| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT SERVICES GROUP, INC.3 Filed as: BENEFIT SERVICES GROUP | PO BOX 78117 MILWAUKEE, WI 532780117 | BLUE CROSS BLUE SHIELD OF WISCONSIN | $147K | — | $147K | 5.03% |
| BENEFIT SERVICES GROUP, INC.3 Filed as: THE BENEFIT SERVICES GROUP | PO BOX 88911 MILWAUKEE, WI 53288 | UNITY HEALTH PLANS INSURANCE CORPORATION | $15K | — | $15K | 3.66% |
| BENEFIT SERVICES GROUP, INC.3 Filed as: THE BENEFIT SERVICES GROUP | PO BOX 78117 MILWAUKEE, WI 53278 | DELTA DENTAL OF WISCONSIN | $24K | — | $24K | 6.74% |
| BENEFIT SERVICES GROUP, INC.3 Filed as: THE BENEFIT SERVICES GROUP INC | PO BOX 78117 MILWAUKEE, WI 53278 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $62K | — | $62K | 17.31% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVE-SUITE 1100 CHICAGO, IL 60603 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $163 | $163 | 0.05% |
| BENEFIT SERVICES GROUP, INC.3 Filed as: BENEFIT SERVICES GROUP | N25 W23050 PAUL ROAD PEWAUKEE, WI 53072 | SELECTHEALTH | $7K | — | $7K | 4.73% |
| BENEFIT SERVICES GROUP, INC.3 Filed as: BENEFIT SERVICES GROUP INC | PO BOX 78117 MILWAUKEE, WI 53278 | HUMANA INSURANCE COMPANY | $1K | — | $1K | 1.54% |
| BENEFIT SERVICES GROUP, INC.3 Filed as: THE BENEFIT SERVICES GROUP | PO BOX 78117 MILWAUKEE, WI 53278 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY (SUPERIOR VISION PLAN) | $5K | — | $5K | 9.21% |
| M BARRINGTON CORPORATION3 Filed as: M BARRINGTON CORP | 4425 N. PORT WASHINGTON RD-STE 105 GLENDALE, WI 53212 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $4K | $243 | $4K | 9.69% |
| BENEFIT SERVICES GROUP, INC.3 Filed as: THE BENEFIT SERVICES GROUP INC | PO BOX 78117 MILWAUKEE, WI 53278 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $3K | — | $3K | 7.54% |
| M FINANCIAL HOLDINGS INC3 Filed as: M FINANCIAL HOLDINGS INC. | 1125 NW COUCH ST.-SUITE 900 PORTLAND, OR 97209 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $1K | $1K | 2.55% |
| BENEFIT SERVICES GROUP, INC.3 Filed as: BENEFIT SERVICES GROUP | PO BOX 78117 MILWAUKEE, WI 53278 | CARE-PLUS DENTAL PLANS, INC. | $1K | — | $1K | 5.00% |
| M BARRINGTON CORPORATION3 Filed as: M. BARRINGTON CORP. | 4425 N. PORT WASHINGTON RD-STE 105 GLENDALE, WI 53212 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $979 | $108 | $1K | 12.26% |
| BENEFIT SERVICES GROUP, INC.3 Filed as: THE BENEFIT SERVICES GROUP INC. | PO BOX 78117 MILWAUKEE, WI 53278 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $854 | — | $854 | 9.63% |
| M FINANCIAL HOLDINGS INC3 Filed as: M. FINANCIAL HOLDINGS | 1125 NW COUCH STREET - SUITE 900 PORTLAND, OR 97209 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $242 | $242 | 2.73% |
| M BARRINGTON CORPORATION3 Filed as: M BARRINGTON CORP | 4425 N. PORT WASHINGTON RD-STE 105 GLENDALE, WI 53212 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $653 | $42 | $695 | 11.31% |
| BENEFIT SERVICES GROUP, INC.3 Filed as: THE BENEFIT SERVICES GROUP INC | PO BOX 78117 MILWAUKEE, WI 53278 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $584 | — | $584 | 9.50% |
| M FINANCIAL HOLDINGS INC3 Filed as: M FINANCIAL HOLDINGS INC. | 1125 NW COUCH ST-SUITE 900 PORTLAND, OR 97209 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $140 | $140 | 2.28% |
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 | 471 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 9 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 480 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | BLUE CROSS BLUE SHIELD OF WISCONSIN | 604 | $3.6M |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF WISCONSIN | 369 | $391K |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY (SUPERIOR VISION PLAN) | 800 | $54K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 471 | $356K |
| Long-term disability(4 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 471 | $413K |
| Prescription drug(2 contracts, 2 carriers) | UNITY HEALTH PLANS INSURANCE CORPORATION | 131 | $500K |
| Other | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 471 | $356K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 800 | — |
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.