| 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 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $9K | $7K | $16K | 4.43% |
| M3 INSURANCE SOLUTIONS INC3 Filed as: M3 INSURANCE SOLUTIONS, INC. | 828 JOHN NOLEN DRIVE MADISON, WI 537130000 | DELTA DENTAL OF WISCONSIN | $11K | — | $11K | 3.87% |
| M3 INSURANCE SOLUTIONS INC3 Filed as: M3 INSURANCE SOLUTIONS, INC. | 828 JOHN NOLEN DRIVE MADISON, WI 53713 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $9K | $1K | $10K | 18.31% |
| M3 INSURANCE SOLUTIONS INC3 Filed as: M3 INSURANCE SOLUTIONS, INC. | 828 JOHN NOLEN DRIVE MADISON, WI 53713 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | — | $0 | — |
| CHRISTOPHER J ZELLNER3 Filed as: CHRISTOPHER J. ZELLNER | 918 ALDORA DR WAUNAKEE, WI 53597 | CONTINENTAL AMERICAN INSURANCE COMPANY | $655 | — | $655 | — |
| AMY KNUTSON3 Filed as: AMY L KNUTSON | 421 HIGGINS DRIVE EVANSVILLE, WI 53536 | CONTINENTAL AMERICAN INSURANCE COMPANY | $356 | — | $356 | — |
| ADAM THOMAS GARDNER3 Filed as: ADAM T GARNER | 101 N. FARWELL STREET SUITE 203 EAU CLARIE, WI 54703 | CONTINENTAL AMERICAN INSURANCE COMPANY | $233 | — | $233 | — |
| M3 INSURANCE SOLUTIONS INC3 Filed as: M3 INSURANCE SOLUTIONS, INC | P.O. BOX 8950 MADISON, WI 53708 | CONTINENTAL AMERICAN INSURANCE COMPANY | $228 | — | $228 | — |
| JASON P SCZEPANIAK3 | 4001 FELLAND RD STE. 106 MADISON, WI 53718 | CONTINENTAL AMERICAN INSURANCE COMPANY | $165 | — | $165 | — |
| SPENCER R. MILLER3 | 823 BELKNAP ST STE. 108 SUPERIOR, WI 54880 | CONTINENTAL AMERICAN INSURANCE COMPANY | $58 | — | $58 | — |
| DANIEL L OJA3 | 6015 OAKES AVENUE SUPERIOR, WI 54880 | CONTINENTAL AMERICAN INSURANCE COMPANY | $53 | — | $53 | — |
| KEVIN ZELLNER3 | 350 COUNTY ROAD A WISCONSIN DELLS, WI 53965 | CONTINENTAL AMERICAN INSURANCE COMPANY | $49 | — | $49 | — |
| ROSS C NELSON3 | 1403 WIMBLETON WAY WAUNAKEE, WI 53597 | CONTINENTAL AMERICAN INSURANCE COMPANY | $46 | — | $46 | — |
| MATTHEW A HOFELDT3 | 3315 NELSON RD SUN PRAIRIE, WI 53590 | CONTINENTAL AMERICAN INSURANCE COMPANY | $43 | — | $43 | — |
| PAUL S NELSON3 Filed as: PAUL S. NELSON | 4302 BROWN LANE MADISON, WI 53704 | CONTINENTAL AMERICAN INSURANCE COMPANY | $27 | — | $27 | — |
| CHRISTOPHER P DOOLEY3 | 2903 NORTHWINDS DRIVE EAU CLAIRE, WI 54701 | CONTINENTAL AMERICAN INSURANCE COMPANY | $24 | — | $24 | — |
| JOHN D KEYS3 Filed as: JOHN A KREFT | 5605 OSBORN DR MCFARLAND, WI 53558 | CONTINENTAL AMERICAN INSURANCE COMPANY | $20 | — | $20 | — |
| CHRISTINE LOGSLETT3 Filed as: CHRISTINE M LOGSLETT | 300 N CORPORATE DRIVE STE. 300 BROOKFIELD, WI 53045 | CONTINENTAL AMERICAN INSURANCE COMPANY | $16 | — | $16 | — |
| ELIZABETH A LENZO3 | 349 E CALIFORNIA BLVD PASADENA, CA 91106 | CONTINENTAL AMERICAN INSURANCE COMPANY | $9 | — | $9 | — |
| TED ALDWORTH3 Filed as: TED D. ALDWORTH | 3825 MONONA DR APT. 25 MADISON, WI 53714 | CONTINENTAL AMERICAN INSURANCE COMPANY | $7 | — | $7 | — |
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 | 617 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 617 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF WISCONSIN | 484 | $291K |
| Life insurance(3 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 694 | $414K |
| Short-term disability(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 694 | $357K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 48 | $0 |
| Other(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 694 | $357K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 694 | — |
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.