Let us consider a rank-1 POVM acting on qubits with $4$ outcomes (that is, all its elements are rank-1). Furthermore, let us assume that this POVM is unbiased, meaning that $\mathrm{Tr}\left[M_i\right]=\frac12$ for all $i\in[4]$. In particular, it is possible to write this POVM as $\left\{\frac12\left|\psi_i\middle\rangle\!\middle\langle\psi_i\right|\right\}$, and thus to represent such a POVM as a list of $4$ quantum states.
One particular example of such a POVM is the SIC-POVM. If we plot the states of this POVM on the Bloch sphere and "triangulize" it, this forms a tetrahedron:
It is well-known that SIC-POVMs are extremal, meaning that their elements are $\mathbb{R}$-linearly independent. On the other hand, plotting the POVM corresponding to $|+\rangle,|-\rangle,|+\mathrm{i}\rangle,|-\mathrm{i}\rangle$, this gives:
This POVM isn't extremal. Coincidently, the shape is forms is just a plane: it has no volume. It's not too hard to show that if it is the case, then the POVM won't be extremal. But is the converse true? Is it possible to find a non-extremal, unbiased, rank-1 POVM such that the resulting shape on the Bloch sphere has a non-zero volume?
Without loss of generality, we can assume that $\left|\psi_0\right\rangle=|0\rangle$, that $\left|\psi_1\right\rangle=\sqrt{\alpha_1}|0\rangle+\sqrt{1-\alpha_1}|1\rangle$, that $\left|\psi_2\right\rangle=\sqrt{\alpha_2}|0\rangle+\sqrt{1-\alpha_2}\mathrm{e}^{\mathrm{i}\theta_2}|1\rangle$ and that $\left|\psi_3\right\rangle=\sqrt{\alpha_3}|0\rangle+\sqrt{1-\alpha_3}\mathrm{e}^{\mathrm{i}\theta_3}|1\rangle$, with $0<\alpha_i<1$. If I'm not mistaken, the matrices will be $\mathbb{R}$-linearly independent if $\cos\left(\theta_2\right)\neq2\sqrt{\frac{\alpha_1\alpha_2}{\left(1-\alpha_1\right)\left(1-\alpha_2\right)}}$, but this doesn't seem to characterize a plane (and I'm not even sure my computations are correct).