form5500lookup

Form 5500 · Employee benefit plan · APPLETON, WI

GREAT NORTHERN CORPORATION

The filing calls this plan GREAT NORTHERN CORPORATION HEALTH, DENTAL AND LIFE PLAN.

GREAT NORTHERN CORPORATION of APPLETON, WI insures dental, vision and life coverage for its employees, per Schedule A of its Form 5500. Its broker of record is HAYS COMPANIES INC. Coverage is written through SYMETRA LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
HAYS COMPANIES INC
Insurance carrier
SYMETRA LIFE INSURANCE COMPANY
Policy year ends
Decemberas filed for plan year 2023

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-0990697 · plan 501 · plan year 2023, filed Jun 21, 2024

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

1,633 other employer plans in Wisconsin have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.

How this plan is funded

Funding not settled by the filing

The filing does not report enough to settle how this plan pays for benefits.

All participants at the start of the year
1,062
Active at start of year
1,027
Active at end of year
1,022
Disclosed commissions
$42,854
Typical renewal
January 1

Benefits declared on this filing

Healthdeclared, not on Schedule A
Dentalinsured — CARE-PLUS DENTAL PLANS, INC.316 of 1,062 participants (30%)
Visioninsured — HUMANA INSURANCE COMPANY677 of 1,062 participants (64%)
Lifeinsured — SYMETRA LIFE INSURANCE COMPANY1,198 of 1,062 participants
Disabilitydeclared under plan 504

Also declared: supplemental unemployment.

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 3 insured contracts covering dental, vision and life; the largest, with SYMETRA LIFE INSURANCE COMPANY, covers 1,198 people.

The filing declares life and health. Health appears with no insured contract on Schedule A. That coverage may be self-funded, or placed with a carrier that is not on this filing.

Reported premium across the insured contracts is $431,015, with $42,854 in disclosed broker commissions — about 9.9% of premium.

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

HAYS COMPANIES INC is the broker of record on all 3 contracts.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
SYMETRA LIFE INSURANCE COMPANYLife1,198Jan 1, 2024$232,784$25,914
CARE-PLUS DENTAL PLANS, INC.Dental316Jan 1, 2024$110,794$8,863
HUMANA INSURANCE COMPANYVision677Jan 1, 2024$87,437$8,077

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
GREAT NORTHERN CORPORATION
EIN 39-0990697
HUMANADENTAL INSURANCE COMPANY
Claims processing · EIN 39-0714280
$49,076
paid directly by the plan
UNITED HEALTHCARE SERVICES, INC.
Claims processing · EIN 41-1289245
$623,225
paid directly by the plan

The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.

Reported to OSHA

Reported to OSHA for 2025: 1,113 employees, 26 recordable cases, 151 days away from work.

EmployeesThe company's own average for the year
1,113
Hours worked
2,286,205
Recordable cases
26
Days away from work
151
Establishments filed under this EIN
11

Source: OSHA Injury Tracking Application establishment data, 2025.

Other plans filed by this employer

Health And Welfare Benefits PlanInsured benefit plan · 4 Schedule A contractsRenews ~Jan 1Long Term Disability PlanInsured benefit plan · 1 Schedule A contractRenews ~Jan 1Retirement Savings PlanRetirement plan · 2 Schedule A contractsAppleton Union Employees' 401(K) PlanRetirement plan · 1 Schedule A contract

How this plan compares

Subscribers see how this compares with similar plans in Wisconsin. A subscription also adds this plan's filing history and the renewal calendar for its state. See plans and prices

Without an account you can open 10 employer, broker and carrier pages a day, including through an AI assistant, and 50 a day with a free account. Paid plans are what keep these records free to read.

Renewal calendar

1,633 other employer plans in Wisconsin are January 1 renewals (policy year ends December).

Their policy years end in December, like this plan’s, so most renew January 1. The calendar lists every insured group by renewal date and state, with broker of record, carrier and disclosed commission. You can preview the five largest in each month for free.

See January 1 renewals in WISee how the plan works

Claude & ChatGPT

Look up records from Claude or ChatGPT

Add Form5500Lookup to Claude or ChatGPT and ask about any employer, broker or carrier in plain English. Lookups are free. Renewal lists, full books of business and exports are included with a subscription.

Building a list or a tool from these records? Match a list you already have from $29 per 1,000 records, or license the whole dataset as a weekly file for $499 a month. See both

Add to Claude Set up ChatGPT

More employer plans in Wisconsin — largest plans, brokers, carriers and renewal months.