Form 5500 · Employee benefit plan · KAUKAUNA, WI
FOX VALLEY TOOL & DIE, INC.
FOX VALLEY TOOL & DIE, INC. of KAUKAUNA, WI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is AVERGENT LLC. Coverage is written through UNITED OF OMAHA LIFE INSURANCE COMPANY and 6 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-1137755 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 73 | December | $2,731 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 142 | December | $2,695 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 59 | December | $2,180 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 142 | December | $1,502 |
| WYSSTA INSURANCE COMPANY INC | Vision | 77 | December | $870 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 22 | December | $691 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 38 | December | $602 |
Questions
Who is FOX VALLEY TOOL & DIE, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, FOX VALLEY TOOL & DIE, INC.'s broker of record is AVERGENT LLC.
What insurance carrier does FOX VALLEY TOOL & DIE, INC. use?
FOX VALLEY TOOL & DIE, INC.'s benefit plan is written through UNITED OF OMAHA LIFE INSURANCE COMPANY, among 7 disclosed carriers.
When does FOX VALLEY TOOL & DIE, INC.'s group plan renew?
The most recent Schedule A policy period for FOX VALLEY TOOL & DIE, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from FOX VALLEY TOOL & DIE, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.