Form 5500 · Employee benefit plan · STOUGHTON, WI
STOUGHTON HOSPITAL ASSOCIATION
STOUGHTON HOSPITAL ASSOCIATION of STOUGHTON, WI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is TRICOR INSURANCE. Coverage is written through QUARTZ HEALTH BENEFIT PLANS CORPORATION and 9 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-0832914 · plan 510 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| QUARTZ HEALTH BENEFIT PLANS CORPORATION | Health | 240 | December | $23,015 |
| DEAN HEALTH PLAN INC | Health | 224 | December | $22,412 |
| DELTA DENTAL OF WISCONSIN | Dental | 278 | December | $9,040 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 126 | December | $6,760 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 307 | December | $6,267 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 158 | December | $4,680 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 307 | December | $3,659 |
| WYSSTA INSURANCE COMPANY INC | Vision | 94 | December | $1,052 |
| MUTUAL OF OMAHA INSURANCE COMPANY | — | 66 | December | $642 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 10 | December | $320 |
Questions
Who is STOUGHTON HOSPITAL ASSOCIATION's benefits broker?
Per its most recent Form 5500 Schedule A, STOUGHTON HOSPITAL ASSOCIATION's broker of record is TRICOR INSURANCE.
What insurance carrier does STOUGHTON HOSPITAL ASSOCIATION use?
STOUGHTON HOSPITAL ASSOCIATION's benefit plan is written through QUARTZ HEALTH BENEFIT PLANS CORPORATION, among 10 disclosed carriers.
When does STOUGHTON HOSPITAL ASSOCIATION's group plan renew?
The most recent Schedule A policy period for STOUGHTON HOSPITAL ASSOCIATION ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from STOUGHTON HOSPITAL ASSOCIATION's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.