| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| T I C INC3 Filed as: T.I.C INC. | 701 SAND LAKE RD ONALASKA, WI 54650 | PREVEA360 HEALTH PLAN | $49K | — | $49K | 1.90% |
| T I C INC3 Filed as: T.I.C., INC. | 701 SAND LAKE RD ONALASKA, WI 546502442 | DELTA DENTAL OF WISCONSIN | $12K | — | $12K | 9.15% |
| T I C INC3 | 701 SAND LAKE RD OANALASKA, WI 54650 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $5K | $5K | 6.77% |
| GCG FINANCIAL LLC3 Filed as: ALERA GROUP, INC. | 3 PARKWAY NORTH BLVD STE 500 DEERFIELD, IL 60015 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $767 | $767 | 0.97% |
| T I C INC3 | PAUL JACOBSON 701 SAND LAKE RD ONALASKA, WI 54650 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 5.72% |
| J A COUNTER AND ASSOCIATES INC3 Filed as: JA COUNTER AND ASSOCIATES INC | 1477 S KNOWLES AVE STE 200 NEW RICHMOND, WI 540172543 | CONTINENTAL AMERICAN INSURANCE COMPANY | -$709 | — | -$709 | -1.66% |
| T I C INC3 | 701 SAND LAKE RD ONALASKA, WI 54650 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $3K | $5K | 11.79% |
| GCG FINANCIAL LLC3 Filed as: ALERA GROUP | 3 PARKWAY NORTH BLVD STE 500 DEERFIELD, IL 60015 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $387 | $2K | 5.95% |
| T I C INC3 | 701 SAND LAKE RD ONALASKA, WI 54650 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $2K | $6K | 17.95% |
| GCG FINANCIAL LLC3 Filed as: ALERA GROUP, INC. | 701 SAND LAKE RD ONALASKA, WI 54650 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $354 | $4K | 12.05% |
| T I C INC3 | 701 SAND LAKE RD ONALASKA, WI 54650 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $2K | $3K | 11.88% |
| GCG FINANCIAL LLC3 Filed as: ALERA GROUP | 3 PARKWAY NORTH BLVD STE 500 DEERFIELD, IL 60015 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $236 | $1K | 5.91% |
| GCG FINANCIAL LLC3 Filed as: ALERA GROUP, INC. | 701 SAND LAKE RD ONALASKA, WI 54650 | VISION SERVICE PLAN | $1K | — | $1K | 4.72% |
| T I C INC3 Filed as: T.I.C., INC. | 701 SAND LAKE RD ONALASKA, WI 546502442 | VISION SERVICE PLAN | $372 | — | $372 | 1.65% |
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 | 280 | 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) | 283 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PREVEA360 HEALTH PLAN | 299 | $2.6M |
| Dental | DELTA DENTAL OF WISCONSIN | 185 | $132K |
| Vision | VISION SERVICE PLAN | 187 | $23K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 264 | $24K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 264 | $79K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 264 | $40K |
| Other(3 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 264 | $102K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 299 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.