| 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. | $38K | — | $38K | 1.87% |
| M3 INSURANCE SOLUTIONS INC3 Filed as: M3 INSURANCE SOLUTIONS INC. | 828 JOHN NOLEN DRIVE MADISON, WI 53713 | METROPOLITAN LIFE INSURANCE COMPANY | $11K | $4K | $15K | 4.81% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: JASON GALLAGHER | 5576 AUCHTER LN WAUNAKEE, WI 53597 | AFLAC | $3K | $27 | $3K | 5.48% |
| CHRISTOPHER J ZELLNER3 | 918 ALDORA LN WAUNAKEE, WI 53597 | AFLAC | $2K | $6 | $2K | 3.90% |
| AMY KNUTSON3 | 421 HIGGINS DR EVANSVILLE, WI 53536 | AFLAC | $715 | — | $715 | 1.26% |
| TREVOR D MARTIN3 | 4001 FELLAND RD, STE 106 MADISON, WI 53718 | AFLAC | $703 | $6 | $709 | 1.25% |
| MICHAEL FRASIER3 | 258 CORPORATE DRIVE, STE 200 MADISON, WI 53714 | AFLAC | $529 | — | $529 | 0.93% |
| KEVIN ZELLNER3 | 350 COUNTY ROAD A WISCONSIN DELLS, WI 53965 | AFLAC | $390 | — | $390 | 0.69% |
| CASEY J HIGGINS3 | 9347 LIZARD ROCK TRL COLORADO SPRINGS, CO 80924 | AFLAC | $287 | — | $287 | 0.51% |
| TED ALDWORTH3 | 3825 MONONA DRIVE APT 25 MADISON, WI 53714 | AFLAC | $258 | — | $258 | 0.45% |
| MATTHEW A HOFELDT3 | 4918 LANTERN HOLLOW LN WAUNAKEE, WI 53597 | AFLAC | $177 | — | $177 | 0.31% |
| WILLIAM C HAGEN3 | 258 CORPORATE DR STE 200 MADISON, WI 53714 | AFLAC | $121 | $5 | $126 | 0.22% |
| ROSS C NELSON3 | 440 REGENCY PARKWAY DR STE 234 OMAHA, NE 68114 | AFLAC | $120 | — | $120 | 0.21% |
| JASON SCZEPANIAK3 | 1161 HERITAGE CT SUN PRAIRIE, WI 53590 | AFLAC | $65 | — | $65 | 0.11% |
| JOHN D KEYS Filed as: JOHN A KREFT | 5605 OSBORN DR MCFARLAND, WI 53558 | AFLAC | $62 | — | $62 | 0.11% |
| BRIAN D BARK3 | W5380 COUNTY RD CS POYNETTE, WI 53955 | AFLAC | $45 | — | $45 | 0.08% |
| M3 INSURANCE SOLUTIONS INC3 | 828 JOHN NOLEN DRIVE MADISON, WI 53713 | AFLAC | $40 | — | $40 | 0.07% |
| DUSTIN PRICE3 | 1664 ATLANTA CIR MANITOWOC, WI 54220 | AFLAC | $33 | — | $33 | 0.06% |
| MARILYN L SHAW SCHUH3 Filed as: MARILYN LOUISE SHAW SCHUH | 624 E CRANSTON RD BELOIT, WI 53511 | AFLAC | $28 | — | $28 | 0.05% |
| MARILYN HUGHES3 | 159 HICKORY LN DAHLONEGA, GA 30533 | AFLAC | $26 | — | $26 | 0.05% |
| ELIZABETH A LENZO3 | 701 ALBEROSKY WAY BATAVIA, IL 60510 | AFLAC | $23 | — | $23 | 0.04% |
| JEREMY KOOI1 | 270 SHAKERAG ST MINERAL POINT, WI 53565 | AFLAC | $17 | — | $17 | 0.03% |
| ALISON M MORROW3 | 311 FINANCIAL WAY STE 220 WAUSAU, WI 54401 | AFLAC | $16 | — | $16 | 0.03% |
| JEFFREY D HOEFNER3 | 3124 LORRABUD LN SUN PRAIRIE, WI 53590 | AFLAC | $15 | — | $15 | 0.03% |
| PAUL W DESPIRITO3 | 3051 PROGRESS WAY STE 204 KAUKAUNA, WI 54130 | AFLAC | $8 | — | $8 | 0.01% |
| CHRIS ZELLNER3 Filed as: CHRIS M SOULIER | 602 WILLIAM WAY WAUNAKEE, WI 53597 | AFLAC | $8 | — | $8 | 0.01% |
| GLEN T SCHWEIKERT3 | 2211 HIGHLAND SPRINGS PL LOUISVILLE, KY 40245 | AFLAC | $7 | — | $7 | 0.01% |
| CHRISTOPHER P DOOLEY3 | 2903 NORTHWINDS DR EAU CLAIRE, WI 54701 | AFLAC | $6 | — | $6 | 0.01% |
| JOSHUA J PARISE3 | 7325 JANES AVE WOODRIDGE, IL 60517 | AFLAC | $4 | — | $4 | 0.01% |
| NATHAN BRONSON3 Filed as: NATHAN A BRONSON | W217 N5386 TAYLORS WOODS DR MENOMONEE FALLS, WI 53051 | AFLAC | $3 | — | $3 | 0.01% |
| ADAM THOMAS GARDNER3 | 101 N FARWELL ST, STE 203 EAU CLAIRE, WI 54703 | AFLAC | $3 | — | $3 | 0.01% |
| WILLIAM F MURRAY III3 | 1298 SAINT PATRICK WAY SUN PRAIRIE, WI 53590 | AFLAC | $3 | — | $3 | 0.01% |
| CHRISTINE LOGSLETT3 | 8318 ANNA AVE WIND LAKE, WI 53185 | AFLAC | $2 | — | $2 | 0.00% |
| SHADEL & ASSOCIATES LLC3 Filed as: SHADEL & ASSOCIATES INC | 3100 BLUFF LN HILLSBOROUGH, NC 27278 | AFLAC | $1 | — | $1 | 0.00% |
| KENNETH J HOFFMAN3 | N65W13544 COBBLESTONE CT MENOMONEE FALLS, WI 53051 | AFLAC | $1 | — | $1 | 0.00% |
| CHRISTINE LOGSLETT3 | 8318 ANNA AVENUE WIND LAKE, WI 53185 | AFLAC | — | — | $0 | 0.00% |
| M3 INSURANCE SOLUTIONS INC3 Filed as: M3 INSURANCE SOLUTIONS INC. | 828 JOHN NOLEN DRIVE MADISON, WI 53713 | VISION SERVICE PLAN | $1K | — | $1K | 3.39% |
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 | 350 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 352 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | DEAN HEALTH PLAN, INC. | 438 | $2.0M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 306 | $310K |
| Vision | VISION SERVICE PLAN | 222 | $33K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 306 | $310K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 306 | $310K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 306 | $310K |
| Other(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 306 | $367K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 438 | — |
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."
No prospect flags tripped on this filing.