| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TRICOR, INC3 Filed as: TRICOR LLC | PO BOX 450 LANCASTER, WI 53813 | HARTFORD LIFE AND ACCIDENT | $26K | — | $26K | 16.46% |
| TRICOR, INC3 Filed as: TRICOR LLC | 2001 W BELTLINE HWY MADISON, WI 53713 | HARTFORD LIFE AND ACCIDENT | $6K | — | $6K | 3.54% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENESYS, INC. EIN 39-1400101 NONE | Plan Administrator; Claims processing; Direct payment from the plan Service code 12 | — | $383K |
| BLUE CROSS BLUE SHIELD OF WISCONSIN EIN 39-0138065 NONE | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Float revenue; Other services Service code 12 | — | $296K |
| KOVITZ INVESTMENT GROUP PARTNERS NONE | Investment advisory (plan); Investment management fees paid directly by plan Service code 27 | 115 SOUTH LASALLE ST., 27TH FLLOR CHICAGO, IL 60603 | $103K |
| LEE JOST & ASSOCIATES EIN 39-1400101 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $57K |
| THE PREVIANT LAW FIRM, S.C. EIN 39-1211596 NONE | Legal; Direct payment from the plan Service code 29 | — | $33K |
| MEDEXPERT NONE | Other fees; Direct payment from the plan Service code 50 | PO BOX 7550 MENLO PARK, CA 94026 | $29K |
| SIKICH CPA LLC EIN 54-1172176 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $23K |
| AURORA EMPLOYER SOLUTIONS EIN 39-1442285 NONE | Other fees; Direct payment from the plan Service code 50 | — | $17K |
| BMO FINANCIAL GROUP EIN 36-2085229 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $16K |
| US BANK NONE | Direct payment from the plan; Custodial (other than securities) Service code 18 | PO BOX 1800 SAINT PAUL, MN 551010800 | $12K |
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 | 851 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 114 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 965 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF WISCONSIN | 965 | $339K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 965 | $158K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 965 | $158K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 874 | $1.0M |
| Other | HARTFORD LIFE AND ACCIDENT | 965 | $158K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 965 | — |
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.