| 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 | $105K | — | $105K | 2.93% |
| WBA EMPLOYEE BENEFITS CORP3 Filed as: WBA EMPLOYEE BENEFITS CORPORATION | 4721 S BILTMORE LANE MADISON, WI 53718 | WPS HEALTH PLAN INC | $21K | — | $21K | 1.50% |
| WBA EMPLOYEE BENEFITS CORP3 | 4721 S BILTMORE LN MADISON, WI 53718 | DELTA DENTAL OF WISCONSIN | $59K | — | $59K | 4.35% |
| WI BANKERS ASSOC EMPLOYEE BNFT3 | PO BOX 8880 MADISON, WI 53708 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $53K | — | $53K | 8.00% |
| WBA EMPLOYEE BENEFITS CORP3 | 4721 S BILTMORE LN MADISON, WI 53718 | DELTA DENTAL OF WISCONSIN | $24K | — | $24K | 4.31% |
| WI BANKERS ASSOC EMPLOYEE BNFT3 | PO BOX 8880 MADISON, WI 53708 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $34K | — | $34K | 8.00% |
| WBA EMPLOYEE BENEFITS CORP3 | 4721 S BILTMORE LN MADISON, WI 53718 | DELTA DENTAL OF WISCONSIN | $11K | — | $11K | 4.46% |
| WBA EMPLOYEE BENEFITS CORP3 | 4721 S BILTMORE LN MADISON, WI 53718 | DELTA DENTAL OF WISCONSIN | $9K | — | $9K | 4.24% |
| WBA EMPLOYEE BENEFITS CORP3 | PO BOX 8880 MADISON, WI 53708 | NGL | $3K | — | $3K | 5.00% |
| WI BANKERS ASSOC EMPLOYEE BNFT3 | PO BOX 8880 MADISON, WI 53708 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $5K | — | $5K | 8.00% |
| WBA EMPLOYEE BENEFITS CORP3 | 4721 S BILTMORE LN MADISON, WI 53718 | DELTA DENTAL OF WISCONSIN | $2K | — | $2K | 4.43% |
| WBA EMPLOYEE BENEFITS CORP3 | 4721 S BILTMORE LN MADISON, WI 53718 | DELTA DENTAL OF WISCONSIN | $400 | — | $400 | 2.48% |
| WBA EMPLOYEE BENEFITS CORP3 | 4721 S BILTMORE LN MADISON, WI 53718 | DELTA DENTAL OF WISCONSIN | $367 | — | $367 | 4.34% |
| WBA EMPLOYEE BENEFITS CORP3 | 4721 S BILTMORE LN MADISON, WI 53718 | DELTA DENTAL OF WISCONSIN | $192 | — | $192 | 4.38% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WBA EMPLOYEE BENEFITS CORP., INC. EIN 39-1427087 SEE ATTACHED | Contract Administrator; Direct payment from the plan Service code 13 | — | $180K |
| RSM US LLP EIN 42-0714325 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $42K |
| REINHART BOERNER VAN DEUREN EIN 39-1126909 NONE | Legal; Direct payment from the plan Service code 29 | — | $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 | 117 | 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) | 135 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION | 207 | $5.0M |
| Dental(8 contracts) | DELTA DENTAL OF WISCONSIN | 1,156 | $2.5M |
| Vision | NGL | 900 | $64K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 2,941 | $662K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 2,681 | $426K |
| Other(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 2,941 | $722K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,941 | — |
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.