Form 5500 · Employee benefit plan · GREEN BAY, WI
PACKER FASTENER & SUPPLY INC.
PACKER FASTENER & SUPPLY INC. of GREEN BAY, WI is a 121-participant wholesale trade employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is AVERGENT LLC. Coverage is written through BLUE CROSS & BLUE SHIELD 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 39-1929539 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 5 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS & BLUE SHIELD OF WISCONSIN, covers 175 people.
Reported premium across the insured contracts is $1,342,083, with $113,979 in disclosed broker commissions — about 8.5% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
AVERGENT LLC is the broker of record on all 5 contracts.
5 carriers appear on the filing — BLUE CROSS & BLUE SHIELD OF WISCONSIN, COMPCARE HEALTH SERVICES INSURANCE CORPORATION, THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA and DELTA DENTAL OF WISCONSIN among them — with BLUE CROSS & BLUE SHIELD OF WISCONSIN writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS & BLUE SHIELD OF WISCONSIN | Health | 175 | December | $882,128 | $47,670 |
| COMPCARE HEALTH SERVICES INSURANCE CORPORATION | Health | 46 | December | $294,269 | $47,670 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 201 | December | $80,635 | $10,459 |
| DELTA DENTAL OF WISCONSIN | Dental | 117 | December | $72,456 | $7,153 |
| WYSSTA INSURANCE COMPANY INC | Vision | 94 | December | $12,595 | $1,027 |
More employer plans in Wisconsin — largest plans, brokers, carriers and renewal months.