No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PRAIRE STATES ENTERPRISES EIN 36-3730559 NONE | Claims processing Service code 12 | 615 PENNSYLVANIA AVENUE SHEBOYGAN, WI 53081 | $590K |
| ST NICHOLAS HOSPITAL DBA PREVEA EIN 39-0808480 NONE | Claims processing Service code 12 | P.O BOX 19070 GREEN BAY, WI 54307 | $427K |
| ST VINCENT HOSPITAL DBA PREVEA EIN 39-0817529 NONE | Claims processing Service code 12 | P.O. BOX 19070 GREEN BAY, WI 54307 | $83K |
| HEALTH PAYMENT SERVICES EIN 20-2702059 NONE | Claims processing Service code 12 | 1000 N WATER STREET SUITE 1100 MILWAUKEE, WI 53202 | $71K |
| BMO RETIREMENT SERVICE EIN 39-1186267 NONE | Investment advisory (participants) Service code 26 | 111 EAST KILBOURN AVENUE SUITE 200 MILWAUKEE, WI 53202 | $3K |
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 | 804 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 804 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 248 | $121K |
| Life insurance | SUN LIFE INSURANCE COMPANY OF CANADA | 529 | $1.1M |
| Long-term disability | SUN LIFE INSURANCE COMPANY OF CANADA | 529 | $1.1M |
| Stop-loss / reinsurancereinsurance | SUN LIFE INSURANCE COMPANY OF CANADA | 529 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 529 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
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.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.