| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAUSMANN GROUP INC3 | 740 REGENT ST. #400 PO BOX 259408 MADISON, WI 53715 | GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN | $15K | — | $15K | 4.13% |
| HAUSMANN GROUP INC3 | 740 REGENT ST MADISON, WI 53715 | STANDARD INSURANCE COMPANY | $2K | $305 | $3K | 5.08% |
| INGENIUM PRIME INC3 Filed as: INGENIUM PRIME, INC. | PO BOX 259408 MADISON, WI 53725 | STANDARD INSURANCE COMPANY | $223 | — | $223 | 0.44% |
| HAUSMANN GROUP INC3 | 740 REGENT ST MADISON, WI 53715 | STANDARD INSURANCE COMPANY | $4K | — | $4K | 11.58% |
| INGENIUMPRIME INC3 | PO BOX 259408 MADISON, WI 53725 | STANDARD INSURANCE COMPANY | $468 | $367 | $835 | 2.48% |
| HAUSMANN GROUP INC3 | 740 REGENT ST MADISON, WI 53715 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 11.24% |
| INGENIUMPRIME INC3 | PO BOX 259408 MADISON, WI 53725 | STANDARD INSURANCE COMPANY | $500 | $341 | $841 | 2.94% |
| HAUSMANN GROUP INC3 | 740 REGENT ST MADISON, WI 53715 | STANDARD INSURANCE COMPANY | $675 | $89 | $764 | 10.10% |
| INGENIUMPRIME INC3 | PO BOX 259408 MADISON, WI 53725 | STANDARD INSURANCE COMPANY | $68 | — | $68 | 0.90% |
| HAUSMANN GROUP INC3 | 740 REGENT ST MADISON, WI 53715 | STANDARD INSURANCE COMPANY | $846 | — | $846 | 11.25% |
| INGENIUMPRIME INC3 | PO BOX 259408 MADISON, WI 53725 | STANDARD INSURANCE COMPANY | $137 | $116 | $253 | 3.36% |
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 | 149 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 149 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN | 59 | $357K |
| Dental | STANDARD INSURANCE COMPANY | 73 | $50K |
| Vision | STANDARD INSURANCE COMPANY | 44 | $8K |
| Life insurance | STANDARD INSURANCE COMPANY | 149 | $34K |
| Short-term disability | STANDARD INSURANCE COMPANY | 11 | $8K |
| Long-term disability | STANDARD INSURANCE COMPANY | 23 | $29K |
| Prescription drug | GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN | 59 | $357K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 149 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.