Form 5500 · Employee benefit plan · ONALASKA, WI
EMPIRE SCREEN PRINTING, INC.
Public Form 5500 records show how EMPIRE SCREEN PRINTING, INC. (ONALASKA, WI) structures its employee benefits. Its broker of record is TIC INC. Coverage is written through UNITED OF OMAHA LIFE INSURANCE COMPANY and 6 other carriers. The plan's most recent policy period ended in September.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-1141015 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 91 | September | $7,488 |
| DELTA DENTAL OF WISCONSIN | Dental | 128 | September | $6,996 |
| WYSSTA INSURANCE COMPANY INC. | Vision | 100 | September | $887 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 51 | December | $784 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 70 | December | $699 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 173 | December | $422 |
| SUN LIFE ASSURANCE COMPANY OF CANADA | Stop-loss | 118 | September | $0 |
Questions
Who is EMPIRE SCREEN PRINTING, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, EMPIRE SCREEN PRINTING, INC.'s broker of record is TIC INC.
What insurance carrier does EMPIRE SCREEN PRINTING, INC. use?
EMPIRE SCREEN PRINTING, INC.'s benefit plan is written through UNITED OF OMAHA LIFE INSURANCE COMPANY, among 7 disclosed carriers.
When does EMPIRE SCREEN PRINTING, INC.'s group plan renew?
The most recent Schedule A policy period for EMPIRE SCREEN PRINTING, INC. ended in September. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from EMPIRE SCREEN PRINTING, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.