No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UMR, INC EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | — | $885K |
| WAICU EIN 39-1039417 EMPLOYEE ORG | Direct payment from the plan; Plan Administrator; Named fiduciary; Employee (plan) Service code 14 | — | $452K |
| QUANTUM HEALTH EIN 31-1634033 NONE | Direct payment from the plan; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Recordkeeping fees Service code 13 | — | $234K |
| MILLIMAN NONE | Contract Administrator Service code 13 | 1301 FIFTH AVENUE, SUITE 3800 SEATTLE, WA 98101 | $108K |
| DELTA DENTAL OF WISCONSIN, INC EIN 39-6094742 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator Service code 13 | — | $53K |
| R.W. BAIRD & CO EIN 39-6037917 NONE | Investment management Service code 28 | — | $40K |
| BAKER TILLY US, LLP EIN 39-0859910 NONE | Accounting (including auditing) Service code 10 | — | $26K |
| CAREMARK EIN 05-0340626 NONE | Direct payment from the plan; Recordkeeping fees; Contract Administrator Service code 13 | — | $18K |
| ASSOCIATED BANK EIN 39-1564826 NONE | Investment advisory (plan); Investment management fees paid indirectly by plan; Investment management fees paid directly by plan; Direct payment from the plan Service code 27 | — | $8K |
| FOND DU LAC AREA HEALTH PLAN EIN 39-1745194 NONE | Direct payment from the plan; Recordkeeping fees; Contract Administrator Service code 13 | — | $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 | 1,426 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 66 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 12 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,504 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance(9 contracts) | SYMETRA LIFE INSURANCE COMPANY | 369 | $1.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 369 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.