| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | 2120 PEWAUKEE RD SUITE 202 WAUKESHA, WI 53188 | BLUE CROSS BLUE SHIELD OF WISCONSIN | $22K | $2K | $24K | 1.93% |
| COMPASS BENEFITS LLC3 | 1205 CEDAR RD MOSINEE, WI 54455 | BLUE CROSS BLUE SHIELD OF WISCONSIN | $2K | — | $2K | 0.16% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES INC | 80 SOUTH 8TH ST SUITE 700 MINNEAPOLIS, MN 55402 | BLUE CROSS BLUE SHIELD OF WISCONSIN | -$74 | — | -$74 | -0.01% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | 2120 PEWAUKEE RD SUITE 202 WAUKESHA, WI 53188 | COMPCARE HEALTH SERVICES INSURANCE CORPORATION | $22K | $2K | $24K | 1.93% |
| COMPASS BENEFITS LLC3 | 1205 CEDAR RD MOSINEE, WI 54455 | COMPCARE HEALTH SERVICES INSURANCE CORPORATION | $2K | — | $2K | 0.16% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES INC | 80 SOUTH 8TH ST SUITE 700 MINNEAPOLIS, MN 55402 | COMPCARE HEALTH SERVICES INSURANCE CORPORATION | -$73 | — | -$73 | -0.01% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTL MIDWEST LTD DBA COMPA | 1205 CEDAR RD MOSINEE, WI 54455 | DELTA DENTAL OF WISCONSIN | $4K | — | $4K | 6.32% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTL MIDWEST LTD DBA COMPA | 1205 CEDAR RD MOSINEE, WI 54455 | WYSSTA INSURANCE COMPANY INC. | $2K | — | $2K | 10.15% |
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 | 0 | 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) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF WISCONSIN | 315 | $2.5M |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF WISCONSIN | 181 | $90K |
| Vision | WYSSTA INSURANCE COMPANY INC. | 181 | $23K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 315 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.