| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON MIDWEST INC | 111 E KILBOURN AVE SUITE 1850 MILWAUKEE, WI 53202 | SUN LIFE ASSURANCE COMPANY OF CANADA | $245K | — | $245K | 2.44% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | PO BOX 102159 PASADENA, CA 91189 | SUN LIFE ASSURANCE COMPANY OF CANADA | $218K | — | $218K | 2.17% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON INSURANCE | SERVICE WEST INC 525 MARKET ST, SUITE 3400 SAN FRANCISCO, CA 94105 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $116K | $116K | 1.15% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON MIDWEST INC | 400 NORTH EXECUTIVE DR STE 300 BROOKFIELD, WI 53005 | METLIFE LEGAL PLANS | $13K | — | $13K | 6.27% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 1 CALIFORNIA ST SUITE 400 SAN FRANCISCO, CA 94111 | METLIFE LEGAL PLANS | $9K | — | $9K | 4.59% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS & BLUE SHIELD OF WI EIN 39-0138065 NONE | Claims processing; Float revenue; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services Service code 12 | — | $6.2M |
| COMPCARE HEALTH SERVICES INS CORP. EIN 39-1462554 NONE | Float revenue; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Claims processing Service code 12 | — | $1.5M |
| ALIGHT SOLUTIONS LLC NONE | Contract Administrator; Direct payment from the plan Service code 13 | 10 NORTH PARK DRIVE SUITE 400 HUNT VALLEY, MD 21030 | $1.3M |
| LYRA HEALTH, INC.'S EIN 47-2935915 NONE | Direct payment from the plan; Other services Service code 49 | — | $1.1M |
| LIVONGO NONE | Other services; Direct payment from the plan Service code 49 | 444 N MICHIGAN AVE CHICAGO, IL 60611 | $566K |
| LIMEADE EIN 06-1771116 NONE | Other services; Direct payment from the plan Service code 49 | — | $538K |
| ART CORPORATE SOLUTIONS, INC. NONE | Direct payment from the plan; Other services Service code 49 | 9240 EXPLORE DR SUITE 210 COLORADO SPRINGS, CO 80920 | $513K |
| CVS PHARMACY, INC. EIN 05-0340626 NONE | Claims processing Service code 12 | — | $345K |
| DELTA DENTAL OF WISCONSIN EIN 39-6094742 THIRD PARTY ADMIN | Contract Administrator Service code 13 | — | $293K |
| SOLERA EIN 47-5298764 NONE | Other services; Direct payment from the plan Service code 49 | — | $183K |
| WILLIS TOWERS INVESTMENT SVC EIN 52-1868818 NONE | Investment management Service code 28 | — | $161K |
| UNITED HEALTHCARE SERVICES, INC. EIN 41-1289245 CLAIMS PROCESSOR | Claims processing; Other services Service code 12 | — | $161K |
| REINHART, BOERNER, VANDEUREN S.C EIN 39-1126909 NONE | Legal; Direct payment from the plan Service code 29 | — | $155K |
| WILLIS TOWERS WATSON US LLC NONE | Other commissions; Non-monetary compensation; Insurance agents and brokers Service code 22 | 15303 VENTURA BLVD #700 SHERMAN OAKS, CA 91403 | $124K |
| WRITE ON TARGET, INC EIN 31-1431575 NONE | Participant communication; Other services Service code 38 | — | $109K |
| VISION SERVICE PROVIDERS EIN 06-1227840 NONE | Insurance services; Direct payment from the plan Service code 23 | — | $78K |
| STATE STREET BANK & TRUST COMPANY EIN 04-1867445 NONE | Trustee (directed); Other fees Service code 25 | — | $55K |
| PROGYNY, INC. EIN 27-2220139 BENEFIT ADMINISTRATOR | Claims processing Service code 12 | — | $32K |
| METROPOLITAN LIFE INSURANCE COMPANY EIN 13-5581829 NONE | Contract Administrator; Claims processing Service code 12 | — | $22K |
| EPIC INSURANCE BROKERS BROKER | Insurance agents and brokers Service code 22 | 5151 SAN FELIPE ST STE 1800 HOUSTON, TX 77056 | $20K |
| WILLIS TOWER WATSON INSURANCE SVC NONE | Insurance agents and brokers; Insurance services Service code 22 | 525 MARKET ST SUITE 3400 SAN FRANCISCO, CA 94105 | $1K |
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 | 11,089 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7,844 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 360 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 19,293 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 10,964 | $10.1M |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 10,964 | $10.1M |
| Other(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 10,964 | $10.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 10,964 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.