No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WISCONSIN COLLABORATIVE INS CO EIN 47-5569628 | Contract Administrator; Claims processing; Other services; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | 3075 VANDERCAR WAY CINCINNATI, OH 45209 | $643K |
| BLUE CROSS BLUE SHIELD OF WISCONSIN EIN 39-0138065 | Other services; Claims processing; Contract Administrator; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | 3075 VANDERCAR WAY CINCINNATI, OH 45209 | $372K |
| DELTA DENTAL OF WI EIN 39-6094742 | Insurance agents and brokers; Contract Administrator Service code 13 | 2801 HOOVER ROAD, PO BOX 828 STEVENS POINT, WI 54481 | $44K |
| VISION SERVICE PLAN EIN 06-1227840 | Plan Administrator Service code 14 | — | $33K |
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 | 1,736 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 18 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,754 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 1,306 | $188K |
| Life insurance | GUARDIAN | 1,536 | $811K |
| Short-term disability | GUARDIAN | 1,536 | $811K |
| Long-term disability | GUARDIAN | 1,536 | $811K |
| Other(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF WISCONSIN | 3,413 | $1.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,413 | — |
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.