Form 5500 · Employee benefit plan · GREEN BAY, WI
HALRON LUBRICANTS
The filing calls this plan HALRON LUBRICANTS INC. EMPLOYEE BENEFITS PLAN.
HALRON LUBRICANTS of GREEN BAY, WI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is M3 INSURANCE SOLUTIONS INC.. Coverage is written through DELTA DENTAL OF WISCONSIN and 5 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-1035807 · plan 501 · plan year 2025, filed Jun 5, 2026
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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.
Benefits declared on this filing
3 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.
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 7 insured contracts covering dental, vision, life and disability; the largest, with DELTA DENTAL OF WISCONSIN, covers 90 people.
The filing declares dental, vision, life, disability and health. Health appears 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 3 contracts here that do not say what they cover.
Reported premium across the insured contracts is $182,476, with $12,100 in disclosed broker commissions — about 6.6% 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.
M3 INSURANCE SOLUTIONS INC. is the broker of record on 4 of the 7 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| DELTA DENTAL OF WISCONSIN | Dental | 90 | Jan 1, 2026 | $106,488 | $5,488 |
| STANDARD INSURANCE COMPANY | Disability | 113 | Jan 1, 2026 | $33,470 | $3,674 |
| STANDARD INSURANCE COMPANY | Life | 113 | Jan 1, 2026 | $21,803 | $1,808 |
| WYSSTA INSURANCE COMPANY INC | Vision | 60 | Jan 1, 2026 | $7,483 | $599 |
| AFLAC | — | 9 | Jan 1, 2026 | $6,640 | $531 |
| ERC, INC. | — | 136 | Jan 1, 2026 | $6,592 | $0 |
| TEXAS LIFE INSURANCE COMPANY | — | — | Jan 1, 2026 | — | $0 |
Premium and claims on these contracts
DELTA DENTAL OF WISCONSIN, contract 03424. For the contract year on this filing, the carrier reported $106,488 in premium earned and $79,015 in claims incurred. Dividing one by the other gives 74%.
STANDARD INSURANCE COMPANY, contract 761089. For the contract year on this filing, the carrier reported $33,470 in premium earned and $-9,918 in claims incurred. Dividing one by the other gives -30%.
- DELTA DENTAL OF WISCONSIN, contract 03424 reported $25,023 in retention.
- STANDARD INSURANCE COMPANY, contract 761089 reported $43,388 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
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.
Other plans filed by this employer
How this plan compares
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