| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE HORTON GROUP3 | 10320 ORLAND PARKWAY ORLANDPARK, IL 60467 | COMPCARE HEALTH SERVICES CORPORATION | $34K | $3K | $36K | 2.63% |
| THE HORTON GROUP3 | 10320 ORLAND PARKWAY ORLANDPARK, IL 60467 | SUN LIFE INSURANCE OF CANADA | $8K | $2K | $10K | 9.32% |
| THE HORTON GROUP3 | 10320 ORLAND PARKWAY ORLANPARK, IL 60467 | WYSSTA | $2K | — | $2K | 10.00% |
| THE HORTON GROUP3 | 10320 ORLAND PARKWAY ORLANDPRK, IL 60467 | SUN LIFE INSURANCE COMPANY OF CANADA | $2K | — | $2K | 15.00% |
| DELTA DENTAL OF WISCONSIN5 | 2801 HOOVER ROAD BOX 828 STEVENS POINT, WI 54481 | DELTA DENTAL OF WISCONSIN | — | $8K | $8K | — |
| THE HORTON GROUP3 | 1320 ORLAND PARKWAY ORLANDPARK, IL 60467 | DELTA DENTAL OF WISCONSIN | $4K | — | $4K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DELTA DENTAL OF WISCONSIN EIN 39-6094742 TPA | Contract Administrator Service code 13 | 2801 WEST HOOVER ROAD STEVENS POINT, WI 54481 | $8K |
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 | 196 | 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) | 196 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF WISCONSIN | 147 | $0 |
| Vision | WYSSTA | 117 | $16K |
| Life insurance(2 contracts, 2 carriers) | SUN LIFE INSURANCE OF CANADA | 196 | $123K |
| Long-term disability | SUN LIFE INSURANCE OF CANADA | 196 | $113K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 210 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.