| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| REMMEL & ASSOCIATES3 Filed as: REMMEL & ASSOC INC | 5497 W WATERFORD LN STE B APPLETON, WI 54913 | ASSURITY LIFE INSURANCE COMPANY | $6K | — | $6K | 21.02% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES INC | 80 SOUTH 8TH STREET MINNEAPOLIS, MN 55402 | STARMOUNT LIFE INSURANCE COMPANY | $3K | $1K | $4K | 15.26% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| COMPCARE HEALTH SERVICES INSURANCE EIN 39-1462554 ADMINISTRATIVE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Insurance agents and brokers; Contract Administrator; Other services; Claims processing; Insurance brokerage commissions and fees; Other commissions; Float revenue Service code 12 | — | $138K |
| BLUE CROSS BLUE SHIELD EIN 39-0138065 ADMINISTRATIVE | Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Float revenue; Claims processing Service code 12 | — | $37K |
| HAYS BENEFITS GROUP OF WI BROKER | Insurance agents and brokers; Other commissions; Insurance brokerage commissions and fees Service code 22 | 1200 MAYFAIR RD STE MILWAUKEE, WA 53226 | $0 |
| INGENIO RX INC EIN 82-3062245 RX REBATES | Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Float revenue; Claims processing Service code 12 | — | -$59K |
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 | 191 | 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) | 191 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | STARMOUNT LIFE INSURANCE COMPANY | 134 | $27K |
| Vision | STARMOUNT LIFE INSURANCE COMPANY | 134 | $27K |
| Short-term disability | ASSURITY LIFE INSURANCE COMPANY | 36 | $30K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF WISCONSIN | 191 | $297K |
| 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."
No prospect flags tripped on this filing.