| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSOCIATED BENEFITS & RISK CON3 | 711 EISENHOWER DR KIMBERLY, WI 54136 | SECURITY HEALTH PLAN OF WISCONSIN INC | $67K | — | $67K | 2.43% |
| ASSOCIATED FINANCIAL GROUP LLC3 Filed as: ASSOCIATED FINANCIAL | 711 EISENHOWER DR KIMBERLY, WI 54136 | LIFE INSURANCE CO OF NORTH AMERICA | $7K | — | $7K | 10.00% |
| ASSOCIATED BENEFITS & RISK CON3 | 711 EISENHOWER DR KIMBERLY, WI 54136 | SECURITY HEALTH PLAN OF WISCONSIN INC | $173 | — | $173 | 0.90% |
| ASSOCIATED FINANCIAL GROUP LLC3 Filed as: ASSOCIATED FINANCIAL | 711 EISENHOWER DR KIMBERLY, WI 54136 | SUPERIOR VISION INSURANCE PLAN OF WISCONSIN INC. | $1K | — | $1K | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| LIFE INSURANCE COMPANY OF NORTH AM EIN 23-1503749 CLAIMS PROCESSING | Claims processing; Contract Administrator Service code 12 | — | $19K |
| DELTA DENTAL EIN 39-6094742 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $18K |
| ASSOCIATED BENEFITS & RISK CON INS AGENT OR BROKER | Insurance agents and brokers Service code 22 | 711 EISENHOWER DR KIMBERLY, WI 54136 | $381 |
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 | 1,111 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,112 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | SECURITY HEALTH PLAN OF WISCONSIN INC | 468 | $2.8M |
| Vision | SUPERIOR VISION INSURANCE PLAN OF WISCONSIN INC. | 344 | $15K |
| Life insurance | LIFE INSURANCE CO OF NORTH AMERICA | 315 | $67K |
| Prescription drug(2 contracts) | SECURITY HEALTH PLAN OF WISCONSIN INC | 468 | $2.8M |
| Other | LIFE INSURANCE CO OF NORTH AMERICA | 315 | $67K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 468 | — |
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."
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.