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Form 5500 · Employee benefit plan · RACINE, WI

S.C. JOHNSON & SON, INC.

The filing calls this plan WELFARE BENEFIT PLAN.

S.C. JOHNSON & SON, INC. of RACINE, WI spreads its employee benefits across 7 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is WILLIS TOWERS WATSON US LLC. Coverage is written through PRUDENTIAL INSURANCE COMPANY OF AMERICA and 6 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Policy year ends
Decemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-0379990 · plan 514 · plan year 2024, filed Sep 15, 2025

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1,633 other employer plans in Wisconsin have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.

How this plan is funded

Both, as reported

The medical insurance contracts on the filing cover fewer than half the people in the plan, so the rest is paid another way.

A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.

All participants at the start of the year
6,154
Active at start of year
3,256
Active at end of year
3,195
Disclosed commissions
$166,051
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — VISION SERVICE PLAN2,806 of 6,154 participants (46%) on the largest contract
Dentalinsured — DELTA DENTAL OF WISCONSIN1,707 of 6,154 participants (28%) on the largest contract
Visioninsured — VISION SERVICE PLAN2,806 of 6,154 participants (46%)
Lifeinsured — PRUDENTIAL INSURANCE COMPANY OF AMERICA4,359 of 6,154 participants (71%) on the largest contract
Disabilityinsured — PRUDENTIAL INSURANCE COMPANY OF AMERICA4,359 of 6,154 participants (71%) on the largest contract

Also declared: prepaid legal, other welfare.

Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.

Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.

Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.

Plan brief

Schedule A lists 11 insured contracts covering health, dental, vision, life, disability and stop-loss; the largest, with PRUDENTIAL INSURANCE COMPANY OF AMERICA, covers 4,359 people.

The medical plan carries stop-loss coverage: the filing reports the plan paying its own health claims, with insured protection against large ones.

Reported premium across the insured contracts is $9,598,354, with $166,051 in disclosed broker commissions — about 1.7% 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.

WILLIS TOWERS WATSON US LLC is the broker of record on 4 of the 11 contracts; the rest name a different broker or none.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
PRUDENTIAL INSURANCE COMPANY OF AMERICALife, Disability4,359Jan 1, 2025$3,078,169$87,311
UNITEDHEALTHCARE INSURANCE COMPANYHealth81Jan 1, 2025$444,520$72,655
DELTA DENTAL OF WISCONSINDental1,707Jan 1, 2025$2,274,049$5,500
DELTA DENTAL OF WISCONSINDental191Jan 1, 2025$172,169$585
PRUDENTIAL INSURANCE COMPANY OF AMERICALife, Disability8,992Jan 1, 2025$2,153,965$0
VISION SERVICE PLANHealth, Vision2,806Jan 1, 2025$590,115$0
UNITEDHEALTHCARE INSURANCE COMPANYStop-loss2,659Jan 1, 2025$568,896$0
ARAG INSURANCE COMPANY—1,388Jan 1, 2025$156,113$0
EMPATHIA, INC.—3,350Jan 1, 2025$79,048$0
BLUE CROSS & BLUE SHIELD OF WISCONSINStop-loss903Jan 1, 2025$78,591$0
ARAG INSURANCE COMPANY—26Jan 1, 2025$2,719$0

Premium and claims on these contracts

DELTA DENTAL OF WISCONSIN, contract 50722. For the contract year on this filing, the carrier reported $2,274,049 in premium earned and $2,156,110 in claims incurred. Dividing one by the other gives 95%.

DELTA DENTAL OF WISCONSIN, contract 50822. For the contract year on this filing, the carrier reported $172,169 in premium earned and $219,998 in claims incurred. Dividing one by the other gives 128%.

  • DELTA DENTAL OF WISCONSIN, contract 50722 reported $272,863 in retention.
  • DELTA DENTAL OF WISCONSIN, contract 50822 reported $24,100 in retention.

Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.

Only experience-rated contracts report these figures, so most filings leave them blank.

Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
BENEFITS ADMINISTRATION COMMITTEE
EIN 39-0379990

The plan administrator is from line 3a of the main form. We publish company names only.

Reported to OSHA

Reported to OSHA for 2025: 2,747 employees, 22 recordable cases, 291 days away from work.

EmployeesThe company's own average for the year
2,747
Hours worked
5,194,218
Recordable cases
22
Days away from work
291
Establishments filed under this EIN
6

Source: OSHA Injury Tracking Application establishment data, 2025.

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