| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| R & R INSURANCE SERVICES INC3 | 1581 E RACINE AVE WAUKESHA, WI 53186 | DELTA DENTAL OF WISCONSIN | $590 | — | $590 | 1.11% |
| VALUE ADDED SOLUTIONS3 | 1161 HERITAGE CT SUN PRAIRIE, WI 53590 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7K | $15K | $22K | 46.33% |
| R & R INSURANCE SERVICES INC3 | N14 W23900 STONE RIDGE DR WAUKESHA, WI 53188 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $8K | $573 | $9K | 18.24% |
| GERALD A GREENEN3 | 472 ROUTE 47 STE F-102 SUGAR GROVE, IL 60554 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $2K | $4K | 9.19% |
| ERICK TAVAREZ3 | 212 SPRINGVIEW DR MARSHALL, WI 53559 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $1K | $3K | 5.69% |
| CORCORAN & HOYT LLC3 | 3905 TAMPA ROAD OLDSMAR, FL 34677 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $552 | $2K | 3.33% |
| JODY ANN WALL3 | 1334 ROCKRIDGE RD WAUKESHA, WI 53188 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $38 | $1K | 3.04% |
| MARY R ROEMER3 | N16W26577 WILD OATS DRIVE PEWAUKEE, WI 53072 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $602 | $228 | $830 | 1.73% |
| MARK HOLZINGER3 | 118 E. HAMILTON AVENUE EAU CLAIRE, WI 54701 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $518 | — | $518 | 1.08% |
| R & R INSURANCE SERVICES INC3 | N14W23900 STONE RIDGE DR WAUKESHA, WI 53188 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $950 | $950 | 4.82% |
| R & R INSURANCE SERVICES INC3 | N14W23900 STONE RIDGE DR WAUKESHA, WI 53188 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $1K | $1K | 5.48% |
| R & R INSURANCE SERVICES INC3 | N14W23900 STONE RIDGE DR WAUKESHA, WI 53188 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $264 | $264 | 5.35% |
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 | 96 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 99 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMPCARE HEALTH SERVICES INSURANCE CORPORATION | 194 | $1.7M |
| Dental | DELTA DENTAL OF WISCONSIN | 80 | $53K |
| Vision | WYSSTA INSURANCE COMPANY INC | 75 | $11K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 103 | $25K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 75 | $19K |
| Other(6 contracts, 4 carriers) | COMPCARE HEALTH SERVICES INSURANCE CORPORATION | 194 | $1.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 194 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.