| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAUSMANN-JOHNSON INSURANCE INC3 Filed as: HAUSMANN-JOHNSON INSURANCE | PO BOX 259408 MADISON, WI 53725 | HCC LIFE INSURANCE COMPANY | $104K | $6K | $110K | 19.02% |
| AUXIANT3 | 2450 RIMROCK RD MADISON, WI 53713 | HCC LIFE INSURANCE COMPANY | $36K | — | $36K | 6.29% |
| JESSE OBERLOH3 | 740 REGENT ST. #400 MADISON, WI 53715 | DEAN HEALTH PLAN INC | $4K | — | $4K | 1.91% |
| INGENIUM PRIME INC3 Filed as: INGENIUM PRIME, INC. | 700 REGENT STREET MADISON, WI 53715 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $13K | — | $13K | 7.06% |
| HAUSMANN-JOHNSON INSURANCE INC3 | PO BOX 259408 MADISON, WI 53715 | EYEMED | $2K | — | $2K | 9.85% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AUXIANT CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 2450 RIMROCK RD MADISON, WI 53713 | $149K |
| DELTA DENTAL OF WISCONSIN EIN 39-6094742 TPA (DENTAL BENEFIT) | Contract Administrator Service code 13 | — | $11K |
| INGENIUM PRIME INC INS. AGENT OR BROKER | Insurance agents and brokers Service code 22 | PO BOX 259408 MADISON, WI 53715 | $1K |
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 | 243 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 10 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 254 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | DEAN HEALTH PLAN INC | 27 | $220K |
| Vision | EYEMED | 552 | $23K |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 285 | $191K |
| Short-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 285 | $191K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 285 | $191K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 245 | $578K |
| Other | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 285 | $191K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 552 | — |
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 compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.