| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAUSMANN-JOHNSON INSURANCE INC3 | 740 REGENT STREET - 4TH FLOOR MADISON, WI 53715 | COMPCARE HEALTH SERVICES INSURANCE CORPORATION | $61K | — | $61K | 0.96% |
| HAUSMANN-JOHNSON INSURANCE INC3 Filed as: HAUSMANN-JOHNSON INSURANCE INC. | 740 REGENT STREET MADISON, WI 53715 | BLUE CROSS BLUE SHIELD OF WISCONSIN | $3K | — | $3K | 0.96% |
| INGENIUM PRIME INC3 | PO BOX 259408 MADISON, WI 537159408 | DELTA DENTAL OF WISCONSIN | $7K | — | $7K | 3.07% |
| BENEFIT SERVICES GROUP, INC.3 Filed as: THE BENEFIT SERVICES GROUP | W23050 PAUL ROAD PEWAUKEE, WI 53072 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $16K | $3K | $18K | 17.50% |
| BENEFIT SERVICES GROUP, INC.3 Filed as: THE BENEFIT SERVICES GROUP | W23050 PAUL ROAD PEWAUKEE, WI 53072 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $14K | $2K | $16K | 17.50% |
| INGENIUM PRIME INC3 | PO BOX 259408 MADISON, WI 53715 | DELTA DENTAL OF WISCONSIN | $3K | — | $3K | 3.74% |
| INGENIUM PRIME INC3 Filed as: INGENIUM PRIME, INC. | PO BOX 259408 MADISON, WI 53715 | WYSSTA INSURANCE COMPANY INC. | $973 | — | $973 | 2.00% |
| BENEFIT SERVICES GROUP, INC.3 Filed as: THE BENEFIT SERVICES GROUP, INC. | W23050 PAUL ROAD PEWAUKEE, WI 53072 | UNUM INSURANCE COMPANY | $3K | $1K | $4K | 10.50% |
| BENEFIT SERVICES GROUP, INC.3 Filed as: THE BENEFIT SERVICES GROUP, INC. | W23050 PAUL ROAD PEWAUKEE, WI 53072 | UNUM INSURANCE COMPANY | $3K | $1K | $4K | 10.50% |
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 | 915 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 918 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | COMPCARE HEALTH SERVICES INSURANCE CORPORATION | 955 | $6.6M |
| Dental(2 contracts) | DELTA DENTAL OF WISCONSIN | 375 | $318K |
| Vision | WYSSTA INSURANCE COMPANY INC. | 503 | $49K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 915 | $203K |
| Short-term disability(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 915 | $146K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 258 | $92K |
| Other(4 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 915 | $285K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 955 | — |
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.