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Form 5500 · Employee benefit plan · VERONA, WI

EXTREME ENGINEERING SOLUTIONS, INC.

The filing calls this plan EXTREME ENGINEERING SOLUTIONS, INC. EMPLOYEE BENEFITS PLAN.

EXTREME ENGINEERING SOLUTIONS, INC. of VERONA, WI insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is M3 INSURANCE SOLUTIONS INC.. Coverage is written through QUARTZ HEALTH BENEFIT PLANS CORPORATION and 3 other carriers. The plan's most recent policy period ended in August.

Benefits broker of record
Policy year ends
Augustas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 32-0024540 · plan 501 · plan year 2025, filed Nov 21, 2025

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

40 other employer plans in Wisconsin have policy years ending in August. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.

How this plan is funded

Fully insured as reported

The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.

All participants at the start of the year
428
Active at start of year
412
Active at end of year
430
Disclosed commissions
$114,213
Typical renewal
September 1

Benefits declared on this filing

Healthinsured — QUARTZ HEALTH BENEFIT PLANS CORPORATION913 of 428 participants
Dentalinsured — DELTA DENTAL OF WISCONSIN405 of 428 participants (95%)
Visioninsured — WYSSTA INSURANCE COMPANY INC200 of 428 participants (47%)
Lifeinsured — SUN LIFE ASSURANCE COMPANY OF CANADA430 of 428 participants
Disabilityinsured — SUN LIFE ASSURANCE COMPANY OF CANADA430 of 428 participants

Also declared: other welfare.

Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.

Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.

Plan brief

Schedule A lists 4 insured contracts covering health, dental, vision, life and disability; the largest, with QUARTZ HEALTH BENEFIT PLANS CORPORATION, covers 913 people.

Reported premium across the insured contracts is $8,032,063, with $114,213 in disclosed broker commissions — about 1.4% of premium.

The most recent policy period ended in August, and the plan year ends August 31. Group contracts typically renew on that annual cycle.

M3 INSURANCE SOLUTIONS 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, including QUARTZ HEALTH BENEFIT PLANS CORPORATION, DELTA DENTAL OF WISCONSIN, SUN LIFE ASSURANCE COMPANY OF CANADA and WYSSTA INSURANCE COMPANY INC. QUARTZ HEALTH BENEFIT PLANS CORPORATION writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
QUARTZ HEALTH BENEFIT PLANS CORPORATIONHealth913Sep 1, 2025$7,393,869$66,797
DELTA DENTAL OF WISCONSINDental405Sep 1, 2025$382,195$23,698
SUN LIFE ASSURANCE COMPANY OF CANADALife, Disability430Sep 1, 2025$232,285$21,797
WYSSTA INSURANCE COMPANY INCVision200Sep 1, 2025$23,714$1,921

Premium and claims on this contract

DELTA DENTAL OF WISCONSIN, contract 08011 00000. For the contract year on this filing, the carrier reported $382,195 in premium earned and $326,586 in claims incurred. Dividing one by the other gives 85%.

  • DELTA DENTAL OF WISCONSIN, contract 08011 00000 reported $71,450 in retention.

Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.

Only experience-rated contracts report these figures, so most filings leave them blank.

Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
EXTREME ENGINEERING SOLUTIONS, INC.
EIN 32-0024540

The plan administrator is from line 3a of the main form. We publish company names only.

Reported to OSHA

Reported to OSHA for 2025: 467 employees, 1 recordable cases, 0 days away from work.

EmployeesThe company's own average for the year
467
Hours worked
868,115
Recordable cases
1
Days away from work
0

Source: OSHA Injury Tracking Application establishment data, 2025.

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Renewal calendar

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