| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JOHNSON INSURANCE SERVICES LLC3 Filed as: JOHNSON INSURANCE SERVICES, LLC | 555 MAIN ST., STE. 291 RACINE, WI 53403 | UNITEDHEALTHCARE INSURANCE CO. | $13K | — | $13K | 2.47% |
| NATIONAL BENEFIT CONSULTANTS, INC. | 208 E OAK CREST DRIVE WALES, WI 53183 | TRANSAMERICA PREMIER LIFE INSURANCE CO. | $3K | — | $3K | 6.76% |
| JOHNSON INSURANCE SERVICES LLC Filed as: JOHNSON INSURANCE SERVICES, LLC | 555 MAIN ST., STE. 291 RACINE, WI 53403 | TRANSAMERICA PREMIER LIFE INSURANCE CO. | $1K | — | $1K | 3.09% |
| JOHNSON INSURANCE SERVICES LLC3 Filed as: JOHNSON INSURANCE SERVICES, LLC | 555 MAIN ST., STE. 291 RACINE, WI 53403 | DELTA DENTAL OF WISCONSIN | $2K | — | $2K | 8.40% |
| NATIONAL BENEFIT CONSULTANTS, INC. | 208 E OAK CREST DRIVE WALES, WI 53183 | AETNA LIFE INSURANCE CO. | $350 | — | $350 | 2.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| STAGEHANDS, INC. EIN 39-1355297 NONE | Employee (plan sponsor); Copying and duplicating Service code 35 | — | $23K |
| SCHENCK SC EIN 39-1173131 NONE | Accounting (including auditing) Service code 10 | 11414 W PARK PLACE, STE. 200 MILWAUKEE, WI 53224 | $6K |
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 | 63 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 10 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 73 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE CO. | 95 | $576K |
| Dental | DELTA DENTAL OF WISCONSIN | 41 | $27K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 95 | — |
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.