Form 5500 · Employee benefit plan · MONONA, WI
LAKE RIDGE BANK
LAKE RIDGE BANK of MONONA, WI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is HAUSMANN JOHNSON INSURANCE INC.. Coverage is written through QUARTZ HEALTH BENEFIT PLANS CORPORATION and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-0634040 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| QUARTZ HEALTH BENEFIT PLANS CORPORATION | Health | 664 | December | $35,139 |
| STANDARD INSURANCE COMPANY | — | 136 | December | $10,324 |
| STANDARD INSURANCE COMPANY | Disability | 361 | December | $4,864 |
| STANDARD INSURANCE COMPANY | Life | 361 | December | $4,648 |
| WYSSTA INSURANCE COMPANY INC | Vision | 225 | December | $4,200 |
Questions
Who is LAKE RIDGE BANK's benefits broker?
Per its most recent Form 5500 Schedule A, LAKE RIDGE BANK's broker of record is HAUSMANN JOHNSON INSURANCE INC..
What insurance carrier does LAKE RIDGE BANK use?
LAKE RIDGE BANK's benefit plan is written through QUARTZ HEALTH BENEFIT PLANS CORPORATION, among 5 disclosed carriers.
When does LAKE RIDGE BANK's group plan renew?
The most recent Schedule A policy period for LAKE RIDGE BANK ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from LAKE RIDGE BANK's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.