Form 5500 · Employee benefit plan · RACINE, WI
BURLINGTON GRAPHIC SYSTEMS, INC.
BURLINGTON GRAPHIC SYSTEMS, INC. of RACINE, WI is a 178-participant professional services employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is RSC INSURANCE BROKERAGE, INC.. Coverage is written through DELTA DENTAL OF WISCONSIN and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-1394844 · plan 503 · as of Aug 2026
Plan brief
Schedule A lists 4 insured contracts covering dental, vision, life and disability; the largest, with DELTA DENTAL OF WISCONSIN, covers 112 people.
Reported premium across the insured contracts is $104,463, with $9,009 in disclosed broker commissions — about 8.6% 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.
RSC INSURANCE BROKERAGE, INC. is the broker of record on 3 of the 4 contracts; the rest name a different broker or none.
4 carriers appear on the filing — DELTA DENTAL OF WISCONSIN, SUN LIFE ASSURANCE COMPANY OF CANADA, WYSSTA INSURANCE COMPANY, INC. and AURORA EAP — with DELTA DENTAL OF WISCONSIN writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| SUN LIFE ASSURANCE COMPANY OF CANADA | Life, Disability | 117 | December | $33,020 | $4,615 |
| DELTA DENTAL OF WISCONSIN | Dental | 112 | December | $58,598 | $3,626 |
| WYSSTA INSURANCE COMPANY, INC. | Vision | 91 | December | $9,569 | $768 |
| AURORA EAP | — | 183 | December | $3,276 | $0 |
More employer plans in Wisconsin — largest plans, brokers, carriers and renewal months.