| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TIC INC3 | 701 SAND LAKE RD ONALASKA, WI 54650 | STANDARD INSURANCE COMPANY | $285K | — | $285K | 7.07% |
| BENEFITFOCUS.COM, INC.3 Filed as: BENEFITFOCUS.COM INC | 250 MARQUETTE AVE SUITE 900 MINNEALPOLIS, MN 55401 | STANDARD INSURANCE COMPANY | — | $10K | $10K | 0.26% |
| TIC INC3 | 701 SAND LAKE RD ONALASKA, WI 54650 | STANDARD INSURANCE COMPANY | $193K | — | $193K | 7.49% |
| BENEFITFOCUS.COM, INC.3 Filed as: BENEFITFOCUS.COM INC | 250 MARQUETTE AVE SUITE 900 MINNEALPOLIS, MN 55401 | STANDARD INSURANCE COMPANY | — | $6K | $6K | 0.25% |
| TIC INC3 | 701 SAND LAKE RD ONALASKA, WI 54650 | STANDARD INSURANCE COMPANY | $11K | — | $11K | 0.50% |
| BENEFITFOCUS.COM, INC.3 Filed as: BENEFITFOCUS.COM INC | 250 MARQUETTE AVE SUITE 900 MINNEALPOLIS, MN 55401 | STANDARD INSURANCE COMPANY | — | $5K | $5K | 0.21% |
| TIC INC3 | 701 SAND LAKE RD ONALASKA, WI 54650 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $57K | — | $57K | 4.12% |
| COTTINGHAM & BUTLER3 Filed as: COTTINGHAM & BUTLER INS SVCS INC | PO BOX 28 DUBUQUE, IA 52004 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $292 | — | $292 | 0.02% |
| FRINGE INSURANCE BENEFITS, INC.3 Filed as: FRINGE INS BENEFITS INC | 11910 ANDERSON MILL ROAD AUSTIN, TX 78726 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $95 | — | $95 | 0.01% |
| TIC INC3 | 701 SAND LAKE RD ONALASKA, WI 54650 | PAN-AMERICA LIFE INSURANCE COMPANY | $11K | — | $11K | 1.01% |
| TIC INC3 | 701 SAND LAKE RD ONALASKA, WI 54650 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $16K | — | $16K | 1.75% |
| FRINGE INSURANCE BENEFITS, INC.3 Filed as: FRINGE INS BENEFITS INC | 11910 ANDERSON MILL ROAD AUSTIN, TX 78726 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $5K | — | $5K | 0.57% |
| COTTINGHAM & BUTLER3 Filed as: COTTINGHAM & BUTLER INS SVCS INC | PO BOX 28 DUBUQUE, IA 52004 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $372 | — | $372 | 0.04% |
| BENEFITS TECHNOLOGIES LLC3 | 1200 E TAFT AVE SAPULPA, OK 74066 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $35 | — | $35 | 0.00% |
| TIC INC3 | 701 SAND LAKE RD ONALASKA, WI 54650 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $32K | — | $32K | 3.97% |
| COTTINGHAM & BUTLER3 Filed as: COTTINGHAM & BUTLER INS SVCS INC | PO BOX 28 DUBUQUE, IA 52004 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $30 | — | $30 | 0.00% |
| FRINGE INSURANCE BENEFITS, INC.3 Filed as: FRINGE INS BENEFITS INC | 11910 ANDERSON MILL ROAD AUSTIN, TX 78726 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $12 | — | $12 | 0.00% |
| TIC INC3 | 701 SAND LAKE RD ONALASKA, WI 546502442 | DELTA DENTAL OF WISCONSIN | $16K | — | $16K | 2.13% |
| TIC INC3 | 701 SAND LAKE RD ONALASKA, WI 54650 | STANDARD INSURANCE COMPANY | $5K | — | $5K | 1.00% |
| TIC INC3 | 701 SAND LAKE RD ONALASKA, WI 546502442 | WYSSTA INSURANCE COMPANY INC | $2K | — | $2K | 1.00% |
| TIC INC3 | 701 SAND LAKE RD ONALASKA, WI 54650 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 1.00% |
| TIC INC3 | 701 SAND LAKE RD ONALASKA, WI 54650 | PAN-AMERICA LIFE INSURANCE COMPANY | $24 | — | $24 | 1.01% |
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 | 34,580 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 52 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 34,632 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF WISCONSIN | 2,606 | $753K |
| Vision(2 contracts) | WYSSTA INSURANCE COMPANY INC | 8,953 | $1.4M |
| Life insurance(2 contracts) | STANDARD INSURANCE COMPANY | 15,919 | $2.8M |
| Short-term disability(2 contracts) | STANDARD INSURANCE COMPANY | 19,388 | $4.5M |
| Long-term disability | STANDARD INSURANCE COMPANY | 7,719 | $2.3M |
| Other(5 contracts, 2 carriers) | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 5,851 | $4.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 19,388 | — |
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."
No prospect flags tripped on this filing.