| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| W B A-EMPLOYEE BENEFITS CORP3 Filed as: W B A - EMPLOYEE BENEFITS CORP | W B A TRUST 4721 S BILTMORE LN MADISON, WI 53718 | DELTA DENTAL OF WISCONSIN | $68K | — | $68K | 4.75% |
| TAYLOR ORTON3 | COTTINGHAM AND BUTLER INSURANCE SER 800 MAIN ST DUBUQUE, IA 52001 | PREVEA360 HEALTH PLAN | $22K | — | $22K | 1.88% |
| COTTINGHAM & BUTLER3 Filed as: COTTINGHAM AND BUTLER | — | UNUM LIFE INSURANCE COMPANY OF AMERICA | $8K | $4K | $12K | 15.00% |
| COTTINGHAM & BUTLER3 Filed as: COTTINGHAM AND BUTLER | — | UNUM INSURANCE COMPANY | $3K | $471 | $3K | 17.34% |
| WBA EMPLOYEE BENEFITS CORP3 Filed as: WBA - EMPLOYEE BENEFIT CORP | 4721 S. BILTMORE LANE MADISON, WI 53718 | SUPERIOR VISION INSURANCE PLAN OF WISCONSIN INC. | $1K | — | $1K | 7.54% |
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 | 111 | 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) | 111 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PREVEA360 HEALTH PLAN | 0 | $1.2M |
| Dental | DELTA DENTAL OF WISCONSIN | 1,216 | $1.4M |
| Vision | SUPERIOR VISION INSURANCE PLAN OF WISCONSIN INC. | 227 | $17K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 98 | $80K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 98 | $80K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 98 | $80K |
| Other(3 contracts, 3 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 107 | $103K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,216 | — |
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.