| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAUSMANN GROUP INC3 Filed as: HAUSMANN GROUP INC. | 740 REGENT STREET- #400 MADISON, WI 53715 | QUARTZ HEALTH BENEFIT PLANS CORPORATION | $13K | — | $13K | 2.20% |
| HAUSMANN GROUP INC3 Filed as: HAUSMANN GROUP INC. | 740 REGENT STREET - SUITE 400 MADISON, WI 53715 | SUN LIFE ASSURANCE CMPANY OF CANADA | $9K | — | $9K | 10.79% |
| INGENIUM PRIME INC3 Filed as: INGENIUM PRIME INC. | PO BOX 259408 MADISON, WI 53715 | DELTA DENTAL OF WISCONSIN | $3K | — | $3K | 8.14% |
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 | 108 | 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) | 108 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | QUARTZ HEALTH BENEFIT PLANS CORPORATION | 57 | $588K |
| Dental | DELTA DENTAL OF WISCONSIN | 50 | $41K |
| Life insurance | SUN LIFE ASSURANCE CMPANY OF CANADA | 108 | $86K |
| Short-term disability | SUN LIFE ASSURANCE CMPANY OF CANADA | 108 | $86K |
| Long-term disability | SUN LIFE ASSURANCE CMPANY OF CANADA | 108 | $86K |
| Prescription drug | QUARTZ HEALTH BENEFIT PLANS CORPORATION | 57 | $588K |
| Other | SUN LIFE ASSURANCE CMPANY OF CANADA | 108 | $86K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 108 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.