| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WBA EMPLOYEE BENEFITS CORP3 Filed as: WBA EMPLOYEE BENEFITS CORPORATION | 4721 S BILTMORE LANE MADISON, WI 53718 | WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION | $253K | — | $253K | 1.54% |
| WBA EMPLOYEE BENEFITS CORP3 Filed as: WBA EMPLOYEE BENEFITS CORPORATION | 4721 S BILTMORE LANE MADISON, WI 53718 | DELTA DENTAL PLAN OF WISCONSIN | $48K | — | $48K | 1.65% |
| WI BANKERS ASSOC EMPLOYEE BNFT3 | 4721 S BILTMORE AVE MADISON, WI 53718 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $53K | — | $53K | 8.66% |
| WI BANKERS ASSOC EMPLOYEE BNFT3 | 4721 S BILTMORE AVE MADISON, WI 53718 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $28K | — | $28K | 8.66% |
| WBA EMPLOYEE BENEFITS CORP3 | PO BOX 8880 MADISON, WI 53708 | NGL | $2K | — | $2K | 1.50% |
| WI BANKERS ASSOC EMPLOYEE BNFT3 | 4721 S BILTMORE AVE MADISON, WI 53718 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 8.66% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WBA EMPLOYEE BENEFITS CORP., INC. EIN 39-1427087 SEE ATTACHED | Contract Administrator; Direct payment from the plan Service code 13 | — | $120K |
| REINHART BOERNER VAN DEUREN EIN 39-1126909 NONE | Legal; Direct payment from the plan Service code 29 | — | $43K |
| HAYS BENEFIT GROUP OF WISCONSIN LLC EIN 41-1949344 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $30K |
| RSM US LLP EIN 42-0714325 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $28K |
| BANK OF SUN PRAIRIE EIN 39-0148140 NONE | Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $6K |
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 | 4,668 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 159 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 4,827 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION | 895 | $16.4M |
| Dental | DELTA DENTAL PLAN OF WISCONSIN | 2,708 | $2.9M |
| Vision | NGL | 945 | $166K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 3,645 | $611K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 2,894 | $325K |
| Other(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 3,645 | $639K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,645 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.