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Form 5500 · Employee benefit plan · GREEN BAY, WI

ORTHOPEDIC & SPORTS MEDICINE SPECIALISTS

ORTHOPEDIC & SPORTS MEDICINE SPECIALISTS 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 MCCLONE AGENCY INC. Coverage is written through NETWORK HEALTH PLAN and 6 other carriers. The plan's most recent policy period ended in March.

Benefits broker of record
Insurance carrier
Plan renews
March

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 26-1132759 · plan 523 · as of Jul 2026

Participants
113
Carriers on file
7
Disclosed commissions
$27,400
Renewal month
March

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsCommission
NETWORK HEALTH PLANHealth113March$8,823
UNITED OF OMAHA LIFE INSURANCE COMPANY252December$5,059
UNITED OF OMAHA LIFE INSURANCE COMPANYDisability253December$4,555
NETWORK HEALTH PLANHealth35March$2,748
UNITED OF OMAHA LIFE INSURANCE COMPANYLife111December$2,685
UNITED OF OMAHA LIFE INSURANCE COMPANYLife253December$2,590
NETWORK HEALTH PLANHealth15March$940

Questions

Who is ORTHOPEDIC & SPORTS MEDICINE SPECIALISTS's benefits broker?

Per its most recent Form 5500 Schedule A, ORTHOPEDIC & SPORTS MEDICINE SPECIALISTS's broker of record is MCCLONE AGENCY INC.

What insurance carrier does ORTHOPEDIC & SPORTS MEDICINE SPECIALISTS use?

ORTHOPEDIC & SPORTS MEDICINE SPECIALISTS's benefit plan is written through NETWORK HEALTH PLAN, among 7 disclosed carriers.

When does ORTHOPEDIC & SPORTS MEDICINE SPECIALISTS's group plan renew?

The most recent Schedule A policy period for ORTHOPEDIC & SPORTS MEDICINE SPECIALISTS ended in March. Group plans typically renew on the same annual cycle.

Where does this data come from?

All figures are drawn from ORTHOPEDIC & SPORTS MEDICINE SPECIALISTS's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.