form5500lookup

Form 5500 · Employee benefit plan · MIDDLETON, WI

UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION, INC.

The filing calls this plan UWMF FACULTY PHYSICIANS VEBA AND TRUST.

Public Form 5500 records show how UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION, INC. of MIDDLETON, WI, a health care and social assistance employer, structures its employee benefits. Its broker of record is VIZIENT INSURANCE SERVICES, LLC. Coverage is written through HARTFORD LIFE AND ACCIDENT. The plan's most recent policy period ended in December.

Benefits broker of record
Policy year ends
Decemberas filed for plan year 2023

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-1824445 · plan 502 · plan year 2023, filed Oct 14, 2024

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

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

Self-funded as reported

The filing reports benefits paid from the plan's own money, and no medical insurance contract on Schedule A.

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
1,306
Active at start of year
1,306
Active at end of year
1,334
Disclosed commissions
$2,783
Typical renewal
January 1

Benefits declared on this filing

Healthdeclared under plan 506
Dentaldeclared under plan 506
Visiondeclared under plan 506
Lifeinsured — HARTFORD LIFE AND ACCIDENT1,334 of 1,306 participants
Disabilitydeclared under plan 501

Also declared: 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.

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

The filing discloses a single insured line, life, through HARTFORD LIFE AND ACCIDENT, covering 1,334 people.

Reported premium across the insured contracts is $637,343, with $2,783 in disclosed broker commissions — about 0.4% 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.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
HARTFORD LIFE AND ACCIDENTLife1,334Jan 1, 2024$637,343$2,783

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
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION, INC.
EIN 39-1824445

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

Money the plan held and paid out

Plan assets at year end
$67,269
Paid out in benefits
$637,343
Paid to insurance carriersSchedule H, line 2e(2)
$637,343
Independent accountantEIN 42-0714325
RSM US LLP
Accountant's opinion (Schedule H, line 3a)
Unmodified

Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H

These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.

Other plans filed by this employer

How this plan compares

Subscribers see how this compares with similar plans in Wisconsin. A subscription also adds this plan's filing history and the renewal calendar for its state. See plans and prices

Without an account you can open 10 employer, broker and carrier pages a day, including through an AI assistant, and 50 a day with a free account. Paid plans are what keep these records free to read.

Renewal calendar

1,633 other employer plans in Wisconsin are January 1 renewals (policy year ends December).

Their policy years end in December, like this plan’s, so most renew January 1. The calendar lists every insured group by renewal date and state, with broker of record, carrier and disclosed commission. You can preview the five largest in each month for free.

Claude & ChatGPT

Look up records from Claude or ChatGPT

Add Form5500Lookup to Claude or ChatGPT and ask about any employer, broker or carrier in plain English. Lookups are free. Renewal lists, full books of business and exports are included with a subscription.

Building a list or a tool from these records? Match a list you already have from $29 per 1,000 records, or license the whole dataset as a weekly file for $499 a month. See both

More employer plans in Wisconsin — largest plans, brokers, carriers and renewal months.