Form 5500 · Employee benefit plan · MENOMONIE, WI
BILLS DISTRIBUTING, LTD
The filing calls this plan BILL'S DISTRIBUTING, LTD WELFARE BENEFIT PLAN.
BILLS DISTRIBUTING, LTD of MENOMONIE, WI insures dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is T I C INC. Coverage is written through DELTA DENTAL OF WISCONSIN and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-1375927 · plan 505 · plan year 2025, filed Apr 11, 2026
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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.
Benefits declared on this filing
Also declared: death benefits.
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.
Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.
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 7 insured contracts covering dental, vision, life and disability; the largest, with DELTA DENTAL OF WISCONSIN, covers 76 people.
The filing declares dental, vision, life, disability and health. Health appears with no insured contract on Schedule A. That coverage may be self-funded, or placed with a carrier that is not on this filing.
Reported premium across the insured contracts is $198,335, with $15,664 in disclosed broker commissions — about 7.9% 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.
T I C INC is the broker of record on 3 of the 7 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| DELTA DENTAL OF WISCONSIN | Dental | 76 | Jan 1, 2026 | $74,093 | $4,287 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 117 | Jan 1, 2026 | $32,695 | $3,270 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 68 | Jan 1, 2026 | $25,648 | $2,565 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 61 | Jan 1, 2026 | $18,187 | $1,819 |
| DELTA DENTAL OF WISCONSIN | Dental | 63 | Jan 1, 2026 | $25,268 | $1,739 |
| WYSSTA INSURANCE COMPANY INC | Vision | 115 | Jan 1, 2026 | $14,036 | $1,143 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 126 | Jan 1, 2026 | $8,408 | $841 |
Premium and claims on these contracts
DELTA DENTAL OF WISCONSIN, contract 06621 00000. For the contract year on this filing, the carrier reported $74,093 in premium earned and $79,121 in claims incurred. Dividing one by the other gives 107%.
DELTA DENTAL OF WISCONSIN, contract 06521 00000. For the contract year on this filing, the carrier reported $25,249 in premium earned and $15,685 in claims incurred. Dividing one by the other gives 62%.
- DELTA DENTAL OF WISCONSIN, contract 06621 00000 reported $16,227 in retention.
- DELTA DENTAL OF WISCONSIN, contract 06521 00000 reported $5,530 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
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.
Reported to OSHA
Reported to OSHA for 2025: 268 employees, 13 recordable cases, 72 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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