| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| M3 INSURANCE SOLUTIONS INC3 | PO BOX 8950 MADISON, WI 53708 | SECURITY HEALTH PLAN OF WISCONSIN, INC. | $54K | — | $54K | 2.15% |
| M3 INSURANCE SOLUTIONS INC3 | PO BOX 8950 MADISON, WI 53708 | SECURITY HEALTH PLAN OF WISCONSIN, INC. | $12K | — | $12K | 2.76% |
| M3 INSURANCE SOLUTIONS INC3 | PO BOX 8950 MADISON, WI 53708 | SECURITY HEALTH PLAN OF WISCONSIN, INC. | $5K | — | $5K | 1.67% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY, LLC | 2725 S MOORLAND ROAD NEW BERLIN, WI 53151 | DELTA DENTAL OF WISCONSIN | $19K | — | $19K | 11.07% |
| M3 INSURANCE SOLUTIONS INC3 | 828 JOHN NOLEN DR MADISON, WI 537131424 | METROPOLITAN LIFE INSURANCE COMPANY | $14K | $3K | $16K | 14.88% |
| PLANSOURCE BENEFITS ADMINISTRATION3 | 101 S GARLAND AVE STE 203 ORLANDO, FL 32801 | METROPOLITAN LIFE INSURANCE COMPANY | — | $333 | $333 | 0.30% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY, LLC | 10201 FAIRFAX BLVD STE 500 FAIRFAX, VA 22030 | METROPOLITAN LIFE INSURANCE COMPANY | — | $38 | $38 | 0.03% |
| M3 INSURANCE SOLUTIONS INC3 | 828 JOHN NOLEN DR MADISON, WI 53713 | STANDARD INSURANCE COMPANY | $4K | $737 | $5K | 10.42% |
| C2 CENTRIC LLC3 | PO BOX 6824 GRAND RAPIDS, MI 49516 | STANDARD INSURANCE COMPANY | — | $55 | $55 | 0.12% |
| M3 INSURANCE SOLUTIONS INC3 | 828 JOHN NOLEN DR MADISON, WI 53713 | STANDARD INSURANCE COMPANY | $3K | $1K | $4K | 8.94% |
| C2 CENTRIC LLC3 | PO BOX 6824 GRAND RAPIDS, MI 49516 | STANDARD INSURANCE COMPANY | — | $91 | $91 | 0.22% |
| M3 INSURANCE SOLUTIONS INC3 | 828 JOHN NOLEN DR MADISON, WI 53713 | WYSSTA INSURANCE COMPANY INC | $2K | — | $2K | 4.03% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY, LLC | 2725 S MOORLAND ROAD NEW BERLIN, WI 53151 | WYSSTA INSURANCE COMPANY INC | $2K | — | $2K | 4.03% |
| JENNON CARUTH3 | 7825 WASHINGTON AVE S STE 710 MINNEAPOLIS, MN 554392440 | METROPOLITAN LIFE INSURANCE COMPANY | $8K | $483 | $8K | 25.43% |
| M3 INSURANCE SOLUTIONS INC3 | 828 JOHN NOLEN DR MADISON, WI 537131424 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $168 | $2K | 7.63% |
| PLANSOURCE BENEFITS ADMINISTRATION3 | 101 S GARLAND AVE. STE 203 ORLANDO, FL 32801 | METROPOLITAN LIFE INSURANCE COMPANY | — | $107 | $107 | 0.33% |
| JENNON CARUTH3 | 7825 WASHINGTON AVE S STE 710 MINNEAPOLIS, MN 554392440 | METROPOLITAN LIFE INSURANCE COMPANY | $7K | $372 | $8K | 24.75% |
| M3 INS SOLUTIONS INC3 | 828 JOHN NOLEN DR MADISON, WI 537131424 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $176 | $2K | 7.82% |
| PLANSOURCE BENEFITS ADMINISTRATION3 | 101 S GARLAND AVE. STE 203 ORLANDO, FL 32801 | METROPOLITAN LIFE INSURANCE COMPANY | — | $94 | $94 | 0.31% |
| JENNON CARUTH3 | 7825 WASHINGTON AVE S STE 710 MINNEAPOLIS, MN 554392440 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | $306 | $6K | 21.66% |
| M3 INS SOLUTIONS INC3 | 828 JOHN NOLEN DR MADISON, WI 537131424 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $204 | $2K | 7.65% |
| PLANSOURCE BENEFITS ADMINISTRATION3 | 101 S GARLAND AVE. STE 203 ORLANDO, FL 32801 | METROPOLITAN LIFE INSURANCE COMPANY | — | $99 | $99 | 0.33% |
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 | 417 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 418 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts) | SECURITY HEALTH PLAN OF WISCONSIN, INC. | 452 | $3.2M |
| Dental | DELTA DENTAL OF WISCONSIN | 278 | $173K |
| Vision | WYSSTA INSURANCE COMPANY INC | 265 | $37K |
| Life insurance | STANDARD INSURANCE COMPANY | 417 | $42K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 415 | $110K |
| Long-term disability | STANDARD INSURANCE COMPANY | 417 | $46K |
| Prescription drug(3 contracts) | SECURITY HEALTH PLAN OF WISCONSIN, INC. | 452 | $3.2M |
| Other(4 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 417 | $134K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 452 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.