No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF WISCONSIN EIN 39-0138065 THIRD PARTY ADMINISTRATOR | Claims processing; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Contract Administrator Service code 12 | 3075 VANDERCAR WAY CINCINNATI, OH 45209 | $685K |
| PREFERRED HEALTH CHOICES EIN 90-0139311 CLAIMS PROCESSING | Claims processing Service code 12 | PO BOX 5003 DUBUQUE, WI 52002 | $280K |
| COMPCARE HEALTH SERVICES INSURANCE EIN 39-1462554 THIRD PARTY ADMINISTRATOR | Claims processing; Other services; Float revenue; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | 3075 VANDERCAR WAY CINCINNATI, WI 45209 | $196K |
| NAVITUS HEALTH SOLUTIONS EIN 04-3608530 CLAIMS PROCESSING (PBM) | Claims processing Service code 12 | 1025 WEST NAVITUS DRIVE APPLETON, WI 54913 | $84K |
| DELTA DENTAL OF WISCONSIN EIN 39-6094742 TPA (DENTAL BENEFIT) | Contract Administrator Service code 13 | PO BOX 828 STEVENS POINT, WI 54481 | $71K |
| DREXI, INC EIN 46-4488538 CLAIMS PROCESSING (PBM) | Claims processing Service code 12 | 3350 N ARIZONA AVENUE SUITE 2 CHANDLER, AZ 85225 | $30K |
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 | 1,928 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 15 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,943 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 1,558 | $146K |
| Life insurance(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,895 | $562K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,895 | $193K |
| Stop-loss / reinsurancereinsurance(2 contracts) | HCC LIFE INSURANCE COMPANY | 1,570 | $829K |
| Other | WEX HEALTH INC | 320 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,618 | — |
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.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.