| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| R & R INSURANCE SERVICES INC3 | N14 W23900 STONE RIDGE DRIVE WAUKESHA, WI 53188 | HUMANA WISCONSIN HEALTH ORGANIZATION INS. CORP. | $32K | $0 | $32K | 3.96% |
| R & R INSURANCE SERVICES INC3 | PO BOX 1610 WAUKESHA, WI 53187 | DELTA DENTA OF WISCONSIN | $4K | $0 | $4K | 6.16% |
| R & R INSURANCE SERVICES INC3 | N14 W23900 STONE RIDGE DRIVE WAUKESHA, WI 53188 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $708 | $5K | 12.70% |
| R & R INSURANCE SERVICES INC3 | PO BOX 1610 WAUKESHA, WI 53187 | WYSSTA INSURANCE COMPANY INC. | $1K | $0 | $1K | 10.04% |
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 | 118 | 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) | 118 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HUMANA WISCONSIN HEALTH ORGANIZATION INS. CORP. | 95 | $809K |
| Dental | DELTA DENTA OF WISCONSIN | 96 | $59K |
| Vision | WYSSTA INSURANCE COMPANY INC. | 87 | $11K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 118 | $39K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 118 | $39K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 118 | $39K |
| Prescription drug | HUMANA WISCONSIN HEALTH ORGANIZATION INS. CORP. | 95 | $809K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 118 | $39K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 118 | — |
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."
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.