Form 5500 · Employee benefit plan · LACROSSE, WI
CITY BREWING COMPANY LLC
Public Form 5500 records show how CITY BREWING COMPANY LLC (LACROSSE, WI) structures its employee benefits. Its broker of record is TIC INC.. Coverage is written through PRINCIPAL LIFE INSURANCE COMPANY and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 52-2270167 · plan 501 · as of Aug 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| PRINCIPAL LIFE INSURANCE COMPANY | Life, Disability | 2,231 | December | $1,289,544 | $79,997 |
| QUARTZ HEALTH BENEFIT PLANS CORPORATION | — | 341 | December | $1,967,260 | $24,132 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life | 1,974 | December | $5,401 | $2,430 |
| BLUE CROSS BLUE SHIELD OF TENNESSEE INC | Health | 512 | December | $5,772,161 | $0 |
Questions
Who is CITY BREWING COMPANY LLC's benefits broker?
Per its most recent Form 5500 Schedule A, CITY BREWING COMPANY LLC's broker of record is TIC INC..
What insurance carrier does CITY BREWING COMPANY LLC use?
CITY BREWING COMPANY LLC's benefit plan is written through PRINCIPAL LIFE INSURANCE COMPANY, among 4 disclosed carriers.
When does CITY BREWING COMPANY LLC's group plan renew?
The most recent Schedule A policy period for CITY BREWING COMPANY LLC ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from CITY BREWING COMPANY LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.