| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| T I C INC Filed as: T.I.C, INC. | 701 SAND LAKE RD ONALASKA, WI 546502442 | DELTA DENTAL OF WISCONSIN | $11K | — | $11K | 3.68% |
| T I C INC | 701 SAND LAKE RD ONALASKA, WI 65676 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $10K | — | $10K | 10.00% |
| T I C INC3 | 701 SAND LAKE RD ONALASKA, WI 54650 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $10K | — | $10K | 10.00% |
| TIC INC3 Filed as: TIC, INC | — | ALLSTATE | $20K | — | $20K | 23.16% |
| T I C INC3 | 701 SAND LAKE RD ONALASKA, WI 54650 | UNITED OMAHA LIFE INSURANCE COMPANY | $6K | — | $6K | 10.00% |
| NATIONAL BENEFIT CENTER | 23825 COMMERCE PARK SUITE A BEACHWOOD, OH 44122 | UNITED OMAHA LIFE INSURANCE COMPANY | — | — | $0 | 0.00% |
| T I C INC Filed as: T.I.C | 701 SAND LAKE ROAD ONALASKA, WI 54650 | NATIONAL VISION ADMINISTRATORS | $4K | — | $4K | 10.00% |
| UNITED OF OMAHA LIFE INSURANCE CO Filed as: UNITED OF OMAHA LIFE INSURANCE | CO MUTUAL OF OMAHA PLAZA OMAHA, NE 68175 | UNITED OF OMAHA LIFE COMPANY INSURANCE | — | $16K | $16K | — |
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 | 272 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 272 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ALLSTATE | 121 | $85K |
| Dental | DELTA DENTAL OF WISCONSIN | 442 | $306K |
| Vision | NATIONAL VISION ADMINISTRATORS | 689 | $39K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 623 | $153K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 622 | $105K |
| Stop-loss / reinsurancereinsurance | HCC LIFE | 272 | $358K |
| Other(4 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 623 | $238K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 689 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.