Form 5500 · Employee benefit plan · LUXEMBURG, WI
BANK OF LUXEMBURG
BANK OF LUXEMBURG's employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is W B A - EMPLOYEE BENEFITS CORP. 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 39-0147840 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| DELTA DENTAL OF WISCONSIN | Dental | 1,216 | December | $68,024 |
| PREVEA360 HEALTH PLAN | Health | 231 | December | $21,684 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 98 | December | $8,365 |
| UNUM INSURANCE COMPANY | — | 37 | December | $2,949 |
| SUPERIOR VISION INSURANCE PLAN OF WISCONSIN INC. | Vision | 227 | December | $1,280 |
| EMPLOYEE RESOURCE CENTER, INC | — | 107 | December | $0 |
Questions
Who is BANK OF LUXEMBURG's benefits broker?
Per its most recent Form 5500 Schedule A, BANK OF LUXEMBURG's broker of record is W B A - EMPLOYEE BENEFITS CORP.
What insurance carrier does BANK OF LUXEMBURG use?
BANK OF LUXEMBURG's benefit plan is written through DELTA DENTAL OF WISCONSIN, among 6 disclosed carriers.
When does BANK OF LUXEMBURG's group plan renew?
The most recent Schedule A policy period for BANK OF LUXEMBURG ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from BANK OF LUXEMBURG's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.