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Sponsor portfolioWelfare / HealthEIN 39-1412320

CAPITOL LAKES

333 WEST MAIN STREET · MADISON, WI 53703
6082832101
Plans filed
5
Years active
2015–2025
Industry
NAICS 62
Latest filing
2025
Total premiums (latest)
$1.4M
No prior year
Persons covered
274
No prior year
Total participants
137
No prior year
Plans filed
5
No prior year

Plans under this sponsor

5 plans
Plan #510$1.4M
CAPITOL LAKES, INC. EMPLOYEE WELFARE BENEFIT PLAN
Fully insured274 covered·4 carriers
Primary: QUARTZ HEALTH BENEFIT PLANS CORPORATION
Plan #501$1.0M
CAPITOL LAKES MEDICAL PLAN
Fully insured223 covered·1 carrier
Primary: QUARTZ HEALTH BENEFIT PLANS CORPORATION
Plan #503$101K
CAPITOL LAKES DENTAL PLAN
Mixed137 covered·1 carrier
Primary: DELTA DENTAL OF WISCONSIN
Plan #502$31K
CAPITOL LAKES LIFE PLAN
Fully insured169 covered·1 carrier
Primary: LIFE INSURANCE COMPANY OF NORTH AMERICA
Plan #504$7K
CAPITOL LAKES VISION PLAN
Fully insured114 covered·1 carrier
Primary: VISION SERVICE PLAN

Coverage overview

Aggregate, latest year
Benefit typePremiumShareDistribution
Health$1.2M46.6%
Prescription drug$1.2M46.6%
Dental$99K3.7%
Life$36K1.3%
Other$36K1.3%
Vision$9K0.4%

Carrier overview

4 carriers · all plans
CarrierCoverageTotal premiumSharePlansContractsCovered
QUARTZ HEALTH BENEFIT PLANS CORPORATION
EIN 391450766
HRx
$1.2M89.6%11150
DELTA DENTAL OF CALIFORNIA
EIN 396094742
D
$99K7.2%11103
PRUDENTIAL INSURANCE COMPANY OF AMERICA
EIN 221211670
LOth
$36K2.6%11274
VISION SERVICE PLAN
EIN 061227840
V
$9K0.7%1194

Broker overview

2 brokers · all plans
BrokerLocCarriersCommissionsFeesTotal compSharePlans
USI INSURANCE SERVICES LLCVIRGINIA BEACH, VAPRUDENTIAL INSURANCE COMPANY OF AMERICA, VISION SERVICE PLAN$7K$0$7K99.2%1
IMGINDIANAPOLIS, INPRUDENTIAL INSURANCE COMPANY OF AMERICA$0$58$580.8%1

History & trajectory

11 years · all plans
Total premiums
Summed across all plans for this sponsor.
Persons covered
EOY headcount summed across all plans.
Carrier mix
Premium by top carriers, summed across plans.
Broker compensation
Comp by top brokers, summed across plans.

Policy details

Latest year, by plan
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