| 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 | $113K | — | $113K | 1.57% |
| WBA EMPLOYEE BENEFITS CORP3 Filed as: WBA EMPLOYEE BENEFITS CORPORATION | 4721 S BILTMORE LANE MADISON, WI 53718 | DELTA DENTAL PLAN OF WISCONSIN | $71K | — | $71K | 2.52% |
| WI BANKERS ASSOC EMPLOYEE BNFT3 | PO BOX 8880 MADISON, WI 53708 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $50K | — | $50K | 8.00% |
| WI BANKERS ASSOC EMPLOYEE BNFT3 | PO BOX 8880 MADISON, WI 53708 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $30K | — | $30K | 8.00% |
| WBA EMPLOYEE BENEFITS CORP3 | PO BOX 8880 MADISON, WI 53708 | NGL | $5K | — | $5K | 5.00% |
| WI BANKERS ASSOC EMPLOYEE BNFT3 | PO BOX 8880 MADISON, WI 53708 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | — | $4K | 8.00% |
| 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 |
| RSM US LLP EIN 42-0714325 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $25K |
| REINHART BOERNER VAN DEUREN EIN 39-1126909 NONE | Legal; Direct payment from the plan Service code 29 | — | $18K |
| 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 | 4,012 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 148 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 4,160 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION | 387 | $7.2M |
| Dental | DELTA DENTAL PLAN OF WISCONSIN | 2,514 | $2.8M |
| Vision | NGL | 592 | $99K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 3,339 | $622K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 2,934 | $374K |
| Other(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 3,339 | $666K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,339 | — |
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.