Form 5500 · Employee benefit plan · NEENAH, WI
JACKS MAINTENANCE SERVICE, INC.
JACKS MAINTENANCE SERVICE, INC. of NEENAH, WI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is T I C INC. Coverage is written through DELTA DENTAL OF WISCONSIN and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-1132894 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| DELTA DENTAL OF WISCONSIN | Dental | 156 | December | $5,540 |
| KC LIFE | — | 96 | June | $1,529 |
| KC LIFE | Life | 278 | June | $968 |
| WYSSTA INSURANCE COMPANY INC | Vision | 133 | December | $717 |
| SWISS RE | Stop-loss | 159 | June | $0 |
Questions
Who is JACKS MAINTENANCE SERVICE, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, JACKS MAINTENANCE SERVICE, INC.'s broker of record is T I C INC.
What insurance carrier does JACKS MAINTENANCE SERVICE, INC. use?
JACKS MAINTENANCE SERVICE, INC.'s benefit plan is written through DELTA DENTAL OF WISCONSIN, among 5 disclosed carriers.
When does JACKS MAINTENANCE SERVICE, INC.'s group plan renew?
The most recent Schedule A policy period for JACKS MAINTENANCE SERVICE, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from JACKS MAINTENANCE SERVICE, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.