Filings through .
History & trajectory Charts need 2 or more years. This plan has 10 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingThe primary broker changed. The plan may listen to a new pitch.
Broker compensation exceeds 5% of premium. This is a small-plan minimum fee or a costly broker setup that a competing bid can beat.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
Broker: HCC Life Insurance Company Stop-lossOther | Stop-lossOther | |
Dental | Dental |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 3 contracts with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 406 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 173 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 579 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | CARE-PLUS DENTAL PLANS, INC. | 89 | $24K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 454 | $507K |
| Other | HCC LIFE INSURANCE COMPANY | 454 | $77K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 454 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
| Broker | Commissions |
|---|---|
Carrier: HCC Life Insurance Company |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENEFIT PLAN ADMINISTRATION OF WI EIN 39-1400101 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $286K |
| UNITED HEALTH CARE EIN 36-2739571 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $238K |
| MILLIMAN INC. EIN 91-0675641 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $59K |
| THE PREVIANT LAW FIRM NONE | Legal; Direct payment from the plan Service code 29 | 310 WEST WISCONSIN AVE SUITE 100 MW MILWAUKEE, WI 53203 | $37K |
| DELTA DENTAL OF WISCONSIN EIN 39-6094742 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $25K |
| AMALGAMATED BANK OF CHICAGO EIN 36-0721895 NONE | Other investment fees and expenses; Direct payment from the plan Service code 50 | — | $24K |
| SIKICH CPA LLC EIN 54-1172176 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $21K |
| AURORA EMPLOYER SOLUTIONS EIN 39-1442285 NONE | Direct payment from the plan; Other fees Service code 50 | — | $15K |
| FIRST STATE BANK NONE | Custodial (other than securities); Account maintenance fees Service code 18 | 220 W WAUPACA ST NEW LONDON, WI 54961 | $8K |
| WEX HEALTH, INC EIN 06-1593514 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $6K |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
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10 filings · 2016 to 2025