| 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 | UNITED HEALTHCARE INSURANCE COMPANY | $27K | — | $27K | 10.06% |
| M3 INSURANCE SOLUTIONS INC3 Filed as: M3 INSURANCE | 828 JOHN NOLEN DR MADISON, WI 53713 | SUPERIOR VISION PLAN | $2K | — | $2K | 10.84% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UMR, INC. EIN 39-1995276 CLAIMS PROCESSING | Direct payment from the plan; Other fees; Claims processing; Float revenue Service code 12 | 10701 W RESEARCH DRIVE WAUWATOSA, WI 53226 | $61K |
| DELTA DENTAL OF WISCONSIN EIN 39-6094742 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | P.O. BOX 828 STEVENS POINT, WI 54481 | $7K |
| M3 INSURANCE SOLUTIONS, INC. EIN 39-1141360 BROKER | Other commissions Service code 55 | 828 JOHN NOLEN DRIVE MADISON, WI 53713 | $3K |
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 | 143 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 145 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | SUPERIOR VISION PLAN | 292 | $15K |
| Stop-loss / reinsurancereinsurance | UNITED HEALTHCARE INSURANCE COMPANY | 145 | $267K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 292 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.