Form 5500 · Employee benefit plan · PORTAGE, WI
FSI, INC.
FSI, INC.'s employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is ASSURED PARTNERS GREAT PLAINS. Coverage is written through DELTA DENTAL OF WISCONSIN and 1 other carrier. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-1751953 · plan 502 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| DELTA DENTAL OF WISCONSIN | Dental | 474 | December | $21,063 |
| WYSSTA INSURANCE COMPANY INC | Vision | 379 | December | $2,146 |
Questions
Who is FSI, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, FSI, INC.'s broker of record is ASSURED PARTNERS GREAT PLAINS.
What insurance carrier does FSI, INC. use?
FSI, INC.'s benefit plan is written through DELTA DENTAL OF WISCONSIN, among 2 disclosed carriers.
When does FSI, INC.'s group plan renew?
The most recent Schedule A policy period for FSI, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from FSI, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.