| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRLESS BLVD 2ND FL HAUPPAUGE, NY 11788 | STANDARD INSURANCE COMPANY | $5K | $3K | $8K | 8.02% |
| TRICOR, INC3 Filed as: TRICOR LLC | PO BOX 450 LANCASTER, WI 53813 | STANDARD INSURANCE COMPANY | — | $3K | $3K | 2.86% |
| TRICOR, INC3 Filed as: TRICOR LLC | 8518 PIGEON LANE LANCASTER, WI 53813 | DEAN HEALTH PLAN INC | $2K | — | $2K | 2.26% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRLESS BLVD 2ND FL HAUPPAUGE, NY 11788 | STANDARD INSURANCE COMPANY | $2K | $1K | $4K | 8.41% |
| TRICOR, INC3 Filed as: TRICOR LLC | PO BOX 450 230 W CHERRY ST LANCASTER, WI 53813 | STANDARD INSURANCE COMPANY | — | $1K | $1K | 3.00% |
| TRICOR, INC3 Filed as: TRICOR, LLC | PO BOX 450 LANCASTER, WI 53813 | SUPERIOR VISION INSURANCE PLAN OF WISCONSIN INC. | $2K | — | $2K | 7.29% |
| 3E PARTNERS3 | 4401 WESTOWN PARKWAY WEST DES MOINES, IA 50266 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10K | — | $10K | 32.54% |
| DENNIS PAUL BELL3 | 400 1ST AVE APT 11 CORALVILLE, IA 52241 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $5K | $6K | 19.76% |
| WAYNE SOHL3 | 6931 VISTA DR WEST DES MOINES, IA 50266 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $2K | $4K | 11.55% |
| RANDY S SCHWARTZ3 Filed as: RANDY SCOTT SCHWARTZ | 2015 BRODIE ST WAUKEE, IA 50263 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $173 | $1K | $1K | 4.56% |
| 3E PARTNERS3 Filed as: 3E PARTNERS, LLC | 4401 WESTOWN PARKWAY, SUITE 350 WEST DES MOINES, IA 50266 | PROSPERITY LIFE GROUP | $4K | — | $4K | 53.25% |
| RANDY S SCHWARTZ3 | 2015 BRODIE ST. WAUKEE, IA 50263 | PROSPERITY LIFE GROUP | $678 | — | $678 | 9.00% |
| TYLER STRAIN3 | 356 NE SANDALWOOD WAUKEE, IA 50263 | PROSPERITY LIFE GROUP | $678 | — | $678 | 9.00% |
| WAYNE SOHL3 | 5201 149TH ST. URBANDALE, IA 50323 | PROSPERITY LIFE GROUP | $282 | — | $282 | 3.74% |
| TRICOR, INC3 Filed as: TRICOR, LLC | PO BOX 450 230 W CHERRY ST LANCASTER, WI 53813 | PROSPERITY LIFE GROUP | $226 | — | $226 | 3.00% |
| RANDY S SCHWARTZ3 | 2015 BRODIE ST. WAUKEE, IA 50263 | PROSPERITY LIFE GROUP | $317 | — | $317 | 9.02% |
| TYLER STRAIN3 | 356 NE SANDALWOOD WAUKEE, IA 50263 | PROSPERITY LIFE GROUP | $317 | — | $317 | 9.02% |
| WAYNE SOHL3 | 5201 149TH ST. URBANDALE, IA 50323 | PROSPERITY LIFE GROUP | $131 | — | $131 | 3.73% |
| TRICOR, INC3 Filed as: TRICOR LLC | PO BOX 450 230 W CHERRY ST LANCASTER, WI 53813 | PROSPERITY LIFE GROUP | $106 | — | $106 | 3.01% |
| 3E PARTNERS3 Filed as: 3E PARTNERS, LLC | 4401 WESTOWN PARKWAY, SUITE 350 WEST DES MOINES, IA 50266 | PROSPERITY LIFE GROUP | $2K | — | $2K | 53.26% |
| RANDY S SCHWARTZ3 | 2015 BRODIE ST. WAUKEE, IA 50263 | PROSPERITY LIFE GROUP | $262 | — | $262 | 8.99% |
| TYLER STRAIN3 | 356 NE SANDALWOOD WAUKEE, IA 50263 | PROSPERITY LIFE GROUP | $262 | — | $262 | 8.99% |
| WAYNE SOHL3 | 5201 149TH ST. URBANDALE, IA 50323 | PROSPERITY LIFE GROUP | $110 | — | $110 | 3.77% |
| TRICOR, INC3 Filed as: TRICOR, LLC | PO BOX 450 230 W CHERRY ST LANCASTER, WI 53813 | PROSPERITY LIFE GROUP | $88 | — | $88 | 3.02% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DELTA DENTAL OF WISCONSIN EIN 39-6094742 THIRD PARTY ADMIN | Contract Administrator Service code 13 | — | $13K |
| EMPLOYEE BENEFITS CORPORATION EIN 39-2044064 CLAIMS PROCESSING | Claims processing; Contract Administrator Service code 12 | — | $10K |
| HEALTH CHOICES EIN 90-0139311 CLAIMS PROCESSING | Contract Administrator; Claims processing Service code 12 | — | $1K |
| TRICOR, LLC INS AGENT OR BROKER | Insurance agents and brokers Service code 22 | 230 W CHERRY ST LANCASTER, WI 53813 | $118 |
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 | 309 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 4 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 313 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | QUARTZ HEALTH BENEFIT PLANS CORPORATION | 316 | $2.6M |
| Vision | SUPERIOR VISION INSURANCE PLAN OF WISCONSIN INC. | 330 | $31K |
| Life insurance | STANDARD INSURANCE COMPANY | 291 | $104K |
| Long-term disability | STANDARD INSURANCE COMPANY | 291 | $44K |
| Prescription drug | QUARTZ HEALTH BENEFIT PLANS CORPORATION | 316 | $2.1M |
| Other(4 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 104 | $45K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 330 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
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.