Form 5500 · Employee benefit plan · GREEN BAY, WI
BELLIN MEMORIAL HOSPITAL
Public Form 5500 records show how BELLIN MEMORIAL HOSPITAL (GREEN BAY, WI) structures its employee benefits. Its broker of record is USI INSURANCE SERVICES LLC. Coverage is written through UNUM LIFE INSURANCE COMPANY OF AMERICA and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-0884478 · plan 512 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life | 1,768 | December | $18,864 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 4,741 | December | $18,219 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Disability | 1,117 | December | $13,913 |
| METROPOLITAN LIFE INSURANCE COMPANY | Vision | 6,012 | December | $9,251 |
Questions
Who is BELLIN MEMORIAL HOSPITAL's benefits broker?
Per its most recent Form 5500 Schedule A, BELLIN MEMORIAL HOSPITAL's broker of record is USI INSURANCE SERVICES LLC.
What insurance carrier does BELLIN MEMORIAL HOSPITAL use?
BELLIN MEMORIAL HOSPITAL's benefit plan is written through UNUM LIFE INSURANCE COMPANY OF AMERICA, among 4 disclosed carriers.
When does BELLIN MEMORIAL HOSPITAL's group plan renew?
The most recent Schedule A policy period for BELLIN MEMORIAL HOSPITAL ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from BELLIN MEMORIAL HOSPITAL's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.