| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AUXIANT3 | 3002 PERRY STREET MADISON, WI 53713 | EVEREST RE | $32K | — | $32K | 4.50% |
| HAUSMANN-JOHNSON INSURANCE INC3 Filed as: HAUSMANN-JOHNSON INSURANCE | PO BOX 259408 MADISON, WI 53725 | EVEREST RE | — | $5K | $5K | 0.75% |
| HAUSMANN GROUP INC3 | 740 REGENT ST STE 400 MADISON, WI 53715 | QUARTZ HEALTH BENEFIT PLANS | $6K | — | $6K | 2.55% |
| JESSE OBERLOH3 | 740 REGENT STREET #400 MADISON, WI 53715 | DEAN HEALTH PLAN INC | $2K | — | $2K | 1.02% |
| INGENIUM PRIME INC3 Filed as: INGENIUM PRIME, INC. | 700 REGENT STREET MADISON, WI 53715 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $15K | — | $15K | 7.83% |
| JESSE OBERLOH3 | 740 REGENT STREET #400 MADISON, WI 53715 | DEAN HEALTH PLAN INC | $2K | — | $2K | 1.57% |
| HAUSMANN GROUP INC3 | PO BOX 259408 MADISON, WI 53715 | EYEMED | $3K | — | $3K | 11.63% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AUXIANT CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 3002 PERRY STREET MADISON, WI 53713 | $207K |
| DELTA DENTAL OF WISCONSIN EIN 39-6094742 TPA (DENTAL BENEFIT) | Contract Administrator Service code 13 | — | $12K |
| HAUSMANN GROUP INS. AGENT OR BROKER | Insurance agents and brokers Service code 22 | PO BOX 259408 MADISON, WI 53715 | $2K |
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 | 224 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 4 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 231 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | QUARTZ HEALTH BENEFIT PLANS | 37 | $592K |
| Vision | EYEMED | 284 | $22K |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 284 | $194K |
| Short-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 284 | $194K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 284 | $194K |
| Prescription drug | QUARTZ HEALTH BENEFIT PLANS | 37 | $239K |
| Stop-loss / reinsurancereinsurance | EVEREST RE | 227 | $719K |
| Other | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 284 | $194K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 284 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.