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Form 5500 · Employee benefit plan · APPLETON, WI

AIR WISCONSIN AIRLINES LLC

The filing calls this plan GROUP INSURANCE BENEFITS FOR AIR WISCONSIN AIRLINES.

AIR WISCONSIN AIRLINES LLC of APPLETON, WI insures health, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is MERCER HEALTH AND BENEFITS, LLC. Coverage is written through THE LINCOLN NATIONAL LIFE INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in December.

Benefits broker of record
Policy year ends
Decemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-1767281 · plan 505 · plan year 2024, filed Oct 8, 2025

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

1,633 other employer plans in Wisconsin have policy years ending in December. 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
955
Active at start of year
946
Active at end of year
839
Disclosed commissions
$12,500
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — FEI BEHAVIORAL HEALTH983 of 955 participants
Dentaldeclared under plan 504
Visiondeclared under plan 504
Lifeinsured — THE LINCOLN NATIONAL LIFE INSURANCE COMPANY895 of 955 participants (94%)
Disabilityinsured — THE LINCOLN NATIONAL LIFE INSURANCE COMPANY722 of 955 participants (76%)

Also declared: death benefits, other welfare.

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

Schedule A lists 3 insured contracts covering health, life and disability; the largest, with THE LINCOLN NATIONAL LIFE INSURANCE COMPANY, covers 722 people.

Reported premium across the insured contracts is $731,814, with $12,500 in disclosed broker commissions — about 1.7% 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.

MERCER HEALTH AND BENEFITS, LLC is the broker of record on 2 of the 3 contracts; the rest name a different broker or none.

Two carriers split the book: THE LINCOLN NATIONAL LIFE INSURANCE COMPANY and FEI BEHAVIORAL HEALTH.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYLife895Jan 1, 2025$246,074$12,500
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYDisability722Jan 1, 2025$472,462$0
FEI BEHAVIORAL HEALTHHealth983Jan 1, 2025$13,278$0

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
AIR WISCONSIN AIRLINES LLC
EIN 39-1767281

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

Other plans filed by this employer

How this plan compares

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Renewal calendar

1,633 other employer plans in Wisconsin are January 1 renewals (policy year ends December).

Their policy years end in December, like this plan’s, so most renew January 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.

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