| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| M3 INS SOLUTIONS INC3 | 3113 W BELTINE HWY MADISON, WI 53713 | SUN LIFE ASSURANCE COMPANY OF CANADA | $45K | $5K | $49K | 17.83% |
| M3 INS SOLUTIONS INC3 | PO BOX 8950 MADISON, WI 53708 | SUN LIFE ASSURANCE COMPANY OF CANADA | $9K | — | $9K | 3.22% |
| C2 CENTRIC LLC3 | 1729 WOODCLIFF AVE SE GRAND RAPIDS, MI 49506 | SUN LIFE ASSURANCE COMPANY OF CANADA | $3K | — | $3K | 1.07% |
| M3 INS SOLUTIONS INC3 | 3113 W BELTINE HWY MADISON, WI 53713 | SUN LIFE ASSURANCE COMPANY OF CANADA | $8K | — | $8K | 6.13% |
| M3 INS SOLUTIONS INC3 | 828 JOHN NOLEN DRIVE MADISON, WI 53713 | SUN LIFE ASSURANCE COMPANY OF CANADA | $2K | — | $2K | 15.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UMR, INC. EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | PO BOX 1087 WAUSAU, WI 544021087 | $63K |
| M3 INSURANCE SOLUTIONS, INC. EIN 39-1141360 BROKER | Other commissions Service code 55 | PO BOX 8950 MADISON, WI 53708 | $5K |
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 | 148 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 148 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | SUN LIFE ASSURANCE COMPANY OF CANADA | 123 | $290K |
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 148 | $130K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 148 | $130K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 148 | $130K |
| Stop-loss / reinsurancereinsurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 123 | $277K |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 148 | $130K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 148 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.