| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| O'SHERIDAN INSURANCE ALLIANCE INC3 Filed as: O'SHERIDAN FINANCIAL COMPANY LLC | 6515 GRAND TETON PLAZA, STE 231 MADISON, WI 53719 | QUARTZ HEALTH BENEFIT PLANS CORPORATION | $21K | $0 | $21K | 1.47% |
| GALLAGHER BENEFIT SERVICES, INC.3 | P.O. BOX 95287 CHICAGO, IL 60694 | HARTFORD LIFE AND ACCIDENT | $15K | $7K | $22K | 13.69% |
| O'SHERIDAN INSURANCE ALLIANCE INC3 Filed as: O'SHERIDAN FINANCIAL COMPANY LLC | 6515 GRAND TETON PLAZA, STE 231 MADISON, WI 53719 | WYSSTA INSURANCE COMPANY INC. | $704 | $0 | $704 | 8.06% |
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 | 117 | 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) | 117 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | QUARTZ HEALTH BENEFIT PLANS CORPORATION | 191 | $1.4M |
| Vision | WYSSTA INSURANCE COMPANY INC. | 60 | $9K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 117 | $163K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 117 | $163K |
| Prescription drug | QUARTZ HEALTH BENEFIT PLANS CORPORATION | 191 | $1.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 191 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.