Form 5500 · Employee benefit plan · SHEBOYGAN, WI
PINE HAVEN CHRISTIAN HOME, INC.
PINE HAVEN CHRISTIAN HOME, INC. of SHEBOYGAN, WI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is M3 INSURANCE SOLUTIONS INC.. Coverage is written through PREVEA360 HEALTH PLAN and 7 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-0816900 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| PREVEA360 HEALTH PLAN | Health | 67 | December | $18,724 |
| DELTA DENTAL OF WISCONSIN | Dental | 66 | December | $5,209 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Life | 122 | December | $1,286 |
| WYSSTA INSURANCE COMPANY INC | Vision | 63 | December | $578 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 20 | December | $371 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 22 | December | $204 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 19 | December | $180 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 26 | December | $144 |
Questions
Who is PINE HAVEN CHRISTIAN HOME, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, PINE HAVEN CHRISTIAN HOME, INC.'s broker of record is M3 INSURANCE SOLUTIONS INC..
What insurance carrier does PINE HAVEN CHRISTIAN HOME, INC. use?
PINE HAVEN CHRISTIAN HOME, INC.'s benefit plan is written through PREVEA360 HEALTH PLAN, among 8 disclosed carriers.
When does PINE HAVEN CHRISTIAN HOME, INC.'s group plan renew?
The most recent Schedule A policy period for PINE HAVEN CHRISTIAN HOME, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from PINE HAVEN CHRISTIAN HOME, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.