| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JOHNSON INSURANCE SERVICES LLC3 Filed as: JOHNSON INSURANCE | 555 MAIN ST SUITE 320 RACINE, WI 53402 | UNITY HEALTH PLANS INSURANCE CORPORATION | $32K | — | $32K | 3.32% |
| JOHNSON INSURANCE SERVICES LLC3 | 555 MAIN ST SUITE 291 RACINE, WI 53403 | DELTA DENTAL OF WISCONSIN | $6K | — | $6K | 5.44% |
| JOHNSON INSURANCE SERVICES LLC3 | 525 JUNCTION RD MADISON, WI 53717 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $12K | $1K | $13K | 18.60% |
| JOHNSON INSURANCE SERVICES LLC3 | 525 JUNCTION RD MADISON, WI 53717 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | $895 | $5K | 9.29% |
| JOHNSON INSURANCE SERVICES LLC3 | 525 JUNCTION RD MADISON, WI 53717 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | $363 | $4K | 20.23% |
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 | 137 | 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. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 137 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITY HEALTH PLANS INSURANCE CORPORATION | 303 | $968K |
| Dental | DELTA DENTAL OF WISCONSIN | 139 | $118K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 173 | $89K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 173 | $69K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 136 | $51K |
| Prescription drug | UNITY HEALTH PLANS INSURANCE CORPORATION | 303 | $968K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 303 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.