| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JESSE OBERLOH3 Filed as: JESSE OBERLOH/HAUSMANN GROUP INC | 740 REGENT STREET #400 MADISON, WI 53715 | DEAN HEALTH PLAN INC | $19K | — | $19K | 2.10% |
| HAUSMANN GROUP INC3 Filed as: HAUSMANN GROUP | PO BOX 259408 MADISON, WI 537159408 | BLUE CARE NETWORK OF MICHIGAN | $20K | — | $20K | 4.47% |
| HAUSMANN GROUP INC3 Filed as: HAUSMANN GROUP | PO BOX 259408 MADISON, WI 537159408 | DELTA DENTAL OF WISCONSIN | $5K | — | $5K | 5.38% |
| HAUSMANN GROUP INC3 Filed as: HAUSMANN GROUP, INC | 740 REGENT STREET SUITE 400 MADISON, WI 53715 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $4K | $386 | $4K | 11.10% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS, INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $257 | $2K | 5.73% |
| BENEFIT ADVISORS NETWORK LLC3 | 6830 COCHRAN ROAD SOLON, OH 44139 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $322 | $322 | 0.92% |
| HAUSMANN GROUP INC3 Filed as: HAUSMANN GROUP, INC | 740 REGENT STREET SUITE 400 MADISON, WI 53715 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | $281 | $3K | 9.98% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS, INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | $187 | $2K | 5.65% |
| BENEFIT ADVISORS NETWORK LLC3 | 6830 COCHRAN ROAD SOLON, OH 44139 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $234 | $234 | 0.81% |
| HAUSMANN GROUP INC3 Filed as: HAUSMANN GROUP, INC | 740 REGENT STREET SUITE 400 MADISON, WI 53715 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | $410 | $4K | 16.97% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS, INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | $273 | $1K | 6.31% |
| BENEFIT ADVISOR NETWORK LLC3 | 6830 COCHRAN ROAD SOLON, OH 44139 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $341 | $341 | 1.64% |
| INGENIUM PRIME INC3 | PO BOX 259408 MADISON, WI 537159408 | WYSSTA INSURANCE COMPANY INC | $1K | — | $1K | 8.04% |
| HAUSMANN GROUP INC3 Filed as: HAUSMANN GROUP, INC | 740 REGENT STREET SUITE 400 MADISON, WI 53715 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $287 | $22 | $309 | 10.75% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS, INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $144 | $15 | $159 | 5.53% |
| BENEFIT ADVISOR NETWORK LLC3 | 6830 COCHRAN ROAD SOLON, OH 44139 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $18 | $18 | 0.63% |
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 | 191 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 12 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 205 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | DEAN HEALTH PLAN INC | 172 | $1.3M |
| Dental | DELTA DENTAL OF WISCONSIN | 125 | $101K |
| Vision | WYSSTA INSURANCE COMPANY INC | 102 | $15K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 154 | $29K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 160 | $35K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 146 | $21K |
| Prescription drug | BLUE CARE NETWORK OF MICHIGAN | 83 | $439K |
| Other(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 189 | $32K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 189 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.