| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| M3 INSURANCE SOLUTIONS INC3 | 828 JOHN NOLEN DRIVE MADISON, WI 53713 | THE STANDARD INSURANCE COMPANY | $4K | — | $4K | 3.99% |
| M3 INSURANCE SOLUTIONS INC3 | 828 JOHN NOLEN DRIVE MADISON, WI 53713 | THE STANDARD INSURANCE COMPANY | $3K | — | $3K | 2.46% |
| HAUSMANN-JOHNSON INSURANCE INC3 Filed as: HAUSMANN JOHNSON INS INC | PO BOX 259408 MADISON, WI 53725 | THE STANDARD INSURANCE COMPANY | $828 | — | $828 | 0.77% |
| C2 CENTRIC LLC3 | PO BOX 6824 GRAND RAPIDS, MI 49516 | THE STANDARD INSURANCE COMPANY | $258 | — | $258 | 0.24% |
| M3 INSURANCE SOLUTIONS INC3 | 828 JOHN NOLEN DRIVE MADISON, WI 53713 | THE STANDARD INSURANCE COMPANY | $4K | — | $4K | 3.95% |
| M3 INSURANCE SOLUTIONS INC3 | 828 JOHN NOLEN DRIVE MADISON, WI 53713 | THE STANDARD INSURANCE COMPANY | $4K | — | $4K | 3.67% |
| HAUSMANN-JOHNSON INSURANCE INC3 Filed as: HAUSMANN JOHNSON INS INC | PO BOX 259408 MADISON, WI 53725 | THE STANDARD INSURANCE COMPANY | $244 | — | $244 | 0.25% |
| C2 CENTRIC LLC3 | PO BOX 6824 GRAND RAPIDS, MI 49516 | THE STANDARD INSURANCE COMPANY | $232 | — | $232 | 0.24% |
| M3 INSURANCE SOLUTIONS INC3 | 828 JOHN NOLEN DRIVE MADISON, WI 53713 | THE STANDARD INSURANCE COMPANY | $2K | — | $2K | 4.74% |
| M3 INSURANCE SOLUTIONS INC3 | 828 JOHN NOLEN DRIVE MADISON, WI 53713 | THE STANDARD INSURANCE COMPANY | $1K | — | $1K | 3.88% |
| HAUSMANN-JOHNSON INSURANCE INC3 Filed as: HAUSMANN JOHNSON INS INC | PO BOX 259408 MADISON, WI 53725 | THE STANDARD INSURANCE COMPANY | $354 | — | $354 | 1.01% |
| C2 CENTRIC LLC3 | PO BOX 6824 GRAND RAPIDS, MI 49516 | THE STANDARD INSURANCE COMPANY | $82 | — | $82 | 0.23% |
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 | 264 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 264 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE STANDARD INSURANCE COMPANY | 264 | $107K |
| Short-term disability | THE STANDARD INSURANCE COMPANY | 167 | $35K |
| Long-term disability | THE STANDARD INSURANCE COMPANY | 206 | $97K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 264 | — |
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.