| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 | 245 SOUTH EXECUTIVE DRIVE SUITE 200 BROOKFIELD, WI 53005 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $7K | $2K | $9K | 4.98% |
| NATIONAL BENEFIT CONSULTANTS, INC.3 | 208 EAST OAK CREST DRIVE WALES, WI 53183 | EXPRESS SCRIPTS, INC. | $1K | $0 | $1K | 2.17% |
| NATIONAL BENEFIT CONSULTANTS, INC.3 | 208 EAST OAK CREST DRIVE WALES, WI 53183 | TRANSAMERICA PREMIER LIFE INSURANCE COMPANY | $6K | $0 | $6K | 11.06% |
| GALLAGHER BENEFIT SERVICES, INC.3 | NORTH 27 WEST 23960 PAUL ROAD SUITE 100 PEWAUKEE, WI 53072 | TRANSAMERICA PREMIER LIFE INSURANCE COMPANY | $2K | $0 | $2K | 4.06% |
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 | 274 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 18 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 5 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 297 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | TRANSAMERICA PREMIER LIFE INSURANCE COMPANY | 18 | $53K |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | 494 | $35K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 276 | $180K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 276 | $180K |
| Prescription drug | EXPRESS SCRIPTS, INC. | 18 | $60K |
| Other(3 contracts, 3 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 681 | $231K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 681 | — |
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."
No prospect flags tripped on this filing.