Form 5500 · Employee benefit plan · HAYWARD, WI
THE LAKES COMMUNITY CLINIC, INC
Public Form 5500 records show how THE LAKES COMMUNITY CLINIC, INC (HAYWARD, WI) structures its employee benefits. Its broker of record is LISA ANN SCAMEHORN. Coverage is written through NORTHWESTERN MUTUAL and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 35-2297925 · plan 521 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| NORTHWESTERN MUTUAL | — | 448 | December | $7,918 |
| NORTHWESTERN MUTUAL | Disability | 448 | December | $7,556 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 251 | December | $7,205 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Vision | 224 | December | $3,043 |
| NORTHWESTERN MUTUAL | Life | 448 | December | $2,840 |
Questions
Who is THE LAKES COMMUNITY CLINIC, INC's benefits broker?
Per its most recent Form 5500 Schedule A, THE LAKES COMMUNITY CLINIC, INC's broker of record is LISA ANN SCAMEHORN.
What insurance carrier does THE LAKES COMMUNITY CLINIC, INC use?
THE LAKES COMMUNITY CLINIC, INC's benefit plan is written through NORTHWESTERN MUTUAL, among 5 disclosed carriers.
When does THE LAKES COMMUNITY CLINIC, INC's group plan renew?
The most recent Schedule A policy period for THE LAKES COMMUNITY CLINIC, INC ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from THE LAKES COMMUNITY CLINIC, INC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.