Form 5500 · Employee benefit plan · MADISON, WI
CAPITOL LAKES
Public Form 5500 records show how CAPITOL LAKES (MADISON, WI) structures its employee benefits. Its broker of record is USI INSURANCE SERVICES LLC. Coverage is written through PRUDENTIAL INSURANCE COMPANY OF AMERICA and 3 other carriers. The plan's most recent policy period ended in September.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-1412320 · plan 510 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | Life | 274 | September | $6,629 |
| VISION SERVICE PLAN | Vision | 94 | September | $718 |
| QUARTZ HEALTH BENEFIT PLANS CORPORATION | Health | 150 | September | $0 |
| DELTA DENTAL OF WISCONSIN | Dental | 103 | September | $0 |
Questions
Who is CAPITOL LAKES's benefits broker?
Per its most recent Form 5500 Schedule A, CAPITOL LAKES's broker of record is USI INSURANCE SERVICES LLC.
What insurance carrier does CAPITOL LAKES use?
CAPITOL LAKES's benefit plan is written through PRUDENTIAL INSURANCE COMPANY OF AMERICA, among 4 disclosed carriers.
When does CAPITOL LAKES's group plan renew?
The most recent Schedule A policy period for CAPITOL LAKES ended in September. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from CAPITOL LAKES's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.