| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| M3 INSURANCE SOLUTIONS INC3 | 6952 ROTE RD ROCKFORD, IL 61112 | SUN LIFE ASSURANCE COMPANY OF CANADA | $47K | — | $47K | 16.26% |
| M3 INSURANCE SOLUTIONS INC3 Filed as: M3 INSURANCE SOLUTION INC | 2009 W BELTLINE HWY MADISON, WI 53713 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $5K | $5K | 1.80% |
| C2 CENTRIC LLC3 | PO BOX 6824 GRAND RAPIDS, MI 49516 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $1K | $1K | 0.44% |
| M3 INSURANCE SOLUTIONS INC3 Filed as: M3 INSURANCE SOLUTIONS, INC. | 828 JOHN NOLEN DRIVE MADISON, WA 53713 | BLUECROSS BLUESHIELD OF ILLINOIS | $5K | $92 | $5K | 2.04% |
| M3 INSURANCE SOLUTIONS INC3 Filed as: M3 INSURANCE SOLUTION INC | PO BOX 8950 1515 S. MERIDIAN RD. MADISON, WI 537088950 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $2K | — | $2K | 6.72% |
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 | 227 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 229 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 29 | $254K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 389 | $30K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 216 | $292K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 216 | $292K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 216 | $292K |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 216 | $292K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 389 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.