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Form 5500 · Employee benefit plan · KENOSHA, WI

KENOSHA BEEF INTERNATIONAL, LTD

The filing calls this plan KENOSHA BEEF INTERNATIONAL, LTD. HEALTH PLAN.

KENOSHA BEEF INTERNATIONAL, LTD of KENOSHA, WI insures health, dental, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is WMC SERVICE CORPORATION. Coverage is written through UNITEDHEALTHCARE INSURANCE COMPANY and 3 other carriers. The plan's most recent policy period ended in August.

Benefits broker of record
Policy year ends
Augustas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-0994777 · plan 501 · plan year 2025, filed Mar 19, 2026

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

How this plan is funded

Fully insured as reported

The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.

All participants at the start of the year
586
Active at start of year
—
Active at end of year
695
Disclosed commissions
$39,106
Typical renewal
September 1

Benefits declared on this filing

Healthinsured — UNITEDHEALTHCARE INSURANCE COMPANY1,526 of 586 participants
Dentalinsured — DELTA DENTAL OF WISCONSIN247 of 586 participants (42%) on the largest contract
Visiondeclared, not on Schedule A
Lifeinsured — SUN LIFE ASSURANCE COMPANY OF CANADA931 of 586 participants
Disabilityinsured — SUN LIFE ASSURANCE COMPANY OF CANADA931 of 586 participants

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 5 insured contracts covering health, dental, life and disability; the largest, with UNITEDHEALTHCARE INSURANCE COMPANY, covers 1,526 people.

The filing declares health, dental, life, disability and vision. Vision 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 $9,699,743, with $39,106 in disclosed broker commissions — about 0.4% of premium.

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

WMC SERVICE CORPORATION is the broker of record on 1 of the 5 contracts; the rest name a different broker or none.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
SUN LIFE ASSURANCE COMPANY OF CANADALife, Disability931Sep 1, 2025$161,215$29,700
UNITEDHEALTHCARE INSURANCE COMPANYHealth1,526Sep 1, 2025$9,344,168$6,108
DELTA DENTAL OF WISCONSINDental247Sep 1, 2025$114,233$3,298
CARE-PLUS DENTAL PLANS, INC.Dental236Sep 1, 2025$48,363$0
DELTA DENTAL OF WISCONSINDental162Sep 1, 2025$31,764$0

Premium and claims on these contracts

DELTA DENTAL OF WISCONSIN, contract 52412. For the contract year on this filing, the carrier reported $114,113 in premium earned and $87,632 in claims incurred. Dividing one by the other gives 77%.

DELTA DENTAL OF WISCONSIN, contract 52512. For the contract year on this filing, the carrier reported $31,764 in premium earned and $20,592 in claims incurred. Dividing one by the other gives 65%.

  • DELTA DENTAL OF WISCONSIN, contract 52412 reported $17,690 in retention.
  • DELTA DENTAL OF WISCONSIN, contract 52512 reported $5,241 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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
KENOSHA BEEF INTERNATIONAL, LTD
EIN 39-0994777

The plan administrator is from line 3a of the main form. We publish company names only.

Reported to OSHA

Reported to OSHA for 2025: 1,126 employees, 27 recordable cases, 14 days away from work.

EmployeesThe company's own average for the year
1,126
Hours worked
2,721,546
Recordable cases
27
Days away from work
14
Establishments filed under this EIN
3

Source: OSHA Injury Tracking Application establishment data, 2025.

Other plans filed by this employer

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Renewal calendar

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