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Form 5500 · Employee benefit plan · MADISON, WI

GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WI

The filing calls this plan GROUP HEALTH COOPERATIVE GROUP TERM LIFE AND AD&D PLAN.

Public Form 5500 records show how GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WI of MADISON, WI, a health care and social assistance employer, structures its employee benefits. Its broker of record is M3 INSURANCE SOLUTIONS INC.. Coverage is written through LIFE INSURANCE COMPANY OF NORTH AMERICA. The plan's most recent policy period ended in September.

Benefits broker of record
M3 INSURANCE SOLUTIONS INC.
Insurance carrier
LIFE INSURANCE COMPANY OF NORTH AMERICA
Policy year ends
Septemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-1199466 · plan 502 · plan year 2024, filed Jul 7, 2025

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

75 other employer plans in Wisconsin have policy years ending in September. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.

How this plan is funded

Funding not settled by the filing

The filing does not report enough to settle how this plan pays for benefits.

All participants at the start of the year
660
Active at start of year
660
Active at end of year
0
Disclosed commissions
$5,985
Typical renewal
October 1

Benefits declared on this filing

Healthdeclared under plan 505
Dentaldeclared under plan 505
Visiondeclared under plan 505
Lifeinsured — LIFE INSURANCE COMPANY OF NORTH AMERICA665 of 660 participants
Disabilitydeclared under plan 505

Also declared: death benefits.

Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.

Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.

Plan brief

All 2 insured contracts are life coverage with LIFE INSURANCE COMPANY OF NORTH AMERICA.

Reported premium across the insured contracts is $234,960, with $5,985 in disclosed broker commissions — about 2.5% of premium.

The most recent policy period ended in September, and the plan year ends December 31. Group contracts typically renew on that annual cycle.

M3 INSURANCE SOLUTIONS INC. is the broker of record on all 2 contracts.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
LIFE INSURANCE COMPANY OF NORTH AMERICALife665Oct 1, 2024$222,484$4,612
LIFE INSURANCE COMPANY OF NORTH AMERICA—665Oct 1, 2024$12,476$1,373

Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WI
EIN 39-1199466

The plan administrator is from line 3a of the main form. We publish company names only.

Reported to OSHA

Reported to OSHA for 2025: 16 employees, 0 recordable cases, 0 days away from work.

EmployeesThe company's own average for the year
16
Hours worked
29,116
Recordable cases
0
Days away from work
0

Source: OSHA Injury Tracking Application establishment data, 2025.

Other plans filed by this employer

Benefits PlanInsured benefit plan · 7 Schedule A contractsRenews ~Jan 1Employee Health PlanInsured benefit plan · 7 Schedule A contractsRenews ~Jan 1plan 503Insured benefit plan · 2 Schedule A contractsRenews ~Oct 1Sconsin 403(B) PlanForm 5500 filing · no insured Schedule A contractsSconsin Employer Funded Retirement PlanForm 5500 filing · no insured Schedule A contractsSconsin Flexible Benefits PlanForm 5500 filing · no insured Schedule A contracts

How this plan compares

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Renewal calendar

75 other employer plans in Wisconsin are October 1 renewals (policy year ends September).

Their policy years end in September, like this plan’s, so most renew October 1. The calendar lists every insured group by renewal date and state, with broker of record, carrier and disclosed commission. You can preview the five largest in each month for free.

See October 1 renewals in WISee how the plan works

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