| 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 | BLUE CROSS BLUE SHIELD OF ARIZONA | $86K | — | $86K | 4.45% |
| USI INSURANCE SERVICES LLC3 | PO BOX 66119 VIRGINIA BEACH, VA 23466 | ANTHEM HEALTH PLANS, INC. | $27K | $5K | $32K | 3.35% |
| M3 INSURANCE SOLUTIONS INC3 | 828 JOHN NOLAN DRIVE MADISON, WI 53713 | GUARDIAN | $9K | $991 | $10K | 6.60% |
| C2 CENTRIC LLC | 11740 SW 68TH PARKWAY, STE 2 PORTLAND, OR 97223 | GUARDIAN | $135 | — | $135 | 0.09% |
| M3 INSURANCE SOLUTIONS INC | 828 JOHN NOLEN DRIVE MADISON, WI 53713 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $2K | — | $2K | 11.96% |
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 | 367 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 370 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF ARIZONA | 267 | $2.9M |
| Dental | GUARDIAN | 358 | $147K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 218 | $14K |
| Life insurance | GUARDIAN | 358 | $147K |
| Short-term disability | GUARDIAN | 358 | $147K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF ARIZONA | 267 | $1.9M |
| Other | GUARDIAN | 358 | $147K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 358 | — |
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.