Form 5500 · Employee benefit plan · WAUKESHA, WI
HALLMARK BUILDING SUPPLIES, INC.
The filing calls this plan HALLMARK BUILDING SUPPLIES, INC. WELFARE BENEFIT PLAN.
HALLMARK BUILDING SUPPLIES, INC. of WAUKESHA, WI spreads its employee benefits across 3 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is M3 INSURANCE SOLUTIONS INC.. Coverage is written through HCC LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-1209951 · plan 510 · plan year 2025, filed Aug 12, 2026
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How this plan is funded
Self-funded as reported
The filing reports a stop-loss contract and no medical premium, which is what a plan that pays its own claims reports.
A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.
Benefits declared on this filing
2 contracts on this filing do not say which benefits they cover, so a line above may be insured by one of them.
Also declared: death benefits, 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.
Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.
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 8 insured contracts covering vision, life, disability and stop-loss; the largest, with HCC LIFE INSURANCE COMPANY, covers 103 people.
The filing declares vision, life, disability, health and dental. Health and dental appear with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on one of the 2 contracts here that do not say what they cover.
The only insured piece of the health benefit is stop-loss coverage, and the filing reports the plan paying its own claims. The stop-loss contract reports $499,427 in premium and $0 in commission. The rest of the premium and commission above is on the plan's other insured lines, and none of it is medical premium.
Reported premium across the insured contracts is $643,750, with $12,259 in disclosed broker commissions — about 1.9% 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.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Disability | 123 | Jan 1, 2026 | $37,302 | $3,211 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Disability | 123 | Jan 1, 2026 | $26,450 | $2,658 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Life | 123 | Jan 1, 2026 | $20,263 | $1,822 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Life | 49 | Jan 1, 2026 | $17,465 | $1,747 |
| WYSSTA INSURANCE COMPANY INC | Vision | 94 | Jan 1, 2026 | $15,634 | $1,256 |
| HCC LIFE INSURANCE COMPANY | — | 103 | Jan 1, 2026 | $23,109 | $1,155 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 51 | Jan 1, 2026 | $4,100 | $410 |
| HCC LIFE INSURANCE COMPANY | Stop-loss | 103 | Jan 1, 2026 | $499,427 | $0 |
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.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Reported to OSHA
Reported to OSHA for 2025: 55 employees, 1 recordable cases, 0 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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