| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT SERVICES GROUP, INC.3 | N25 W23050 PAUL ROAD PEWAUKEE, WI 53072 | WPS HEALTH PLAN, INC. | $15K | — | $15K | 3.66% |
| INGENIUM PRIME INC3 Filed as: INGENIUM PRIME, INC. | N25 W23050 PAUL ROAD PEWAUKEE, WI 53072 | DELTA DENTAL OF WISCONSIN | $4K | — | $4K | 6.16% |
| INGENIUM PRIME INC3 Filed as: INGENIUM PRIME INC. | 740 REGENT STREET MADISON, WI 53715 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | $1K | $4K | 10.79% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK - SUITE A BEACHWOOD, OH 44122 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $433 | $433 | 1.30% |
| INGENIUM PRIME INC3 Filed as: INGENIUM PRIME INC. | 740 REGENT STREET MADISON, WI 53715 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | $406 | $2K | 18.23% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK - SUITE A BEACHWOOD, OH 44122 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $170 | $170 | 1.35% |
| INGENIUM PRIME INC3 Filed as: INGENIUM PRIME INC. | 740 REGENT STREET MADISON, WI 53715 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | $218 | $1K | 18.04% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK - SUITE A BEACHWOOD, OH 44122 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $91 | $91 | 1.27% |
| BENEFIT SERVICES GROUP, INC.3 Filed as: THE BENEFIT SERVICES GROUP | PO BOX 6762 CAROL STREAM, IL 60197 | VISION SERVICE PLAN | $554 | — | $554 | 8.98% |
| INGENIUM PRIME INC3 Filed as: INGENIUM PRIME INC. | 740 REGENT STREET MADISON, WI 53715 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $501 | $103 | $604 | 16.42% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK - SUITE A BEACHWOOD, OH 44122 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $44 | $44 | 1.20% |
| BENEFIT SERVICES GROUP, INC.0 | N25 W23050 PAUL ROAD PEWAUKEE, WI 53072 | WISCONSIN COLLABORATIVE INSURANCE COMPANY | $1K | — | $1K | — |
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 | 151 | 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) | 152 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | WPS HEALTH PLAN, INC. | 82 | $419K |
| Dental | DELTA DENTAL OF WISCONSIN | 94 | $58K |
| Vision | VISION SERVICE PLAN | 67 | $6K |
| Life insurance(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 151 | $11K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 125 | $33K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 59 | $13K |
| Other(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 151 | $37K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 151 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.