Form 5500 · Employee benefit plan · MADISON, WI
GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN
GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN of MADISON, WI insures health, dental, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is M3 INSURANCE SOLUTIONS INC.. Coverage is written through GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-1199466 · plan 505 · as of Aug 2026
Plan brief
Schedule A lists 7 insured contracts covering health, dental, life and disability; the largest, with GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN, covers 1,494 people.
Reported premium across the insured contracts is $13,045,944, with $17,678 in disclosed broker commissions — about 0.1% of premium.
The health contract's policy period ended in December, while at least one ancillary line renews in September — the plan is on a split renewal cycle.
M3 INSURANCE SOLUTIONS INC. is the broker of record on 4 of the 7 contracts; the rest name a different broker or none.
3 carriers appear on the filing — GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN, DELTA DENTAL OF WISCONSIN and LIFE INSURANCE COMPANY OF NORTH AMERICA — with GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Disability | 701 | September | $276,101 | $6,761 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life | 701 | September | $228,147 | $4,754 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | — | 701 | September | $257,324 | $4,737 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | — | 701 | September | $13,232 | $1,426 |
| DELTA DENTAL OF WISCONSIN | Dental | 150 | December | $161,087 | $0 |
| GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN | Health, Dental | 1,494 | December | $11,479,775 | $0 |
| DELTA DENTAL OF WISCONSIN | Dental | 461 | December | $630,278 | $0 |
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