| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE BENEFITWORKS LLC3 Filed as: THE BENEFITWORKS, LLC | 6200 MINERAL POINT ROAD MADISON, WI 53705 | DEAN HEALTH PLAN INC. | $31K | — | $31K | 1.37% |
| THE BENEFITWORKS LLC3 | 6200 MINERAL POINT ROAD MADISON, WI 53705 | DELTA DENTAL OF WI | $21K | $0 | $21K | 5.20% |
| THE BENEFITWORKS LLC3 | 6200 MINERAL POINT RD. MADISON, WI 53705 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $11K | — | $11K | 6.33% |
| THE BENEFITWORKS LLC3 | 6200 MINERAL POINT RD. MADISON, WI 53705 | UNUM LIFE INSURANCE OF AMERICA | $19K | — | $19K | 20.00% |
| THE BENEFITWORKS LLC3 | 6200 MINERAL POINT ROAD MADISON, WI 53705 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $7K | — | $7K | 16.34% |
| THE BENEFITWORKS LLC3 | 6200 MINERAL POINT RD. MADISON, WI 53705 | WYSSTA INSURANCE COMPANY, INC. | $2K | — | $2K | 6.80% |
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 | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 477 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | DEAN HEALTH PLAN INC. | 457 | $2.3M |
| Dental | DELTA DENTAL OF WI | 455 | $413K |
| Vision | WYSSTA INSURANCE COMPANY, INC. | 197 | $28K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 471 | $224K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 471 | $181K |
| Other(3 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 471 | $322K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 471 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.