| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT SERVICES GROUP, INC., THE3 | N25 W23050 PAUL RD PEWAUKEE, WI 53072 | HEALTHPARTNERS, INC | $44K | — | $44K | 4.96% |
| BENEFIT SERVICES GROUP, INC.3 Filed as: THE BENEFIT SERVICES GROUP | PO BOX 88911 MILWAUKEE, WI 53288 | UNITY HEALTH PLANS INSURANCE CORPORATION | $29K | — | $29K | 4.99% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM BLUE CROSS BLUE SHIELD OF WI EIN 39-0138065 NONE | Other services; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other fees; Float revenue; Contract Administrator Service code 12 | — | $331K |
| WISCONSIN COLLABORATIVE INSURANCE C EIN 47-5569628 NONE | Other fees; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Other services; Float revenue; Claims processing Service code 12 | — | $319K |
| BLUE CROSS BLUE SHIELD OF WISCONSIN | Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Insurance brokerage commissions and fees; Claims processing; Other commissions; Insurance agents and brokers; Contract Administrator Service code 12 | — | $166K |
| DELTA DENTAL OF WISCONSIN EIN 39-6094742 NONE | Contract Administrator Service code 13 | — | $32K |
| VISION SERVICE PLAN EIN 06-1227840 NONE | Insurance agents and brokers; Other commissions; Direct payment from the plan; Contract Administrator; Claims processing; Insurance brokerage commissions and fees Service code 12 | — | $25K |
| DISCOVERY BENEFITS EIN 90-0058554 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $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 | 2,967 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 9 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 248 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,224 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HEALTHPARTNERS, INC | 165 | $1.5M |
| Prescription drug | UNITY HEALTH PLANS INSURANCE CORPORATION | 90 | $575K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF WISCONSIN | 2,059 | $952K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,059 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.