| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT SERVICES GROUP, INC.3 | N25 W23050 PAUL ROAD PEWAUKEE, WI 53072 | WISCONSIN COLLABORATIVE INSURANCE COMPANY | $14K | — | $14K | 3.75% |
| INGENIUM PRIME INC3 Filed as: INGENIUM PRIME, INC. | N25 W23050 PAUL ROAD PEWAUKEE, WI 53072 | DELTA DENTAL OF WISCONSIN | $3K | — | $3K | 6.45% |
| INGENIUM PRIME INC3 Filed as: INGENIUM PRIME INC. | 740 REGENT STREET MADISON, WI 53715 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 8.05% |
| INGENIUM PRIME INC3 Filed as: INGENIUM PRIME INC. | 740 REGENT STREET MADISON, WI 53715 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 15.00% |
| INGENIUM PRIME INC3 Filed as: INGENIUM PRIME INC. | 740 REGENT STREET MADISON, WI 53715 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | — | $1K | 15.00% |
| BENEFIT SERVICES GROUP, INC.3 Filed as: THE BENEFIT SERVICES GROUP | PO BOX 6762 CAROL STREAM, IL 60197 | VISION SERVICE PLAN | $464 | — | $464 | 9.99% |
| INGENIUM PRIME INC3 Filed as: INGENIUM PRIME INC. | 740 REGENT STREET MADISON, WI 53715 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $441 | — | $441 | 13.88% |
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 | 117 | 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) | 118 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WISCONSIN COLLABORATIVE INSURANCE COMPANY | 70 | $386K |
| Dental | DELTA DENTAL OF WISCONSIN | 75 | $53K |
| Vision | VISION SERVICE PLAN | 41 | $5K |
| Life insurance(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 117 | $10K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 113 | $32K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 58 | $13K |
| Other(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 117 | $35K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 117 | — |
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.