No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| SECURITY ADMINISTRATIVE SERVICES EIN 39-1572880 THIRD PARTY ADMINISTRATO | Claims processing Service code 12 | 1515 ST. JOSEPH AVE MARSHFIELD, WI 54449 | $165K |
| PREMIER HEALTHCARE EXCHANGE EIN 86-1040704 ADMINISTRATOR | Claims processing Service code 12 | 2 CROSSROADS DRIVE BEDMINSTER, NJ 07921 | $84K |
| ANSAY & ASSOCIATES LLC EIN 27-1304628 CONSULTANT | Consulting (pension) Service code 17 | — | $72K |
| HINES & ASSOCIATES EIN 36-3545085 OTHER SERVICES | Other services Service code 49 | — | $51K |
| DELTA DENTAL OF WISCONSIN EIN 39-6094742 THIRD PARTY ADMINISTRATO | Contract Administrator Service code 13 | — | $31K |
| RXEDO EIN 73-1688722 ADMINISTRATOR | Claims processing Service code 12 | 7800 DALLAS PARKWAY SUITE 460 PLANO, TX 75024 | $13K |
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 | 724 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 727 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | WYSSTA INSURANCE COMPANY | 426 | $60K |
| Life insurance | THE HARTFORD | 724 | $77K |
| Long-term disability | THE HARTFORD | 724 | $77K |
| Stop-loss / reinsurancereinsurance | HM LIFE INSURANCE COMPANY | 1,177 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,177 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.