Form 5500 · Employee benefit plan · GREEN BAY, WI
AMERICAN CUSTOM METAL FABRICATING, INC.
AMERICAN CUSTOM METAL FABRICATING, INC. of GREEN BAY, WI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is M3 INSURANCE SOLUTIONS INC.. Coverage is written through DELTA DENTAL OF WISCONSIN and 5 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 26-2582648 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| DELTA DENTAL OF WISCONSIN | Dental | 106 | December | $3,733 |
| STANDARD INSURANCE COMPANY | — | 96 | December | $3,238 |
| STANDARD INSURANCE COMPANY | Disability | 77 | December | $2,939 |
| STANDARD INSURANCE COMPANY | Life | 182 | December | $1,941 |
| EYEMED VISION CARE | Vision | 176 | December | $1,428 |
| DELTA DENTAL OF WISCONSIN | Dental | 34 | December | $1,184 |
Questions
Who is AMERICAN CUSTOM METAL FABRICATING, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, AMERICAN CUSTOM METAL FABRICATING, INC.'s broker of record is M3 INSURANCE SOLUTIONS INC..
What insurance carrier does AMERICAN CUSTOM METAL FABRICATING, INC. use?
AMERICAN CUSTOM METAL FABRICATING, INC.'s benefit plan is written through DELTA DENTAL OF WISCONSIN, among 6 disclosed carriers.
When does AMERICAN CUSTOM METAL FABRICATING, INC.'s group plan renew?
The most recent Schedule A policy period for AMERICAN CUSTOM METAL FABRICATING, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from AMERICAN CUSTOM METAL FABRICATING, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.