| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL | 111 N. WASHINGTON SUITE 300 GREEN BAY, WI 54301 | PREVEA360 HEALTH PLAN | $36K | — | $36K | 3.98% |
| WISCONSIN ASSOC OF INDEP COLLEGES3 Filed as: WISCONSIN AUTOMOBILE DEALERS ASSN. | 150 E GILMAN ST # A, MADISON, WI 53703 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $5K | $5K | 5.13% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY | $3K | — | $3K | 2.69% |
| WATAD SERVICES, INC.3 | 150 E GILMAN ST # A MADISON, WI 53703 | AMERICAN FIDELITY ASSURANCE COMPANY | $2K | $1 | $2K | 1.75% |
| AON CONSULTING INC3 Filed as: AON RISK INS. SERVICES WEST INC. | 10461 MILL RUN CIRCLE OWINGS MILLS, MD 21117 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 5.00% |
| WISCONSIN ASSOC OF INDEP COLLEGES3 Filed as: WISCONSIN AUTOMOBILE DEALERS ASSN. | 150 E GILMAN ST # A MADISON, WI 53703 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $1K | $1K | 5.57% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OAKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $857 | — | $857 | 3.33% |
| WATDA SERVICES INC3 Filed as: WATDA SERVICES, INC. | 150 E GILMAN ST # A MADISON, WI 53703 | AMERICAN FIDELITY ASSURANCE COMPANY | $459 | — | $459 | 1.78% |
| AON CONSULTING INC3 Filed as: AON RISK SOLUTIONS | 111 N. WASHINGTON ST. GREEN BAY, WI 54305 | CARE PLUS DENTAL PLANS, INC. | $1K | — | $1K | 8.00% |
| AON CONSULTING INC3 Filed as: AON CONSULTING | 29840 NETWORK PLACE CHICAGO, IL 606731298 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $693 | — | $693 | 13.07% |
No Schedule C service providers reported on this filing.
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 | 125 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 125 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | PREVEA360 HEALTH PLAN | 233 | $1.0M |
| Dental(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 61 | $50K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 125 | $5K |
| Short-term disability(2 contracts) | AMERICAN FIDELITY ASSURANCE COMPANY | 96 | $122K |
| Long-term disability(2 contracts) | AMERICAN FIDELITY ASSURANCE COMPANY | 96 | $122K |
| Other(3 contracts, 2 carriers) | AMERICAN FIDELITY ASSURANCE COMPANY | 125 | $127K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 233 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.