Form 5500 · Employee benefit plan · GREEN BAY, WI
NICOLET NATIONAL BANK
NICOLET NATIONAL BANK's employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is JOE FERNANDEZ. Coverage is written through RELIASTAR LIFE INSURANCE COMPANY and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-1990426 · plan 506 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| RELIASTAR LIFE INSURANCE COMPANY | Life, Disability | 1,233 | December | $67,421 |
| COMBINED INSURANCE | Life | 98 | December | $34,339 |
| METROPOLITAN LIFE INSURANCE COMPANY | Vision | 1,129 | December | $0 |
| UNITED HEALTHCARE INSURANCE COMPANY | — | 636 | December | $0 |
Questions
Who is NICOLET NATIONAL BANK's benefits broker?
Per its most recent Form 5500 Schedule A, NICOLET NATIONAL BANK's broker of record is JOE FERNANDEZ.
What insurance carrier does NICOLET NATIONAL BANK use?
NICOLET NATIONAL BANK's benefit plan is written through RELIASTAR LIFE INSURANCE COMPANY, among 4 disclosed carriers.
When does NICOLET NATIONAL BANK's group plan renew?
The most recent Schedule A policy period for NICOLET NATIONAL BANK ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from NICOLET NATIONAL BANK's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.