Filings through .
History & trajectory Charts need 2 or more years. This plan has 10 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingTotal premium grew more than 20% over the prior year. The plan is a good candidate to re-shop its carriers.
Broker compensation exceeds 5% of premium. This is a small-plan minimum fee or a costly broker setup that a competing bid can beat.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 11 contracts with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3,401 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 231 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,632 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 2,832 | $505K |
| Life insurance(2 contracts) | MINNESOTA LIFE INSURANCE COMPANY | 907 | $340K |
| Long-term disability | LINCOLN NATIONAL LIFE INSURANCE | 2,867 | $1.0M |
| Stop-loss / reinsurancereinsurance | BLUE CROSS & BLUE SHIELD OF WISCONSIN | 2,833 | $1.3M |
| Other(5 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE CO | 2,768 | $535K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,867 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS & BLUE SHIELD OF WISCONS EIN 39-0138065 CLAIMS ADMINISTRATION | Insurance agents and brokers; Other services; Float revenue; Other commissions; Claims processing; Insurance brokerage commissions and fees; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator Service code 12 | — | $1.0M |
| BUSINESSOLVER EIN 42-1503807 BENEFITS ADMINISTRATION | Other services Service code 49 | — | $250K |
| WILLIS TOWERS WATSON VIA BENEFITS EIN 26-0775680 CLAIMS ADMINISTRATION | Claims processing; Contract Administrator Service code 12 | — | $140K |
| AON INVESTMENTS USA INC EIN 36-3109431 INVESTMENT ADVISORY | Investment advisory (plan) Service code 27 | — | $46K |
| WILLIS TOWERS WATSON US LLC EIN 53-0181291 ACTUARIAL | Actuarial Service code 11 | — | $42K |
| DELTA DENTAL OF WISCONSIN EIN 39-6094742 CLAIMS ADMINISTRATION | Contract Administrator Service code 13 | — | $36K |
| COLEMAN & WILLIAMS, LTD. EIN 39-1658905 AUDIT | Accounting (including auditing) Service code 10 | 7127 N. GREEN BAY AVE. MILWAUKEE, WI 53209 | $34K |
| CONNECTYOURCARE, LLC (CYC) EIN 26-1274092 CLAIMS ADMINISTRATION | Other fees; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Claims processing Service code 12 | — | $25K |
| DELAWARE CHARTER GUARANTEE & TRUST EIN 51-0099493 TRUSTEE | Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $23K |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
5 contacts
Phone and email for the actuary are on Pro.
11 filings · 2015 to 2025