| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSOCIATED FINANCIAL GROUP LLC3 Filed as: ASSOCIATED FINANCIAL GROUP | 711 EISENHOWER DRIVE KIMBERLY, WI 54136 | HEALTH TRADITION HEALTH PLAN | $20K | — | $20K | 0.84% |
| ASSOCIATED FINANCIAL GROUP LLC3 Filed as: ASSOCIATED FINANCIAL GROUP | 711 EISENSHOWER DRIVE KIMBERLY, WI 54136 | HEALTH TRADITION | $804 | — | $804 | 0.37% |
| T I C INC3 Filed as: T.I.C., INC. | 701 SAND LAKE RD ONALASKA, WI 546502442 | DELTA DENTAL OF WISCONSIN | $19K | — | $19K | 11.22% |
| T I C INC3 | 701 SAND LAKE RD ONALASKA, WI 54650 | PRINCIPAL LIFE INSURANCE COMPANY | $17K | $3K | $20K | 12.15% |
| TIC INC3 | 701 SAND LAKE RD ONALASKA, WI 54650 | ALLSTATE | $18K | — | $18K | 22.57% |
| T.I.C. INC AKA THE INSURANCE CENTER3 Filed as: T.I.C., INC. DBA THE INSURANCE CENT | 701 SAND LAKE ROAD ONALASKA, WI 54650 | NATIONAL VISION ADMINISTRATORS, L.L.C. | $3K | — | $3K | 10.00% |
| TIC INC3 | 701 SAND LAKE RD ONALASKA, WI 54650 | ALLSTATE | $856 | — | $856 | 30.50% |
| TIC INC3 | 701 SAND LAKE RD ONALASKA, WI 54650 | ALLSTATE | $377 | — | $377 | 14.19% |
| TIC INC3 | 701 SAND LAKE RD ONALASKA, WI 54650 | ALLSTATE | $590 | — | $590 | 35.24% |
| TIC INC3 | 701 SAND LAKE RD ONALASKA, WI 54650 | ALLSTATE | $81 | — | $81 | 13.92% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMPLOYEE BENEFITS CORPORATION EIN 39-2044064 THIRD PARTY ADMINISTRATO | Contract Administrator; Claims processing Service code 12 | 1350 DEMING WAY MIDDLETON, WI 53562 | $7K |
| RICK TISCHER BROKER | Insurance agents and brokers Service code 22 | 1973 ESHER DRIVE ONALASKA, WI 54650 | $0 |
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 | 251 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 10 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 81 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 342 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HEALTH TRADITION HEALTH PLAN | 511 | $2.6M |
| Dental | DELTA DENTAL OF WISCONSIN | 182 | $170K |
| Vision | NATIONAL VISION ADMINISTRATORS, L.L.C. | 335 | $26K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 390 | $166K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 390 | $166K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 390 | $166K |
| Other(5 contracts) | ALLSTATE | 113 | $86K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 511 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.