Plan Ledger DOL Form 5500 · updated monthly

Formrite Tube Companybenefits

Formrite Tube Company Employee Benefit Plan · TWO RIVERS, WI · plan year 2023

Broker compensation reported · 2023
$3,902

Formrite Tube Company's benefits plan covered 0 active participants in 2023, providing health · life · dental · vision · short-term disability · long-term disability · death benefits. Insurance brokers and agents were paid $3,902 in commissions and fees, costs that ultimately come out of what the employer and employees pay for coverage.

Insurance contracts · 20234
BLUE CROSS BLUE SHIELD OF WISCONSIN · dental visionpremiums n/a
ANTHEM LIFE INSURANCE COMPANY · lifepremiums n/a
FORMER WISCONSIN COLLABORATIVE INSURANCE COMPANY · health ppopremiums n/a
RELIANCE STANDARD · lifepremiums n/a · 31 covered
Brokers & agents paid · 20232
M3 INSURANCE SOLUTIONS INC.$412
M3 INSURANCE SOLUTIONS, INC.$3,490
Also brokered by M3 Insurance Solutions Inc.5
Thedacare Inc. WI$355,374

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Source: DOL Form 5500 Schedule A, plan year 2023, EIN 390800833 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.