| 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 | $10K | — | $10K | 3.92% |
| T I C INC | 701 SAND LAKE RD ONALASKA, WI 65676 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $10K | — | $10K | 10.00% |
| NATIONAL BENEFIT CENTER | 23825 COMMERCE PARK SUITE A BEACHWOOD, OH 44122 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $233 | — | $233 | 0.24% |
| T I C INC3 | 701 SAND LAKE RD ONALASKA, WI 54650 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $8K | — | $8K | 10.00% |
| NATIONAL BENEFIT CENTER | 23825 COMMERCE PARK SUITE A BEACHWOOD, OH 44122 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $173 | — | $173 | 0.22% |
| T I C INC3 | 701 SAND LAKE RD ONALASKA, WI 54650 | THE LINCOLN NATIONAL LIFE INSURANCE | $5K | — | $5K | 10.00% |
| NATIONAL BENEFIT CENTER | 23825 COMMERCE PARK SUITE A BEACHWOOD, OH 44122 | THE LINCOLN NATIONAL LIFE INSURANCE | $114 | — | $114 | 0.25% |
| T I C INC Filed as: T.I.C | 701 SAND LAKE ROAD ONALASKA, WI 54650 | NATIONAL VISION ADMINISTRATORS | $3K | — | $3K | 10.00% |
| TIC INC3 Filed as: TIC, INC | — | ALLSTATE | $7K | — | $7K | 23.12% |
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 | 228 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 228 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ALLSTATE | 112 | $28K |
| Dental | DELTA DENTAL OF WISCONSIN | 391 | $259K |
| Vision | NATIONAL VISION ADMINISTRATORS | 613 | $33K |
| Life insurance(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 503 | $122K |
| Long-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 504 | $96K |
| Stop-loss / reinsurancereinsurance | HCC LIFE | 228 | $358K |
| Other(3 contracts, 3 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 503 | $151K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 613 | — |
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."
No prospect flags tripped on this filing.