| 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 | DEAN HEALTH PLAN INC. | $164K | — | $164K | 0.85% |
| M3 INSURANCE SOLUTIONS INC3 Filed as: M3 INSURANCE SOLUTIONS INC. | PO BOX 8950 MADISON, WI 53708 | PHYSICIANS PLUS INSURANCE CORPORATION | $80K | $2K | $81K | 0.66% |
| M3 INSURANCE SOLUTIONS INC3 Filed as: M3 INSURANCE SOLUTIONS INC. | 828 JOHN NOLEN DR. MADISON, WI 53713 | DELTA DENTAL OF WISCONSIN | $232K | — | $232K | 5.19% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL INC. | SUITE 300 111 N. WASHINGTON ST. GREEN BAY, WI 54301 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $157K | — | $157K | 4.08% |
| AON CONSULTING INC3 Filed as: AON CONSULTING INC. | PO BOX 905494 CHARLOTTE, NC 28290 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $40K | — | $40K | 1.05% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 606036115 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $3K | $3K | 0.08% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL INC. | 75 REMITTANCE DRIVE #1446 SUITE 1446 CHICAGO, IL 60675 | AETNA LIFE INSURANCE COMPANY | $56K | — | $56K | 11.02% |
| M3 INSURANCE SOLUTIONS INC3 Filed as: M3 INSURANCE SOLUTIONS INC. | 828 JOHN NOLEN DR. MADISION, WI 53713 | WYSSTA INSURANCE COMPANY, INC. | $12K | — | $12K | 8.00% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL INC. | DBA AON CORPORATION 75 REMITTANCE DRIVE, SUITE 1446 CHICAGO, IL 60675 | AETNA LIFE INSURANCE COMPANY | $14K | — | $14K | 10.06% |
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 | 9,505 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 84 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 9,589 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 4 carriers) | DEAN HEALTH PLAN INC. | 5,659 | $50.3M |
| Dental(3 contracts, 2 carriers) | DELTA DENTAL OF WISCONSIN | 7,913 | $5.1M |
| Vision(3 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 1,452 | $800K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 9,495 | $3.8M |
| Short-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 9,495 | $3.8M |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 9,495 | $3.8M |
| Other | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 9,495 | $3.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 9,495 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.