Form 5500 · Employee benefit plan · RIDGELAND, WI
SYNERGY COMMUNITY COOPERATIVE
SYNERGY COMMUNITY COOPERATIVE of RIDGELAND, WI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is T I C 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 39-1764869 · plan 501 · as of Aug 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| PREVEA360 HEALTH PLAN | Health | 299 | December | $2,574,501 | $48,925 |
| DELTA DENTAL OF WISCONSIN | Dental | 185 | December | $131,940 | $12,071 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 105 | December | $35,411 | $7,790 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 264 | December | $40,037 | $4,003 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 264 | December | $24,168 | $2,416 |
| CONTINENTAL AMERICAN INSURANCE COMPANY | — | 107 | December | $42,745 | $1,738 |
| VISION SERVICE PLAN | Vision | 187 | December | $22,585 | $1,438 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 264 | December | $79,314 | $0 |
Questions
Who is SYNERGY COMMUNITY COOPERATIVE's benefits broker?
Per its most recent Form 5500 Schedule A, SYNERGY COMMUNITY COOPERATIVE's broker of record is T I C INC.
What insurance carrier does SYNERGY COMMUNITY COOPERATIVE use?
SYNERGY COMMUNITY COOPERATIVE's benefit plan is written through PREVEA360 HEALTH PLAN, among 8 disclosed carriers.
When does SYNERGY COMMUNITY COOPERATIVE's group plan renew?
The most recent Schedule A policy period for SYNERGY COMMUNITY COOPERATIVE ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from SYNERGY COMMUNITY COOPERATIVE's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.