| 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 537130000 | DELTA DENTAL OF WISCONSIN | $12K | — | $12K | 3.30% |
| M3 INSURANCE SOLUTIONS INC3 | 828 JOHN NOLEN DRIVE MADISON, WI 53713 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $9K | $7K | $15K | 4.54% |
| M3 INSURANCE SOLUTIONS INC3 | 828 JOHN NOLEN DRIVE MADISON, WI 53713 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $8K | $1K | $9K | 8.60% |
| ASSUREX3 | STE 800, 175 SOUTH 3RD STREET COLUMBUS, OH 43215 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | — | $0 | 0.00% |
| M3 INSURANCE SOLUTIONS INC3 Filed as: M3 INSURANCE SOLUTIONS INC. | 828 JOHN NOLEN DRIVE MAIDSON, WI 53713 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | $838 | $5K | 7.48% |
| ASSUREX3 | STE 800, 175 SOUTH 3RD STREET COLUMBUS, OH 43215 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | — | $0 | 0.00% |
| M3 INSURANCE SOLUTIONS INC3 | 828 JOHN NOLEN DRIVE MADISON, WI 53713 | WYSSTA INSURANCE COMPANY INC | $4K | — | $4K | 8.00% |
| AMY KNUTSON3 Filed as: AMY L KNUTSON | 421 HIGGINS DRIVE EVANSVILLE, WI 53536 | CONTINENTAL AMERICAN INSURANCE COMPANY | $456 | — | $456 | 3.95% |
| CHRISTOPHER J ZELLNER3 | 918 ALDORA DRIVE WAUNAKEE, WI 53597 | CONTINENTAL AMERICAN INSURANCE COMPANY | $319 | — | $319 | 2.76% |
| M3 INSURANCE SOLUTIONS INC3 Filed as: M3 INSURANCE SOLUTIONS INC. | 828 JOHN NOLEN DRIVE MADISON, WI 53713 | CONTINENTAL AMERICAN INSURANCE COMPANY | $51 | — | $51 | 0.44% |
| ADAM THOMAS GARDNER3 Filed as: ADAM T GARDNER | 101 N. FARWELL STREET, SUITE 203 EAU CLAIRE, WI 54703 | CONTINENTAL AMERICAN INSURANCE COMPANY | $50 | — | $50 | 0.43% |
| JASON P SCZEPANIAK3 | 4001 FELLAND ROAD SUITE 106 MADISON, WI 53718 | CONTINENTAL AMERICAN INSURANCE COMPANY | $41 | — | $41 | 0.35% |
| DANIEL L OJA3 | 6015 OAKES AVENUE SUPERIOR, WI 54880 | CONTINENTAL AMERICAN INSURANCE COMPANY | $40 | — | $40 | 0.35% |
| KEVIN ZELLNER3 Filed as: KEVIN L ZELLNER | 350 COUNTY ROAD A WISCONSIN DELLS, WI 53965 | CONTINENTAL AMERICAN INSURANCE COMPANY | $17 | — | $17 | 0.15% |
| JOHN D KEYS3 Filed as: JOHN A KREFT | 5605 OSBORN DRIVE MCFARLAND, WI 53558 | CONTINENTAL AMERICAN INSURANCE COMPANY | $15 | — | $15 | 0.13% |
| SPENCER R. MILLER3 Filed as: SPENCER R MILLER | 823 BELKNAP ST STE 108 SUPERIOR, WI 54880 | CONTINENTAL AMERICAN INSURANCE COMPANY | $12 | — | $12 | 0.10% |
| PAUL S NELSON3 | 4302 BROWN LANE MADISON, WI 53704 | CONTINENTAL AMERICAN INSURANCE COMPANY | $8 | — | $8 | 0.07% |
| ELIZABETH A LENZO3 | 349 E CALIFORNIA BLVD PASADENA, CA 91106 | CONTINENTAL AMERICAN INSURANCE COMPANY | $8 | — | $8 | 0.07% |
| TED ALDWORTH3 Filed as: TED D ALDWORTH | 3825 MONONA DRIVE APT 25 MADISON, WI 53714 | CONTINENTAL AMERICAN INSURANCE COMPANY | $7 | — | $7 | 0.06% |
| ROSS C NELSON3 | 1403 WIMBLETON WAY WAUNAKEE, WI 53597 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5 | — | $5 | 0.04% |
| CHRISTINE LOGSLETT3 Filed as: CHRISTINE M LOGSLETT | 300 N CORPORATE DRIVE STE 300 BROOKFIELD, WI 53045 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4 | — | $4 | 0.03% |
| CHRISTOPHER P DOOLEY3 | 2903 NORTHWINDS DRIVE EAU CLAIRE, WI 54701 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4 | — | $4 | 0.03% |
| MATTHEW A HOFELDT3 | 3315 NELSON RD SUN PRAIRIE, WI 53590 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.01% |
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 | 825 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 825 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF WISCONSIN | 539 | $381K |
| Vision | WYSSTA INSURANCE COMPANY INC | 395 | $46K |
| Life insurance(3 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 822 | $450K |
| Short-term disability(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 822 | $349K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 53 | $66K |
| Other(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 822 | $349K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 822 | — |
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."
No prospect flags tripped on this filing.