| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE HORTON GROUP Filed as: THE HORTON GROUP INC | 10320 ORLAND PKWY ORLANDPARK, IL 60467 | COMPCARE HEALTH SERVICES INSURANCE CORPORATION (G0423) | $24K | — | $24K | 2.55% |
| EAST TOWN INSURANCE SERVICES3 | 11919 W BLUEMOUND RD WAUWATOSA, WI 53226 | DELTA DENTAL OF WISCONSIN | $7K | — | $7K | 7.53% |
| EAST TOWN INSURANCE SERVICES3 Filed as: EAST TOWN INSURANCE SERVICES INC | 11919 W BLUEMOUND RD WAUWATOSA, WI 53226 | SUN LIFE ASSURANCE COMPANY OF CANADA | $6K | — | $6K | 9.80% |
| EAST TOWN INSURANCE SERVICES3 | 11919 W BLUEMOUND RD WAUWATOSA, WI 53226 | WYSSTA INSURANCE COMPANY | $951 | — | $951 | 10.00% |
| THE HORTON GROUP3 | 10320 ORLLAND PKWY ORLANDPARK, IL 60467 | SUN LIFE ASSURANCE COMPANY OF CANADA | $2K | — | $2K | 16.52% |
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 | 175 | 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) | 175 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMPCARE HEALTH SERVICES INSURANCE CORPORATION (G0423) | 0 | $939K |
| Dental | DELTA DENTAL OF WISCONSIN | 110 | $90K |
| Vision | WYSSTA INSURANCE COMPANY | 84 | $10K |
| Life insurance(2 contracts) | SUN LIFE ASSURANCE COMPANY OF CANADA | 158 | $70K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 158 | $61K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 158 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.