| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TRICOR, INC3 Filed as: TRICOR LLC | 230 W CHERRY ST LANCASTER, WI 53813 | QUARTZ HEALTH BENEFIT PLANS CORPORATION | $18K | — | $18K | 1.72% |
| TRICOR, INC3 Filed as: TRICOR INSURANCE | 2001 W BELTLINE SUITE 201 MADISON, WI 53713 | EQUITABLE | $21K | $2K | $23K | 17.37% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 Filed as: BOON-CHAPMAN BENEFIT ADMINISTRATOR | PO BOX 9201 BLDG 1 SUITE 100 AUSTIN, TX 78766 | EQUITABLE | — | $6K | $6K | 4.57% |
| GIS BENEFITS INC0 Filed as: GIS BENEFITS INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | EQUITABLE | $6K | — | $6K | 4.23% |
| TRICOR, INC3 Filed as: TRICOR LLC | PC BOX 450 LANCASTER, WI 53813 | METLIFE | $1K | — | $1K | — |
| GIS BENEFITS INC3 | 422 WAIJPONSEE ST MORRIS, IL 60450 | METLIFE | $553 | $448 | $1K | — |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 | P0 BOX 9201 AUSTIN, TX 78766 | METLIFE | — | $362 | $362 | — |
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 | 144 | 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) | 147 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | QUARTZ HEALTH BENEFIT PLANS CORPORATION | 146 | $1.1M |
| Dental(2 contracts, 2 carriers) | EQUITABLE | 124 | $135K |
| Vision(2 contracts, 2 carriers) | EQUITABLE | 124 | $135K |
| Life insurance | EQUITABLE | 124 | $135K |
| Short-term disability | EQUITABLE | 124 | $135K |
| Long-term disability | EQUITABLE | 124 | $135K |
| Prescription drug | QUARTZ HEALTH BENEFIT PLANS CORPORATION | 146 | $1.1M |
| Other | EQUITABLE | 124 | $135K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 146 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.