Form 5500 · Employee benefit plan · FARGO, ND
W.W. WALLWORK, INC.
The filing calls this plan W.W. WALLWORK, INC. EMPLOYEE BENEFITS PLAN.
W.W. WALLWORK, INC. of FARGO, ND files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is HUB INT. GREAT PLAINS. Coverage is written through HCC LIFE INSURANCE COMPANY and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 45-0394131 · plan 507 · plan year 2025, filed May 27, 2026
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259 other employer plans in North Dakota 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 a stop-loss contract and no medical premium, which is what a plan that pays its own claims reports.
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.
Benefits declared on this filing
2 contracts on this filing do not say which benefits they cover, so a line above may be insured by one of them.
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
Schedule A lists 6 insured contracts covering dental, vision, life, disability and stop-loss; the largest, with HCC LIFE INSURANCE COMPANY, covers 338 people.
The filing declares dental, vision, life, disability and health. Health appears with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on one of the 2 contracts here that do not say what they cover.
The only insured piece of the health benefit is stop-loss coverage, and the filing reports the plan paying its own claims. The stop-loss contract reports $449,562 in premium and $0 in commission. The rest of the premium and commission above is on the plan's other insured lines, and none of it is medical premium.
Reported premium across the insured contracts is $909,793, with $37,452 in disclosed broker commissions — about 4.1% 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
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| DELTA DENTAL OF MINNESOTA | Dental | 562 | Jan 1, 2026 | $307,026 | $18,422 |
| EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 474 | Jan 1, 2026 | $68,844 | $10,327 |
| FIDELITY SECURITY LIFE INSURANCE COMPANY | Vision | 479 | Jan 1, 2026 | $41,489 | $4,149 |
| AMERICAN HERITAGE LIFE INSURANCE COMPANY | — | 53 | Jan 1, 2026 | $23,661 | $3,309 |
| AMERICAN HERITAGE LIFE INSURANCE COMPANY | — | 80 | Jan 1, 2026 | $19,211 | $1,245 |
| HCC LIFE INSURANCE COMPANY | Stop-loss | 338 | Jan 1, 2026 | $449,562 | $0 |
Premium and claims on this contract
DELTA DENTAL OF MINNESOTA, contract 887537. For the contract year on this filing, the carrier reported $307,026 in premium earned and $224,065 in claims incurred. Dividing one by the other gives 73%.
- DELTA DENTAL OF MINNESOTA, contract 887537 reported $68,006 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.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Reported to OSHA
Reported to OSHA for 2025: 382 employees, 18 recordable cases, 0 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
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Renewal calendar
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