| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAUSMANN GROUP INC3 Filed as: HAUSMANN GROUP | N25 W23050 PAUL ROAD PEWAUKEE, WI 53072 | DEAN HEALTH PLAN, INC. | $3K | — | $3K | 3.23% |
| INGENIUM PRIME INC3 Filed as: INGENIUM PRIME | 740 REGENT ST - STE 400 MADISON, WI 53715 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 5.80% |
| BENEFIT SERVICES GROUP, INC.3 | N25 W23050 PAUL ROAD PEWAUKEE, WI 53072 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $608 | $2K | 4.01% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK - STE A BEACHWOOD, OH 44122 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $521 | $521 | 1.02% |
| INGENIUM PRIME INC3 Filed as: INGENIUM PRIME | 740 REGENT ST -SUITE 400 MADISON, WI 53715 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 8.83% |
| BENEFIT SERVICES GROUP, INC.3 | N25W23050 PAUL ROAD PEWAUKEE, WI 53072 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $259 | $1K | 6.43% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK - STE A BEACHWOOD, OH 44122 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $222 | $222 | 1.00% |
| INGENIUM PRIME INC3 Filed as: INGENIUM PRIME | 740 REGENT ST - STE 400 MADISON, WI 53715 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 9.62% |
| BENEFIT SERVICES GROUP, INC.3 | N25W23050 PAUL ROAD PEWAUKEE, WI 53072 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $812 | $427 | $1K | 8.21% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK - STE A BEACHWOOD, OH 44122 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $366 | $366 | 2.43% |
| INGENIUM PRIME INC3 Filed as: INGENIUM PRIME | 740 REGENT ST - STE 400 MADISON, WI 53715 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $724 | — | $724 | 6.20% |
| BENEFIT SERVICES GROUP, INC.3 | N25W23050 PAUL ROAD PEWAUKEE, WI 53072 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $445 | $137 | $582 | 4.98% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK -STE A BEACHWOOD, OH 44122 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $118 | $118 | 1.01% |
| HAUSMANN GROUP INC3 Filed as: HAUSMANN GROUP | N25 W23050 PAUL ROAD PEWAUKEE, WI 53072 | WYSSTA INSURANCE COMPANY, INC. | $732 | — | $732 | 8.00% |
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 | 216 | 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) | 216 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | DEAN HEALTH PLAN, INC. | 21 | $85K |
| Vision | WYSSTA INSURANCE COMPANY, INC. | 85 | $9K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 216 | $27K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 216 | $51K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 216 | $22K |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 216 | $27K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 216 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
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.