| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TRICOR, INC3 Filed as: TRICOR INSURANCE | 230 W CHERRY ST LANCASTER, WI 53813 | QUARTZ HEALTH BENEFITS PLANS CORPORATION | -$2K | — | -$2K | -0.26% |
| HAUSMANN-JOHNSON INSURANCE INC3 Filed as: HAUSMANN-JOHNSON INSURANCE | 740 REGENT ST SUITE 400 MADISON, WI 53715 | QUARTZ HEALTH BENEFITS PLANS CORPORATION | -$17K | — | -$17K | -2.36% |
| HAUSMANN-JOHNSON INSURANCE INC - MI3 | 740 REGENT ST. #400 PO BOX 259408 MADISON, WI 537259408 | GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN | $16K | — | $16K | 4.82% |
| HAUSMANN-JOHNSON INSURANCE INC3 | PO BOX 259408 MADISON, WA 537159408 | DELTA DENTAL OF WISCONSIN | $3K | — | $3K | 5.33% |
| HAUSMANN-JOHNSON INSURANCE INC3 Filed as: HAUSMANN JOHNSON INS INC | 700 REGENT STREET MADISON, WI 53715 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | — | $4K | 13.87% |
| TRICOR, INC3 Filed as: TRICOR INC | PO BOX 450 LANCASTER, WI 538130450 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $289 | — | $289 | 1.13% |
| HAU3 | 700 REGENT STREET MADISON, WI 53715 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 13.89% |
| TRICOR, INC3 Filed as: TRICOR INC | PO BOX 450 LANCASTER, WI 538130450 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $200 | — | $200 | 1.11% |
| HAUSMANN-JOHNSON INSURANCE INC3 Filed as: HAUSMANN JOHNSON INS INC | 700 REGENT STREET MADISON, WI 53715 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 13.78% |
| TRICOR, INC3 Filed as: TRICOR INC | PO BOX 450 LANCASTER, WI 538130450 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $154 | — | $154 | 1.22% |
| HAUSMANN-JOHNSON INSURANCE INC3 Filed as: HAUSMANN JOHNSON INS INC | 700 REGENT STREET MADISON, WI 53715 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $815 | — | $815 | 11.52% |
| TRICOR, INC3 Filed as: TRICOR INC | PO BOX 450 LANCASTER, WI 538130450 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $78 | — | $78 | 1.10% |
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 | 177 | 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) | 177 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | QUARTZ HEALTH BENEFITS PLANS CORPORATION | 160 | $1.0M |
| Dental | DELTA DENTAL OF WISCONSIN | 135 | $60K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 177 | $7K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 91 | $26K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 50 | $18K |
| Prescription drug | QUARTZ HEALTH BENEFITS PLANS CORPORATION | 0 | $721K |
| Other(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 177 | $20K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 177 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.