Plan Ledger DOL Form 5500 · updated monthly

Capitol Indemnity Corporationbenefits

Capitol Indemnity Corporation Health and Welfare Benefit Plan · MIDDLETON, WI · plan year 2024

Broker compensation reported · 2024
$76,430

Capitol Indemnity Corporation's benefits plans covered 328 active participants in 2024, providing health · life · dental · vision · short-term disability · long-term disability · death benefits · other. Insurance brokers and agents were paid $76,430 in commissions and fees, costs that ultimately come out of what the employer and employees pay for coverage. That is $233 per covered person, above the median for employer plans that report broker pay. Broker pay was essentially unchanged from 2023.

Insurance contracts · 20248
DEAN HEALTH PLAN, INC. · health drugpremiums n/a · 144 covered
BLUE CROSS & BLUE SHIELD OF WISCONSIN · health drug ppopremiums n/a · 364 covered
METROPOLITAN LIFE INSURANCE COMPANY · dentalpremiums n/a · 770 covered
VISION SERVICE PLAN · visionpremiums n/a · 196 covered
EMPATHIA, INC.premiums n/a · 309 covered
RELIASTAR LIFE INSURANCE COMPANYpremiums n/a · 142 covered
COMPCARE HEALTH SERVICES INSURANCE CORPORATION · healthpremiums n/a · 13 covered
RELIANCE STANDARD LIFE INSURANCE COMPANY · life std ltdpremiums n/a · 293 covered
Brokers & agents paid · 20243
LOCKTON COMPANIES, LLC$72,705 · incl $6,301 fees
PLANSOURCE BENEFITS ADMINISTRATION$2,274 · incl $595 fees
Also brokered by Lockton5
Banner Health AZ$3,011,257

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Source: DOL Form 5500 Schedule A, plan year 2024, EIN 390971527 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.