY | $427 | $241 | $668 | 4.74% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON MIDWEST | 10 SOUTH LASALLE STREET STE. 3000 CHICAGO, IL 606031002 | MINNESOTA LIFE INSURANCE COMPANY | $137 | $77 | $214 | 1.52% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM BLUE CROSS BLUE SHIELD EIN 39-0138065 CLAIMS ADMINISTRATION | Other commissions; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Claims processing; Insurance brokerage commissions and fees; Float revenue; Contract Administrator; Insurance agents and brokers Service code 12 | — | $746K |
| ALIGHT SOLUTIONS EIN 22-2232264 BENEFITS MANAGER | Other services; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 13 | — | $321K |
| WILLIS TOWERS WATSON VIA BENEFITS EIN 26-0775680 CLAIMS ADMINISTRATION | Contract Administrator; Claims processing Service code 12 | — | $90K |
| PARAMETRIC DEFENSIVE EQUITY FUND EIN 42-2531297 INVESTMENT MANAGER | Investment management Service code 28 | — | $71K |
| WILLIS TOWERS WATSON INC. EIN 53-0181291 ACTUARIAL | Actuarial Service code 11 | — | $63K |
| NAVITUS HEALTH SOLUTIONS EIN 04-3608530 CLAIMS ADMINISTRATION | Claims processing; Contract Administrator Service code 12 | — | $36K |
| CONNECTYOURCARE, LLC (CYC) EIN 26-1274092 CLAIMS ADMINISTRATION | Contract Administrator; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other fees Service code 12 | — | $32K |
| NEPC EIN 26-1429809 CONSULTANT | Consulting (general) Service code 16 | — | $30K |
| DELTA DENTAL EIN 39-6094742 CLAIMS ADMINISTRATION | Contract Administrator; Claims processing Service code 12 | — | $27K |
| COLEMAN & WILLIAMS, LTD. EIN 39-1658905 AUDIT | Accounting (including auditing) Service code 10 | 7127 N. GREEN BAY AVE. MILWAUKEE, WI 53209 | $22K |
| PRINCIPAL CUSTODY SOLUTIONS EIN 51-0099493 TRUSTEE | Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $10K |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3,314 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,314 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 2,996 | $563K |
| Life insurance(2 contracts) | MINNESOTA LIFE INSURANCE COMPANY | 1,077 | $496K |
| Prescription drug | NAVITUS HEALTH SOLUTIONS | 7,700 | $196K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF WISCONSIN | 3,139 | $980K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 7,700 | — |
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.