| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAUSMANN GROUP INC3 | 740 REGENT STREET, SUITE 400 MADISON, WI 53715 | QUARTZ HEALTH BENEFIT PLANS CORPORATION | $18K | — | $18K | 1.75% |
| HAUSMANN GROUP INC3 Filed as: HAUSMANN GROUP | PO BOX 259408 MADISON, WI 53715 | DELTA DENTAL OF WISCONSIN | $5K | — | $5K | 5.47% |
| HAUSMANN GROUP INC3 Filed as: HAUSMANN GROUP INC. | 740 REGENT ST - STE 400 MADISON, WI 53715 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $870 | $4K | 11.21% |
| NATIONAL BENEFIT CENTER3 | 3700 PARK EAST DR- STE 350 BEACHWOOD, OH 44122 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $746 | $746 | 1.95% |
| HAUSMANN GROUP INC3 | 740 REGENT ST - STE 400 MADISON, WI 53715 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $668 | $5K | 17.52% |
| NATIONAL BENEFIT CENTER3 | 3700 PARK EAST DR - STE 350 BEACHWOOD, OH 44122 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $572 | $572 | 2.16% |
| HAUSMANN GROUP INC3 | 740 REGENT ST - SUITE 400 MADISON, WI 53715 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $468 | $3K | 15.98% |
| NATIONAL BENEFIT CENTER3 | 3700 PARK EAST DR-STE 350 BEACHWOOD, OH 44122 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $401 | $401 | 1.97% |
| HAUSMANN GROUP INC3 Filed as: HAUSMANN GROUP | PO BOX 259408 MADISON, WI 53715 | WYSSTA INSURANCE COMPANY | $732 | — | $732 | 8.00% |
| HAUSMANN GROUP INC3 | 740 REGENT ST - SUITE 400 MADISON, WI 53715 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $540 | $125 | $665 | 12.31% |
| NATIONAL BENEFIT CENTER3 | 3700 PARK EAST DR - STE 350 BEACHWOOD, OH 44122 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $107 | $107 | 1.98% |
| HAUSMANN GROUP INC3 | 740 REGENT STREET-STE 400 MADISON, WI 53715 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $348 | $86 | $434 | 12.46% |
| NATIONAL BENEFIT CENTER3 | 3700 PARK WAST DRIVE-44122 BEACHWOOD, OH 44122 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $74 | $74 | 2.12% |
| HAUSMANN GROUP INC3 Filed as: HAUSMANN GROUP | 740 REGENT ST - STE 400 MADISON, WI 53715 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $344 | $77 | $421 | 12.25% |
| NATIONAL BENEFIT CENTER3 | 3700 PARK EAST DRIVE-STE 350 BEACHWOOD, OH 44122 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $66 | $66 | 1.92% |
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 | 140 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 143 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | QUARTZ HEALTH BENEFIT PLANS CORPORATION | 117 | $1.0M |
| Dental | DELTA DENTAL OF WISCONSIN | 118 | $93K |
| Vision | WYSSTA INSURANCE COMPANY | 82 | $9K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 140 | $30K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 42 | $38K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 37 | $20K |
| Prescription drug | QUARTZ HEALTH BENEFIT PLANS CORPORATION | 117 | $1.0M |
| Other(4 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 140 | $39K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 140 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.