Form 5500 · Employee benefit plan · MENASHA, WI
GOODWILL INDUSTRIES OF NORTH CENTRAL WISCONSIN,INC.
GOODWILL INDUSTRIES OF NORTH CENTRAL WISCONSIN,INC. of MENASHA, WI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is MCCLONE AGENCY INC. Coverage is written through UNITED OF OMAHA LIFE INSURANCE COMPANY and 7 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-1144913 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 564 | December | $8,926 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 606 | December | $6,907 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 130 | December | $4,314 |
| WYSSTA INSURANCE COMPANY, INC. | Vision | 289 | December | $3,850 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 121 | December | $2,658 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 133 | December | $2,319 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 674 | December | $0 |
| COMPANION LIFE | Stop-loss | 366 | December | $0 |
Questions
Who is GOODWILL INDUSTRIES OF NORTH CENTRAL WISCONSIN,INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, GOODWILL INDUSTRIES OF NORTH CENTRAL WISCONSIN,INC.'s broker of record is MCCLONE AGENCY INC.
What insurance carrier does GOODWILL INDUSTRIES OF NORTH CENTRAL WISCONSIN,INC. use?
GOODWILL INDUSTRIES OF NORTH CENTRAL WISCONSIN,INC.'s benefit plan is written through UNITED OF OMAHA LIFE INSURANCE COMPANY, among 8 disclosed carriers.
When does GOODWILL INDUSTRIES OF NORTH CENTRAL WISCONSIN,INC.'s group plan renew?
The most recent Schedule A policy period for GOODWILL INDUSTRIES OF NORTH CENTRAL WISCONSIN,INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from GOODWILL INDUSTRIES OF NORTH CENTRAL WISCONSIN,INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.