| 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 | COMPCARE HEALTH SERVICES INSURANCE CORPORATION | $163K | — | $163K | 3.77% |
| BENEFIT SERVICES GROUP, INC.3 Filed as: THE BENEFIT SERVICES GROUP INC | PO BOX 78117 MILWAUKEE, WI 53278 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $63K | — | $63K | 12.17% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVE-SUITE 1100 CHICAGO, IL 60603 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $183 | $183 | 0.04% |
| INGENIUM PRIME INC3 Filed as: INGENIUM PRIME, INC. | N25 W23050 PAUL ROAD PEWAUKEE, WI 530720000 | DELTA DENTAL OF WISCONSIN | $28K | — | $28K | 6.19% |
| BENEFIT SERVICES GROUP, INC.3 Filed as: THE BENEFIT SERVICES GROUP | N25 W23050 PAUL RD PEWAUKEE, WI 53072 | QUARTZ HEALTH BENEFIT PLANS CORPORATION | $13K | — | $13K | 3.21% |
| BENEFIT SERVICES GROUP, INC.3 Filed as: BENEFIT SERVICES GROUP | N25 W23050 PAUL ROAD PEWAUKEE, WI 53072 | SELECTHEALTH | $12K | — | $12K | 4.23% |
| BENEFIT SERVICES GROUP, INC.3 Filed as: THE BENEFIT SERVICES GROUP | PO BOX 78117 MILWAUKEE, WI 53278 | SUPERIOR VISION INSURANCE PLAN OF WISCONSIN, INC. | $6K | — | $6K | 10.00% |
| M BARRINGTON CORPORATION3 Filed as: M BARRINGTON CORP | 1325 W TOWNE SQUARE RD MEQUON, WI 53092 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $3K | $243 | $3K | 7.24% |
| BENEFIT SERVICES GROUP, INC.3 Filed as: THE BENEFIT SERVICES GROUP INC | PO BOX 6762 CAROL STREAM, IL 60197 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 5.35% |
| BENEFIT SERVICES GROUP, INC.3 Filed as: BENEFIT SERVICES GROUP | PO BOX 6762 CAROL STREAM, IL 60197 | CARE-PLUS DENTAL PLANS, INC. | $2K | — | $2K | 5.00% |
| M BARRINGTON CORPORATION3 Filed as: M. BARRINGTON CORP. | 1325 W TOWNE SQUARE RD MEQUON, WI 53092 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $392 | $6 | $398 | 5.22% |
| BENEFIT SERVICES GROUP, INC.3 Filed as: THE BENEFIT SERVICES GROUP INC. | PO BOX 6762 CAROL STREAM, IL 60197 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $269 | — | $269 | 3.53% |
| M BARRINGTON CORPORATION3 Filed as: M BARRINGTON CORP | 1325 W TOWNE SQUARE RD MEQUON, WI 53212 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $727 | $134 | $861 | 12.23% |
| BENEFIT SERVICES GROUP, INC.3 Filed as: THE BENEFIT SERVICES GROUP INC | PO BOX 6762 CAROL STREAM, IL 60197 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $668 | — | $668 | 9.49% |
| BENEFIT SERVICES GROUP, INC.3 Filed as: BENEFIT SERVICES GROUP INC. | W226 N887 EASTMOUND DRIVE WAUKESHA, WI 53186 | BLUE CROSS BLUE SHIELD OF WISCONSIN | $15K | — | $15K | — |
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 | 565 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 2 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 573 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | COMPCARE HEALTH SERVICES INSURANCE CORPORATION | 717 | $5.0M |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF WISCONSIN | 413 | $489K |
| Vision | SUPERIOR VISION INSURANCE PLAN OF WISCONSIN, INC. | 422 | $58K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 565 | $521K |
| Long-term disability(4 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 565 | $575K |
| Prescription drug | QUARTZ HEALTH BENEFIT PLANS CORPORATION | 99 | $413K |
| Other | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 565 | $521K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 717 | — |
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.