| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAUSMANN GROUP INC3 | 700 REGENT ST #400 MADISON, WI 53715 | QUARTZ HEALTH BENEFIT PLANS CORPORATION | $27K | — | $27K | 1.03% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS INC | MAIL STOP 072103 MADISON PO BOX 4134 CLINTON, IA 527334134 | HARTFORD LIFE AND ACCIDENT | $11K | $2K | $13K | 17.70% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS INC | PO BOX 95287 CHICAGO, IL 60694 | HARTFORD LIFE AND ACCIDENT | — | $1K | $1K | 1.54% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS INC | MAIL STOP 072103 MADISON PO BOX 4134 CLINTON, IA 527334134 | HARTFORD LIFE AND ACCIDENT | $6K | $2K | $7K | 12.75% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS INC | PO BOX 95287 CHICAGO, IL 60694 | HARTFORD LIFE AND ACCIDENT | — | $967 | $967 | 1.74% |
| HAUSMANN GROUP INC3 | 740 REGENT ST STE 400 MADISON, WI 537152650 | VISION SERVICE PLAN | $951 | — | $951 | 6.09% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS INC | MAIL STOP 072103 MADISON PO BOX 4134 CLINTON, IA 527334134 | HARTFORD LIFE AND ACCIDENT | $2K | — | $2K | 15.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS INC | PO BOX 95287 CHICAGO, IL 60694 | HARTFORD LIFE AND ACCIDENT | — | $188 | $188 | 1.49% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS INC | MAIL STOP 072103 MADISON PO BOX 4134 CLINTON, IA 527334134 | HARTFORD LIFE AND ACCIDENT | $624 | — | $624 | 15.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS INC | PO BOX 95287 CHICAGO, IL 60694 | HARTFORD LIFE AND ACCIDENT | — | $70 | $70 | 1.68% |
| INGENIUM PRIME INC3 | PO BOX 259408 MADISON, WI 537159408 | DELTA DENTAL OF WISCONSIN | $539 | — | $539 | — |
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 | 204 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 13 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 217 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF WISCONSIN | 148 | $0 |
| Vision | VISION SERVICE PLAN | 121 | $16K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 179 | $72K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 179 | $56K |
| Prescription drug | QUARTZ HEALTH BENEFIT PLANS CORPORATION | 350 | $2.6M |
| Other(3 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 230 | $23K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 350 | — |
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.
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.