Form 5500 · Employee benefit plan · MADISON, WI
M3 INSURANCE SOLUTIONS, INC.
M3 INSURANCE SOLUTIONS, INC. of MADISON, WI is a 446-participant finance and insurance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is M3 INSURANCE SOLUTIONS INC.. Coverage is written through QUARTZ HEALTH BENEFIT PLANS CORPORATION and 6 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-1141360 · plan 503 · as of Aug 2026
Plan brief
Schedule A lists 11 insured contracts covering vision, life, disability and stop-loss; the largest, with QUARTZ HEALTH BENEFIT PLANS CORPORATION, covers 392 people.
The only insured piece of the health benefit is stop-loss coverage — the plan itself is self-funded, so premium and commission here reflect the stop-loss contract, not medical premium.
Reported premium across the insured contracts is $3,329,563, with $73,088 in disclosed broker commissions — about 2.2% of premium.
The most recent policy period ended in December, 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 8 of the 11 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| QUARTZ HEALTH BENEFIT PLANS CORPORATION | — | 392 | December | $2,009,656 | $30,209 |
| STANDARD INSURANCE COMPANY | — | 169 | December | $92,583 | $15,989 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | — | 152 | December | $39,657 | $7,931 |
| STANDARD INSURANCE COMPANY | Disability | 466 | December | $311,481 | $7,101 |
| STANDARD INSURANCE COMPANY | Life | 466 | December | $208,826 | $5,169 |
| TRUSTMARK INSURANCE COMPANY | Life | 21 | December | $20,265 | $3,326 |
| WYSSTA INSURANCE COMPANY INC | Vision | 223 | December | $40,627 | $3,269 |
| WYSSTA INSURANCE COMPANY INC | Vision | 10 | December | $1,093 | $94 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | — | 5 | December | $1,480 | $0 |
| HCC LIFE INSURANCE COMPANY | Stop-loss | 173 | December | $592,978 | $0 |
| FAMILY SERVICE MADISON | — | 0 | December | $10,917 | $0 |
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