Form 5500 · Employee benefit plan · WINDSOR, WI
CLACK CORPORATION
CLACK CORPORATION of WINDSOR, WI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is HEMB INSURANCE GROUP. Coverage is written through UNITED OF OMAHA LIFE INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-0916000 · plan 503 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life, Disability | 424 | December | $23,775 |
| VISION SERVICE PLAN | Vision | 219 | December | $1,211 |
Questions
Who is CLACK CORPORATION's benefits broker?
Per its most recent Form 5500 Schedule A, CLACK CORPORATION's broker of record is HEMB INSURANCE GROUP.
What insurance carrier does CLACK CORPORATION use?
CLACK CORPORATION's benefit plan is written through UNITED OF OMAHA LIFE INSURANCE COMPANY, among 2 disclosed carriers.
When does CLACK CORPORATION's group plan renew?
The most recent Schedule A policy period for CLACK CORPORATION ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from CLACK CORPORATION's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.