| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| M3 INSURANCE SOLUTIONS INC3 Filed as: M3 INSURANCE SOLUTIONS INC. | 828 JOHN NOLEN DRIVE MADISON, WI 53713 | BLUE CROSS BLUE SHIELD OF WISCONSIN | $74K | — | $74K | 5.73% |
| M3 INSURANCE SOLUTIONS INC3 Filed as: M3 INSURANCE SERVICES | 828 JOHN NOLEN DRIVE MADISON, WI 53713 | DEAN HEALTH PLAN INC | $27K | — | $27K | 2.51% |
| M3 INSURANCE SOLUTIONS INC3 Filed as: M3 INSURANCE SOLUTIONS INC. | PO BOX 8950 MADISON, WI 53708 | RELIASTAR LIFE INSURANCE COMPANY | $36K | — | $36K | 9.17% |
| CLARITY ENROLLMENT SOLUTIONS LLC3 | 7825 WASHINGTON AVENUE S STE 710 MINNEAPOLIS, MN 55439 | RELIASTAR LIFE INSURANCE COMPANY | $34K | — | $34K | 8.84% |
| CARUTH, JENNON, M3 Filed as: CARUTH, JENNON M | 7825 WASHINGTON AVENUE S STE 710 MINNEAPOLIS, MN 55439 | RELIASTAR LIFE INSURANCE COMPANY | $18K | — | $18K | 4.69% |
| WATCHTOWER BENEFITS, LLC3 | 227 WEST MONROE STREET, STE. 5200 CHICAGO, IL 60606 | RELIASTAR LIFE INSURANCE COMPANY | $0 | $2K | $2K | 0.54% |
| C2 CENTRIC LLC3 | 8804 SOUTH WINNIPEG COURT AURORA, CO 80016 | RELIASTAR LIFE INSURANCE COMPANY | $0 | $2K | $2K | 0.50% |
| M3 INSURANCE SOLUTIONS INC3 | 828 JOHN NOLEN DRIVE MADISON, WI 53713 | WYSSTA INSURANCE COMPANY INC | $5K | — | $5K | 8.00% |
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 | 516 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 516 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | BLUE CROSS BLUE SHIELD OF WISCONSIN | 228 | $2.9M |
| Vision | WYSSTA INSURANCE COMPANY INC | 356 | $58K |
| Life insurance | RELIASTAR LIFE INSURANCE COMPANY | 920 | $388K |
| Short-term disability | RELIASTAR LIFE INSURANCE COMPANY | 920 | $388K |
| Long-term disability | RELIASTAR LIFE INSURANCE COMPANY | 920 | $388K |
| Other(2 contracts, 2 carriers) | RELIASTAR LIFE INSURANCE COMPANY | 920 | $402K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 920 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.