| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| VIZANCE, INC.3 Filed as: VIZANCE BENEFITS LLC | 1320 WALNUT RIDGE DRIVE SUITE 200 HARTLAND, WI 53029 | DELTA DENTAL OF WISCONSIN | $8K | $0 | $8K | 3.10% |
| VIZANCE, INC.3 Filed as: VIZANCE INC | 1320 WALNUT RIDGE DRIVE SUITE 200 HARTLAND, WI 53029 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $12K | $0 | $12K | 8.72% |
| HAUSMANN-JOHNSON INSURANCE INC3 Filed as: THE HAUSMANN-JOHNSON INSURANCE | 740 REGENT STREET SUITE 400 MADISON, WI 53715 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $9K | $726 | $9K | 6.81% |
| VIZANCE, INC.3 Filed as: VIZANCE INC | 1320 WALNUT RIDGE DRIVE SUITE 200 HARTLAND, WI 53029 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $8K | $0 | $8K | 8.65% |
| HAUSMANN-JOHNSON INSURANCE INC3 Filed as: THE HAUSMANN-JOHNSON INSURANCE | 740 REGENT STREET SUITE 400 MADISON, WI 53715 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $6K | $515 | $7K | 6.88% |
| VIZANCE, INC.3 Filed as: VIZANCE BENEFITS LLC | 1320 WALNUT RIDGE DRIVE SUITE 200 HARTLAND, WI 53029 | DELTA DENTAL OF WISCONSIN | $2K | $0 | $2K | 3.70% |
| VIZANCE, INC.3 Filed as: VIZANCE INC | 1320 WALNUT RIDGE DRIVE SUITE 200 HARTLAND, WI 53029 | UNUM INSURANCE COMPANY | $2K | $0 | $2K | 4.58% |
| HAUSMANN-JOHNSON INSURANCE INC3 Filed as: THE HAUSMANN-JOHNSON INSURANCE | 740 REGENT STREET SUITE 400 MADISON, WI 53715 | UNUM INSURANCE COMPANY | $2K | $251 | $2K | 3.95% |
| HAUSMANN GROUP INC3 Filed as: HAUSMANN GROUP | P.O. BOX 259408 MADISON, WI 537159408 | WYSSTA INSURANCE COMPANY INC. | $529 | $0 | $529 | 1.16% |
| VIZANCE, INC.3 Filed as: VIZANCE BENEFITS LLC | 1320 WALNUT RIDGE DRIVE SUITE 200 HARTLAND, WI 53029 | WYSSTA INSURANCE COMPANY INC. | $303 | $0 | $303 | 0.67% |
| INGENIUM PRIME INC3 | PO BOX 259408 MADISON, WI 537159408 | WYSSTA INSURANCE COMPANY INC. | $78 | $0 | $78 | 0.17% |
| HAUSMANN-JOHNSON INSURANCE INC3 Filed as: THE HAUSMANN-JOHNSON INSURANCE | 740 REGENT STREET SUITE 400 MADISON, WI 53715 | UNUM INSURANCE COMPANY | $3K | $616 | $4K | 9.49% |
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 | 1,041 | 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) | 1,041 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts) | DELTA DENTAL OF WISCONSIN | 446 | $304K |
| Vision | WYSSTA INSURANCE COMPANY INC. | 504 | $45K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,041 | $253K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,041 | $139K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 233 | $97K |
| Other(4 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,041 | $341K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,041 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.