| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TRICOR, INC3 Filed as: TRICOR INSURANCE BRADLEY SCHROEDER | 724 E. MAIN STREET STOUGHTON, WI 53589 | DEAN HEALTH PLAN INC | $19K | — | $19K | 1.33% |
| TRICOR, INC3 Filed as: TRICOR INSURANCE | 230 W CHERRY ST LANCASTER, WI 53813 | QUARTZ HEALTH BENEFIT PLANS CORPORATION | $21K | — | $21K | 1.49% |
| TRICOR, INC3 Filed as: TRICOR INSURANCE AGENCY | 230 W CHERRY ST LANCASTER, WI 53813 | DELTA DENTAL OF WISCONSIN | $7K | — | $7K | 3.51% |
| TRICOR, INC3 | 230 W CHERRY ST LANCASTER, WI 538131629 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | $7K | $13K | 9.01% |
| TRICOR, INC3 | 230 WEST CHERRY STREET LANCASTER, WI 53813 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $7K | $3K | $10K | 16.93% |
| TRICOR, INC3 | 230 W CHERRY ST LANCASTER, WI 538131629 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $3K | $7K | 14.08% |
| TRICOR, INC3 | 230 W CHERRY ST LANCASTER, WI 538131629 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $2K | $5K | 14.25% |
| TRICOR, INC3 | 230 W CHERRY ST LANCASTER, WI 538131629 | MUTUAL OF OMAHA INSURANCE COMPANY | $454 | $276 | $730 | 16.06% |
| TRICOR, INC3 Filed as: TRICOR, INC. | 230 W CHERRY ST. LANCASTER, WI 53813 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $399 | $167 | $566 | 21.28% |
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 | 254 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 260 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | DEAN HEALTH PLAN INC | 251 | $2.9M |
| Dental | DELTA DENTAL OF WISCONSIN | 236 | $201K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 258 | $94K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 259 | $145K |
| Long-term disability(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 129 | $53K |
| Prescription drug | QUARTZ HEALTH BENEFIT PLANS CORPORATION | 220 | $1.4M |
| Other(4 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 258 | $101K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 259 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.