| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MUELLER QAAS LLC3 | 4349 BUCHANAN RD OCONOMOWOC, WI 53066 | COMPCARE HEALTH SERVICES INSURANCE CORPORATION | $1K | — | $1K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| COMPCARE HEALTH SERVICES INSURANCE EIN 39-1462554 SERVICE PROVIDER | Float revenue; Contract Administrator; Claims processing; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $121K |
| BLUE CROSS BLUE SHIELD OF WISCONSIN EIN 39-0138065 SERVICE PROVIDER | Claims processing; Other services; Float revenue; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $58K |
| EMPLOYEE BENEFITS CORPORATION SERVICE PROVIDER | Contract Administrator; Claims processing Service code 12 | P.O. BOX 44347 MADISON, WI 53744 | $12K |
| INGENIORX, INC. SERVICE PROVIDER | Other services; Claims processing; Contract Administrator; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | -$59K |
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 | 317 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 317 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | BLUE CROSS BLUE SHIELD OF WISCONSIN | 266 | $527K |
| Vision | BLUE CROSS BLUE SHIELD OF WISCONSIN | 266 | $527K |
| Life insurance | GUARDIAN | 317 | $119K |
| Short-term disability | GUARDIAN | 317 | $119K |
| Long-term disability | GUARDIAN | 317 | $119K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF WISCONSIN | 266 | $527K |
| Other | GUARDIAN | 317 | $119K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 317 | — |
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.