| 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 | $9K | — | $9K | 4.12% |
| T I C INC | 701 SAND LAKE RD ONALASKA, WI 65676 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $8K | — | $8K | 10.00% |
| NATIONAL BENEFIT CENTER | 23825 COMMERCE PARK SUITE A BEACHWOOD, OH 44122 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $250 | $250 | 0.31% |
| T I C INC3 | 701 SAND LAKE RD ONALASKA, WI 54650 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $7K | — | $7K | 10.00% |
| NATIONAL BENEFIT CENTER | 23825 COMMERCE PARK SUITE A BEACHWOOD, OH 44122 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $221 | $221 | 0.32% |
| TIC INC3 Filed as: TIC, INC | — | ALLSTATE | $11K | — | $11K | 16.04% |
| T I C INC3 | 701 SAND LAKE RD ONALASKA, WI 54650 | THE LINCOLN NATIONAL LIFE INSURANCE | $4K | — | $4K | 10.00% |
| NATIONAL BENEFIT CENTER | 23825 COMMERCE PARK SUITE A BEACHWOOD, OH 44122 | THE LINCOLN NATIONAL LIFE INSURANCE | — | $123 | $123 | 0.31% |
| T I C INC Filed as: T.I.C | 701 SAND LAKE ROAD ONALASKA, WI 54650 | NATIONAL VISION ADMINISTRATORS | $905 | — | $905 | 10.00% |
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 | 368 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 368 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ALLSTATE | 98 | $67K |
| Dental | DELTA DENTAL OF WISCONSIN | 337 | $227K |
| Vision | NATIONAL VISION ADMINISTRATORS | 173 | $9K |
| Life insurance(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 445 | $109K |
| Long-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 442 | $81K |
| Stop-loss / reinsurancereinsurance | HCC LIFE | 368 | $372K |
| Other(3 contracts, 3 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 445 | $176K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 445 | — |
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.